SB 1316
An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for pending medical assistance applications.
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Sign in to take action- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Bill overview
This bill aims to standardize the process for medical assistance applications for long-term care services in Pennsylvania. It requires county assistance offices to send ‘pending’ letters to providers requesting specific documentation within 10 days of an application’s receipt. The bill also outlines procedures for denying applications, appealing denials, and ensures caseworkers review submitted documentation within 10 days. Furthermore, it mandates the Department of Human Services to publish an annual report detailing application volumes and outcomes.
Key provisions
- Requires county assistance offices to send ‘pending’ letters to providers requesting specific documentation.
- Establishes a 10-day timeframe for caseworkers to review submitted documentation.
- Outlines procedures for denying applications and handling appeals.
- Mandates weekly communication between caseworkers and providers regarding application status.
- Requires the Department of Human Services to publish an annual report on long-term care application data.
- Specifies how nursing facilities should be listed in the county census.
- Addresses uncompensated care payments for pending applications.
- Defines key terms such as ‘long-term care provider’ and ‘long-term care services’.
Who is affected
- Individuals seeking long-term care medical assistance
- Nursing facilities providing care to long-term care recipients
- County assistance offices processing medical assistance applications
Sponsors
Official sponsors from legislative records.
Primary sponsor
Cosponsors
Daniel Laughlin
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