This government document is issued by Department of Aging for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:p5rt2izphxk&q=https://www.aging.pa.gov/publications/aging-program-directives/Program%2520Area%252001%2520%2520AAA/APD%252009-01-01%2520Interim%2520Incident%2520Management%2520Procedures%2520for%2520Aging%2520Waiver.pdf&sa=U&ved=2ahUKEwj8u5HK8q_8AhX-aqQEHczRCSE4UBAWegQICBAC&usg=AOvVaw3-U7w94oa_9GN87RfB9MZD