{"ref":"PA-HC-BUS-03","title":"Medical Assistance Waiver Provider Participation","category":"Business","summary":"If the Agency serves participants in an Office of Long-Term Living waiver or the Act 150 program, sets out what it must have and keep doing as an enrolled provider: the required written policies, licenses and insurance, new provider training within 180 days, two-yearly requalification, approved service plans before services, change notices, monitoring and corrective action plans, a quality management plan, and five-year record retention.","inShort":["Some of our consumers get services through Medical Assistance waiver programs. Their services must match their approved service plan.","You will be trained on each waiver participant’s service plan before you serve them.","Do only the tasks and hours in the plan. If the participant needs something different, call the office.","Waiver participants can call the Participant Helpline at 1-800-757-5042 with concerns."],"primaryCitation":"55 Pa. Code §52.11","citations":["55 Pa. Code §52.2","55 Pa. Code §52.11","55 Pa. Code §52.14","55 Pa. Code §52.15","55 Pa. Code §52.22","55 Pa. Code §52.23","55 Pa. Code §52.24","55 Pa. Code §52.43","55 Pa. Code §52.44","55 Pa. Code §1101.51(e)"],"federalCitations":[],"surveyorAsks":["Which waiver programs are you enrolled in, and when did you last submit your provider requalification?","Show me your certificates of commercial general liability and workers’ compensation insurance."],"forms":[{"ref":"PA-HC-BUS-03-A","title":"Waiver Provider Compliance Calendar"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (55 Pa. Code §52.11)","5. Ongoing Provider Duties","6. Records, Audits, and Insurance","7. Managed Care Organizations","8. Responsibilities","9. Records and Compliance Monitoring","10. Staff Training","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"pa-hca","state":"Pennsylvania","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}