Section 21.29. Redetermination of provider eligibility and recertification of domiciliary care homes

The following process shall be used to redetermine the eligibility of providers and recertify domiciliary care homes:

(1) The provider is responsible for:

(i) Permitting access to the home for the AAA to conduct follow-up interviews and inspections. The AAA may inspect the home to ensure that it complies with this chapter. This inspection shall occur during normal business hours.

(ii) Permitting access to the home for the AAA for emergency visits. These visits may occur anytime and may be based upon a report of a client in need of protective services, investigation of a death or injury to a client or occurrence of an unusual incident.

(iii) Notifying the AAA of a change in the provider’s situation or home standards which may affect the eligibility of the provider or certification of the home. The eligibility requirements in § § 21.26 and 21.28 (relating to domiciliary care home provider eligibility; and provider application and home certification process) are of a continuing nature and it is the obligation of the provider to meet these standards on a continuing basis. Failure to comply with this subparagraph renders the provider ineligible.

(2) The AAA is responsible for:

(i) Annual redetermination of provider eligibility using the criteria in § 21.26 during a face-to-face interview with the provider.

(ii) Annual recertification of the home using the standards in either § 21.27 or § 21.30 (relating to domiciliary care home certification and recertification standards; and special program and recertification standards for domiciliary care homes with four or more clients), depending upon how many clients reside in the home, during a site inspection conducted by the AAA.

Notation

Cross References

This section cited in 6 Pa. Code § 21.52 (relating to AAA service responsibilities); and 6 Pa. Code § 21.82 (relating to other provider responsibilities).