Abuse, Neglect, Abandonment and Financial Exploitation
Ensuring the health and safety of program participants is one of the waiver assurances required by the Centers for Medicare and Medicaid Services (CMS). Additionally, state laws are in place requiring service coordinators and direct service providers to report abuse, neglect, abandonment and financial exploitation. Office of Long-Term Living service coordinators and direct service providers are mandatory reporters under the law.
Adult Protective Services – In 2010, the Adult Protective Services (APS) Law, Act 70 of 2010, was enacted to provide protective services to adults between 18 and 59 years of age who have a physical or mental impairment that substantially limits one or more major life activities. The APS Law establishes a program of protective services in order to detect, prevent, reduce and eliminate abuse, neglect, exploitation and abandonment of adults in need.
To report the need for protective services, call the 24-hour, statewide Protective Services Hotline at: 1-800-490-8505
Additional information can be found at http://www.dhs.pa.gov/citizens/reportabuse/dhsadultprotectiveservices/
Older Adults Protective Services - The Department of Aging is responsible for oversight and implementation of the Older Adults Protective Services Act (OAPSA) for individuals over the age of 60.
Statewide Elder Abuse Hotline: 1-800-490-8505
Additional information can be found at: http://www.aging.pa.gov/organization/advocacy-and-protection/Pages/Protective-Services.aspx
On May 19, 2012, the Long-Term Living Home and Community-Based Service Regulation went into effect. The following documents contain the regulation as it appears in the Pennsylvania Bulletin and instructions on billing for services. The OLTL Billing Instructions Bulletin contains important information on quarter hour unit billing, billable and non-billable activities for service coordinators and on new rates.
OLTL HCBS Regulations (55 Pa. Code, Chapter 52)
MA Fee Schedule Rates
OLTL MA Rate Notices
January 1, 2016 Rate Notice (Overtime)
October 28, 2015 Rate Notice (Waiver Changes)
September 13, 2014 Rate Notices (Service Coordination)
September 13, 2014 Rate Notices (PAS Consumer-Directed)
September 13, 2014 Rate Notices (PAS Agency)
January 26, 2013 Rate Notice (Service Coordination)
January 26, 2013 Rate Notice (Enrollment)
July 14, 2012 Service Coordination Rate Notice
June 30, 2012 Aging Waiver Enrollment Fee Rate Notice June 9, 2012 Rate Notice.
Service Coordination - Information on HCSIS
Financial Management Services (FMS) Rates
Service Coordination-Frequently Asked Questions
Conflict Free Service Coordination
HCBS Regulation - Frequently Asked Questions
In order to ensure consistent information throughout each county, OLTL requires all Service Coordination agencies to provide standardized materials to all waiver participants.
OLTL had these materials translated into the following languages (including English): Chinese (Simplified), Khmer (Cambodian), Russian, Spanish, and Vietnamese. View the translated materials.
The Provider Handbook (updated version coming soon) outlines applicable programs, policies, and procedures for all providers serving participants in OLTL HCBS Programs. View the corresponding bulletin relating to this material.View copies of the appendix forms.
Financial Management Services (FMS) are available to participants who receive participant-directed services in the Aging, Attendant Care, Community Care (Commcare), Independence and Omnibus Budget Reconciliation Act (OBRA) waivers or the Act 150 program.
For participants that choose to direct their services, a Vendor Fiscal Employer Agent (VF/EA) organization acts as the employer agent on behalf of the participant. The fiscal support services include administrative payroll functions such as the management of federal and state income tax withholding and employment taxes and locality taxes, processing direct care worker time sheets, brokering workers compensation insurance policies, and preparing and distributing financial reports.
The following are links to related material:
FMS Sample Forms
Mosley v Alexander Settlement Agreement