Nursing Facilities

Regulations and Related Policies/Procedures for Nursing Facilities

The information contained on this page includes the regulations, policies and procedures related to nursing facility licensing in Pennsylvania, nursing facility surveys, regulatory compliance and Medicaid and Medicare participation requirements.

The Department of Health is responsible for the licensing and oversight of all Pennsylvania nursing facilities.

The Department of Human Services (DHS), Office of Medical Assistance Programs (OMAP) is the single state agency that administers the joint state/federal Medical Assistance Program. The Office of Long-Term Living (OLTL) within the Department of Human Services is responsible for managing and overseeing the long term services and supports continuum within the Medical Assistance program, which includes nursing facility services and home and community-based services.

The Center for Medicare and Medicaid Services (CMS) is an agency within the US Department of Health and Human Services responsible for administration of Medicare which is the federal health insurance program for seniors and Medicaid.

 

Payroll-Based Journal ChangesNew

The Centers for Medicare and Medicaid Services (CMS) released information regarding two important changes to the Payroll-Based Journal (PBJ) system that will make it easier for providers to successfully submit hire, termination and rehire information for employees. Since the implementation of the system, providers and other organizations have advocated for fixes that create efficiencies in the collection of staffing data. The two changes (listed below) are a step in the right direction.

On March 19, the following updates will go into effect:

  1. Both hire and termination dates will be optional items in the system
  2. The same employee ID will be allowed to be used more than once in a single PBJ submission XML file

For more on the latest changes, click here.

AHCA continues to seek feedback from providers on the challenges they face with the system.  If you have any questions or concerns, please email the PBJ team AHCA at staffdatacollection@ahca.org or contact Gail Weidman, PHCA Director of Policy and Regulatory Affairs.

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