FACILITIES, PROVIDERS AND MANAGED CARE PLANS
LAWS AND REGULATIONS
Information relating to Pennsylvania healthcare services, facilities and providers regarding locations, construction, operations, regulations for certification and/or licensing, inspections and complaints.
The information posted on the Department of Health’s website is posted in accordance with requirements imposed by the Centers for Medicare and Medicaid Services (CMS). These healthcare facility search pages contain information regarding healthcare facility compliance with regulatory requirements for licensure and for certification. Licensure permits the facility to operate in Pennsylvania. Certification permits the facility to claim and receive payment for services rendered from the Medicare and Medicaid programs. The Department of Health, as state licensing agency and State Survey Agency for CMS, conducts both routine and special inspections of health care facilities to determine ongoing compliance with regulatory requirements which is a condition of licensure and certification. If, during an inspection, the Department determines a facility does not meet regulatory requirements for licensure and certification, the Department notifies the facility in a Statement of Deficiencies. Health care facilities are required to submit a Plan of Correction in response to the Statement of Deficiencies. The Plan of Correction is mandatory, regardless whether the facility agrees with Department findings or not, and is the means by which the Department monitors and ensures correction of deficiencies. As long as the facility submits a Plan of Correction, the facility may continue to operate and receive Medicare and Medicaid payment, while deficiencies are being corrected. A Plan of Correction, for purposes of licensure and certification, is not an admission of wrongdoing on the part of the facility.