Find & Ask › Pennsylvania › this rule

55 Pa. Code § 52.11 - Prerequisites for participation

PennsylvaniaregulationPennsylvania DHS Office of Long-Term Living (OLTL)

What this rule requires your agency to do

  • 1The applicant must create and follow policies covering compliance, nondiscrimination, ADA, HIPAA, staff training, complaint management, critical incident management, quality management, criminal history screening, SSN verification, exclusion screening (LEIE/EPLS/Medicheck), and language access.(55 Pa. Code § 52.11 - Prerequisites for participation)
  • 2The applicant must obtain and maintain appropriate licenses/certifications and obtain commercial general liability, workers' compensation, and (if required by profession) professional liability insurance.(55 Pa. Code § 52.11 - Prerequisites for participation)
  • 3The applicant must verify fiscal solvency by submitting its most recent tax return, monthly balance sheet (or business plan), articles of incorporation/partnership agreement as applicable, and most recent audit/financial review if done within 5 years.(55 Pa. Code § 52.11 - Prerequisites for participation)
  • 4The applicant must complete and submit an MA application with waiver addendum and a signed MA provider agreement with waiver addendum.(55 Pa. Code § 52.11 - Prerequisites for participation)

Applies to: cross-cutting

Sets the qualifications an applicant must meet to participate as an OLTL HCBS waiver/Act 150 provider, including required policies, fiscal solvency, licensure, and insurance.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.