Long Term Care Providers

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 Home and Community-Based Services Regulations and Rates

OLTL HCBS Regulations (55 Pa. Code, Chapter 52)



MA Fee Schedule Rates

OLTL MA Rate Notices


Billing Information

OLTL Billing Instructions Bulletin
Attachment A
Attachment B
Rate Regions

Service Coordination - Information on HCSIS

Service Plan Instructions

Financial Management Services (FMS) Rates

FMS Region-Rates

Service Coordination-Frequently Asked Questions

FAQ 02/2014

Conflict Free Service Coordination

Conflict Free Choice Form

HCBS Regulation - Frequently Asked Questions

FAQs (updated as of 06/17/2013)

Waiver Participant Informational Materials

In order to ensure consistent information throughout each county, OLTL requires all Service Coordination agencies to provide standardized materials to all waiver participants.

View corresponding bulletins relating to this material.

OLTL had these materials translated into the following languages (including English): Chinese (Simplified), Khmer (Cambodian), Russian, Spanish, and Vietnamese.  View the translated materials.

OLTL HCBS Provider Handbook

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

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

Training and Technical Assistance

Service Plan Assurances and Performance Measures Training March 2015 (PowerPoint)

Risk Mitigation Webinar Link 

Risk Mitigation PowerPoint

Employment and Employment Related Services Webinar (8/23/16)

Employment Webinar (11/2016)

Employment Webinar FAQ (11/2016)