55 Pa. Code § 5320.11 – Prerequisites to licensure.

To obtain licensure to operate an LTSR, a provider shall:

(1) Comply with Chapter 20 (relating to licensure or approval of facilities and agencies).
(2) Be identified in the approved county plan or its amendments as specified in Chapter 4215 (relating to annual plan and estimate of expenditures).
(3) Have a letter of agreement between the provider and the county administrator’s office. The agreement will include:
1. (i) Admission and discharge authority and procedure.
2. (ii) Charges for care, including room and board, treatment and rehabilitation services, personal hygiene and laundry services and other personal care services.
3. (iii) Charges for residents’ care may not exceed the resident’s current monthly income reduced by a minimum personal allowance of at least $60.
4. (iv) Charges for residents’ care may not exceed the actual documented costs of services.
5. (v) Payment mechanisms for LTSR services, including charges for which the resident may be directly billed.
6. (vi) A dispute resolution mechanism.

This section cited in 55 Pa. Code § 5320.11 (relating to provider records); and 55 Pa. Code § 5320.63 (relating to resident funds).