55 Pa. Code § 1247.41 - Participation requirements
(a) In
addition to the participation requirements established in Chapter 1101
(relating to general provisions), each case manager shall enroll in the MA
Program as a case manager.
(b)
Enrollment is open to registered nurses licensed in this Commonwealth and
individuals possessing, at a minimum, a bachelor's degree in one of the social
sciences.
(c) Case managers shall
maintain licensure status, if required for initial enrollment, and shall have
the particularized knowledge of the special needs associated with the
conditions of the special target group.
(d) In addition to meeting the requirements
of this section, out-of-State case managers are eligible for enrollment if one
of the following occurs:
(1) An appropriate
Pennsylvania-based case manager is not available within a reasonable distance
to provide the targeted case management services needed by members of a target
group.
(2) The recipient lives in
an area where residents generally receive health care services from providers
located in the area in which the case manager is
situated.
Notes
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