WIXLIB

American Rescue Plan Act (ARPA) One-Time Payments for Office of Long-Term Living Nursing Facility ProvidersGovernor Wolf signed Act 24 of 2021, which allocates 282 million of federal funding from the American Rescue Plan Act (ARPA) for payments tonursing facilities (NF), personal care homes (PCH) and assisted living residences (ALR). To qualify for the one-time payment, a facility must be inoperation as of June 1, 2021.ARPA NF Payment #2 – Licensed NF Beds. The total funds available for a one-time payment to Non-Public and County NFs pursuant to Act 24(ARPA NF Payment #2) is 49,000,000. Each facility’s ARPA NF Payment #2 is calculated by dividing the facility’s licensed NF beds as of March31, 2020 by all licensed Non-Public and County NF beds as of March 31, 2020 to obtain an NF specific quotient. Each NF’s quotient is multiplied by 49,000,000 to determine its payment amount.NFs enrolled in MA do not need to submit requests for funding. All NFs enrolled in MA will receive the funding, provided they meet the criteriadescribed above. OLTL will distribute the funding as a one-time gross adjustment. NFs enrolled in MA can expect to see the payment appear as agross adjustment transaction/lump sum payment on the PROMISe remittance advice dated September 6, 2021, with payment occurring September15, 2021.NFs not enrolled in MA must complete the Facility Acceptance Form and return it by October 15, 2021, to DHS atcovidpayments@pa.gov. Providers may also fax the completed form to the OLTL Bureau of Finance at 717.787.2145. Checks will be issued andmailed in the order in which DHS receives Facility Acceptance Forms.Act 24 of 2021 requires the ARPA funding to be obligated by December 31, 2024 and spent by December 31, 2026 or returned to thecommonwealth. Additionally, these funds must be used for COVID-19 related expenses. Providers must keep documentation to prove that thesefunds were used for their response to the COVID-19 pandemic in case of an audit. Any person or entity accepting an ARPA payment agrees toprovide documentation to DHS, upon request, for purposes of determining compliance with Act 24 requirements. Instructions on expenditurereporting will be provided at a later date.DHS recommends that providers consult their accountants or attorneys for further clarification on acceptable uses of ARPA funding. DHSencourages providers to review guidance for eligible expenditures on the U.S. Department of the Treasury website -Compliance-and-Reporting-Guidance.pdf.NFs that have questions about the information in this Listserv should contact the OLTL Provider Helpline at 1-800-932-0939.Provider Name (MA-Enrolled Facilities)ABINGTON CREST HEALTHCARE & REHAB CENTERABINGTON MANORABRAMSON RESIDENCEALLIED SERVICES CENTER CITY SKILLED NSGALLIED SERVICES MEADE STREET SKILLED NSGALLIED SERVICES SKILLED NURSING CENTERALTOONA CENTER FOR NURSING CAREAMBLER EXTENDED CARE CENTERANN'S CHOICEARBUTUS PARK MANORARISTACARE AT MEADOW SPRINGSARTMAN LUTHERAN HOMEASBURY HEALTH CENTERATHENS HEALTH AND REHABILITATION CENTERATTLEBORO NURSING AND REHAB CENTERAVALON PLACEAVALON SPRINGS PLACEAVENTURA AT CREEKSIDEAVENTURA AT PEMBROOKEAVENTURA AT PROSPECTBALA NURSING AND RETIREMENT CENTERBALDWIN HEALTH CENTERBALL PAVILION, THEBAPTIST HOMES OF WESTERN PENNSYLVANIABARCLAY FRIENDSBARNES-KASSON COUNTY HOSPITAL SNFBEACON RIDGE, A CHOICE COMMUNITYBEAVER HEALTHCARE AND REHABILITATION CTRBEAVER VALLEY HEALTHCARE & REHAB CENTERBELAIR HEALTHCARE AND REHABILITATION CTRBELLE HAVEN HEALTHCARE & REHAB CENTERBERKS HEIM NURSING & REHABILITATIONBERKSHIRE CENTERBERWICK RETIREMENT VILLAGE NRSNG HOME IBERWICK RETIREMENT VILLAGE NRSNG HOME IIBETHANY VILLAGE RETIREMENT CENTERBETHLEN HM OF THE HUNGARIAN RFRMD FEDBIRCHWOOD HEALTHCARE AND REHAB CENTERBLOOMSBURG CARE AND REHABILITATION CTRBONHAM NURSING CENTERBRADFORD COUNTY MANORBRADFORD ECUMENICAL HOME, INCBRADFORD MANORBRANDYWINE HALL"As of" Date Bed 00100115180Payment 45,496.75 67,676.42 184,261.83 28,435.47 75,638.35 209,853.75 68,245.13 56,870.94 50,046.43 80,188.02 87,012.53 34,691.27 79,050.60 51,183.84 101,798.98 47,771.59 56,870.94 46,065.46 102,367.69 102,367.69 102,367.69 113,741.88 48,340.30 71,657.38 54,596.10 32,985.14 67,107.71 38,103.53 68,245.13 58,577.07 33,553.85 238,857.93 73,932.22 68,245.13 68,245.13 39,240.95 54,596.10 68,813.83 84,737.70 43,790.62 113,741.88 56,870.94 65,401.58 102,367.69RA 6/2021Payment /20219/15/20219/15/20219/15/20219/15/20219/15/2021

Provider Name (MA-Enrolled Facilities)BRETHREN VILLAGEBRIARLEAF NURSING AND CONVAL CENTERBRIDGEVILLE REHAB AND CARE CENTERBRIGHTON REHABILITATION & WELLNESS CTRBRINTON MANOR NURSING & REHAB CENTERBROAD ACRES HEALTH AND REHAB CENTERBROAD MOUNTAIN HEALTH & REHAB CENTERBROOKLINE MANOR AND REHABILITATIVE SRVCSBROOKMONT HEALTHCARE CENTER LLCBROOKSIDE HEALTHCARE AND REHAB CENTERBROOKVIEW HEALTH CARE CENTERBROOMALL MANORBROOMALL REHAB AND NURSING CENTERBRYN MAWR EXTENDED CARE CENTERBUCKINGHAM VALLEY NURSING & REHAB CENTERBUCKTAIL MEDICAL CENTERBUFFALO VALLEY LUTHERAN VILLAGECALVARY FELLOWSHIP HOMES, INCCAMBRIA CARE CENTERCANTERBURY PLACECARBONDALE NURSING AND REHAB CENTERCARE PAVILION NURSING AND REHAB CENTERCARING HEART REHAB AND NURSING CENTERCARING HEIGHTS COMMUNITY CARE & REHABCARING PLACE, THECARLETON HEALTHCARE & REHABILITATION CTRCATHEDRAL VILLAGECEDAR HAVEN HEALTHCARE CENTERCEDARBROOK SENIORCARE AND REHABILITATIONCENTENNIAL HEALTHCARE & REHAB CENTERCENTRE CRESTCHAMBERS POINTE HEALTH CARE CENTERCHANDLER HALL HEALTH SERVICES INCCHAPEL MANORCHAPEL POINTE AT CARLISLECHELTENHAM NURSING AND REHAB CENTERCHERRY TREE NURSING CENTERCHESTNUT HILL LODGE HEALTH AND REHAB CTRCHESWICK REHAB & WELLNESS CTR LLCCHRIST THE KING MANORCHRIST'S HOME RETIREMENT COMMUNITYCHURCH OF GOD HOME, INCCLAREMONT NRC OF CUMBERLAND COUNTYCLARION HEALTHCARE AND REHAB CENTERCLARVIEW NURSING AND REHAB CENTERCLEPPER MANORCLIVEDEN NSG & REHAB CTRCOLONIAL MANOR NURSING HOMECOLONIAL PARK CARE CENTERCOMMUNITIES AT INDIAN HAVENCONCORDIA AT THE CEDARSCONCORDIA AT VILLA ST. JOSEPHCONCORDIA LUTHERAN HEALTH AND HUMAN CARECONESTOGA VIEWCONTINUING CARE AT MARIS GROVECORNER VIEW NURSING AND REHAB CENTERCORNWALL MANORCORRY MANORCOURTYARD GARDENS NURSING AND REHAB CTRCRANBERRY PLACECRAWFORD COUNTY CARE CENTERCRESTVIEW CENTERCROSS KEYS VILLAGE-BRETHREN HM COMM, THECUMBERLAND CROSSINGS RETIREMENT COMMDARWAY HEALTHCARE & REHABILITATION CTRDEER MEADOWS REHABILITATION CENTERDOCK TERRACEDONAHOE MANORDR ARTHUR CLIFTON MCKINLEY HEALTH CENTERDRESHER HILL HEALTH & REHAB CENTERDUBOIS NURSING HOMEDUNMORE HEALTH CARE CENTEREDGEHILL NURSING AND REHAB CENTEREDINBORO MANOREDISON MANOR NURSING AND REHAB CENTERELDERCREST HEALTHCARE & REHAB CENTERELIZABETH MANOR HEALTHCARE & REHAB CTRELIZABETHTOWN HEALTHCARE & REHAB CENTERELK HAVEN NURSING HOMEELKINS CREST HEALTH & REHAB CENTERELLEN MEMORIAL HEALTH CARE CENTERELM TERRACE GARDENS"As of" Date Bed nt 68,245.13 101,230.27 110,329.62 334,969.81 52,321.26 68,245.13 73,363.51 48,340.30 67,676.42 68,245.13 86,443.83 69,951.25 169,475.38 90,993.50 73,932.22 24,454.50 58,008.36 25,591.92 171,181.51 65,401.58 65,401.58 225,208.90 152,982.82 68,245.13 56,870.94 14,786.44 75,638.35 184,261.83 381,035.27 102,367.69 136,490.25 34,122.56 30,141.60 135,352.83 33,553.85 145,020.89 68,245.13 102,936.40 68,813.83 90,993.50 27,298.05 61,989.32 160,376.04 47,202.88 68,245.13 30,710.31 102,367.69 153,551.53 112,604.46 61,420.61 33,553.85 68,245.13 80,756.73 253,644.37 37,534.82 106,348.65 54,596.10 68,813.83 58,008.36 85,306.41 89,287.37 102,367.69 153,551.53 32,985.14 38,103.53 117,154.13 40,947.08 40,947.08 51,183.84 67,107.71 79,619.31 52,321.26 34,122.56 68,813.83 67,107.71 27,298.05 41,515.78 25,591.92 68,245.13 85,306.41 72,794.80 40,947.08RA 219/6/2021Payment 5/20219/15/20219/15/20219/15/20219/15/2021

Provider Name (MA-Enrolled Facilities)ELMWOOD GARDENS OF PRESBY SENIOR CAREEMMANUEL CENTER FOR NURSING AND REHABEPHRATA MANOREPWORTH HEALTHCARE AND REHAB CENTERFAIR ACRES GERIATRIC CENTERFAIRLANE GARDENS NSG & REHAB AT READINGFAIRMOUNT HOMESFAIRVIEW MANORFAIRVIEW NURSING AND REHABILITATION CTRFELLOWSHIP MANORFOREST CITY NURSING AND REHAB CENTERFOREST PARK HEALTH CENTERFORESTVIEWFOX SUBACUTE AT CLARA BURKEFOX SUBACUTE AT MECHANICSBURGFOX SUBACUTE AT SOUTH PHILADELPHIAFOX SUBACUTE CENTERFREDERICK LIVING - CEDARWOODFREY VILLAGEFRIENDSHIP VILLAGE OF SOUTH HILLSFULTON COUNTY MEDICAL CENTER LTCUGARDEN SPOT VILLAGEGARDEN SPRING NURSING & REHAB CENTERGARVEY MANORGERMANTOWN HOMEGETTYSBURG CENTERGOOD SHEPHERD HOME RAKER CENTERGOOD SHEPHERD HOME-BETHLEHEMGRACEDALE - NORTHAMPTON COUNTY HOMEGRANDVIEW NURSING AND REHABILITATIONGREEN HOME, INC, THEGREEN MEADOWS NURSING & REHAB CENTERGREEN RIDGE CARE CENTERGREEN VALLEY SKILLED NSG & REHAB CENTERGREENERY CENTER FOR REHAB & NURSINGGREENLEAF NURSING HOME AND CONVAL CENTERGREENSBURG CARE CENTERGROVE MANORGUARDIAN HEALTHCARE & REHAB CENTERGUTHRIE TOWANDA MEMORIAL HOSPITAL SNUGUY AND MARY FELT MANOR, INCGWYNEDD HEALTHCARE & REHABILITATION CTRHAIDA HEALTHCARE AND REHAB CENTERHAMILTON ARMS CENTERHAMPTON HOUSEHANOVER HALLHARBORVIEW REHAB & C C AT DOYLESTOWNHARBORVIEW REHAB & CARE CTR AT LANSDALEHARMAR VILLAGE CARE CENTERHARMON HOUSE CARE CENTERHARSTON HALLHAVEN CONVALESCENT HOME, INCHAVEN PLACEHAVENCREST HEALTHCARE & REHAB CENTERHEARTHSIDE REHAB CENTERHEMPFIELD MANORHICKORY HOUSE NURSING HOMEHIGHLAND MANOR REHAB & NURSING CENTERHIGHLAND PARK CARE CENTERHIGHLAND VIEW HEALTHCARE & REHAB CENTERHIGHLANDS HEALTHCARE & REHAB CENTERHILLCREST CENTERHILLSDALE PARK REHAB CENTERHILLVIEW HEALTHCARE AND REHAB CENTERHOLY FAMILY HOMEHOLY FAMILY MANORHOMELAND CENTERHOMESTEAD VILLAGE, INCHOMETOWN NURSING AND REHAB CENTERHOMEWOOD AT MARTINSBURG PA INCHOMEWOOD AT PLUM CREEKHOPKINS CENTERHOSPITALITY CARE CENTER OF HERMITAGE INCHUMANGOOD PENNSYLVANIAHUNTINGDON PARK REHAB CENTERIMMACULATE MARY CTR FOR REHAB & HLTHCAREINGLIS HOUSEIVY HILL REHAB CENTERJAMESON CARE CENTERJEFFERSON HILLS HEALTHCARE & REHAB CTRJEFFERSON HILLS REHAB AND WELLNESSJEFFERSON MANOR HEALTH CENTER"As of" Date Bed 1501291201063311493296252145788350160Payment 29,004.18 51,183.84 68,245.13 58,008.36 497,051.99 70,519.96 64,832.87 68,813.83 100,092.85 68,813.83 75,069.64 64,832.87 45,496.75 34,122.56 31,847.73 30,141.60 34,122.56 34,691.27 77,344.48 50,615.13 38,103.53 41,515.78 98,386.72 75,069.64 102,367.69 67,107.71 56,302.23 34,122.56 391,272.04 97,818.01 68,245.13 104,642.53 54,027.39 27,298.05 79,619.31 73,932.22 68,245.13 33,553.85 62,558.03 38,672.24 22,179.67 102,936.40 55,733.52 53,458.68 59,145.78 86,443.83 68,245.13 71,657.38 73,932.22 61,989.32 68,245.13 51,752.55 51,183.84 27,298.05 89,287.37 68,245.13 62,558.03 68,245.13 81,894.15 28,435.47 68,245.13 102,367.69 42,084.49 75,638.35 25,591.92 118,291.55 54,027.39 34,122.56 85,306.41 73,363.51 68,245.13 60,283.19 18,767.41 64,832.87 52,889.97 168,337.98 143,314.76 82,462.86 44,359.33 47,202.88 28,435.47 90,993.50RA 219/6/2021Payment 5/20219/15/20219/15/20219/15/20219/15/2021