Skip to agency navigation
Skip to main content

Official website

of the Commonwealth of Pennsylvania

    The .gov means it's official.

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 
    Early Learning

    Acceptable Signers of the Beneficiary Choice Form for the Infants, Toddlers and Families Medicaid Waiver

    Announcement Number: ELS/EI 06-10
    Issue Date: 9/5/2006
    Effective Date: 9/5/2006

    Purpose

    The purpose of this announcement is to reissue Office of Mental Retardation Bulletin# 00-99-13, titled Acceptable Signers of the Beneficiary Choice Form for Infant/Toddler/Family Waiver as an Office of Child Development announcement. Announcement ELS/EI-06 #10 clarifies who may sign the certification of choice form (PW457) for children considered for the Infants, Toddlers and Families Medicaid Waiver.

    Background

    Following the development of the Infants, Toddlers and Families Medicaid Waiver, questions arose concerning the ability of foster parents to sign the freedom of choice for the children considered for the Infants, Toddlers and Families Medicaid Waiver.

    Discussion

    Since children in foster care are under the custodial supervision of a County Children, Youth and Family Agency, it is the responsibility of the County Children, Youth and Family Agency to have a representative of that agency or one of the child's parents sign the certification of choice form as the child's legal representative. Choice forms may not be signed by foster parents.

    Comments and Questions Regarding this Announcement Should be Directed to Your Regional EI Coordinator.

    Downloadable Content