Regulation detail

Pa. Code 5221.11

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Pa. Code 5221.11 active

Provider participation

Jurisdiction: PA Agency: Pennsylvania Department of Human Services (OMHSAS) and Department of Drug and Alcohol Programs (DDAP)
CMHC (60%) OUTPATIENT (40%)
Plain-English summary

This section establishes the requirements for county MH/MR programs and public and private agencies to enroll as intensive case management (ICM) providers in Pennsylvania. Eligible providers must be designated in an approved county plan, apply to the county administrator, sign a provider agreement per Chapter 1101, and complete a Multi-Category Enrollment Information Packet to enable Medical Assistance reimbursement. Enrolled providers must comply with Chapter 1101 to the extent consistent with this chapter's requirements.

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Regulation text
55 Pa. Code § 5221.11 - Provider participation 

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(a)

 County MH/MR programs and public and private agencies are eligible to enroll as
 intensive case management providers if they are specifically designated as
 providers in an approved county plan. The Department reserves the right to
 limit providers to those it considers best able to serve the targeted
 population.

(b)
 County MH/MR
 programs and public and private agencies seeking to provide intensive case
 management shall apply to the county administrator to be included in the county
 plan.

(c)
 Providers approved by the
 Department shall sign a provider agreement, as specified in Chapter 1101
 (relating to general provisions), to participate as providers of intensive case
 management.

(d)
 Enrolled providers
 shall complete a Multi-Category Enrollment Information Packet which will permit
 Federal share reimbursements through Medical Assistance.

(e)
 Enrolled providers shall abide by Chapter
 1101, to the extent that the compliance is consistent with compliance with this
 chapter.

Notes

55

 Pa. Code §
 
5221.11

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