Keystone STARS Continuous Quality Improvement Award Eligibility and Acceptance Letter. Last Updated: December 14, 2023. Download.When an individual applies for MA LTC Services, the LTC service provider will complete an assessment of the individual's functional need for services. Presumptive eligibility is approved for 45 days. 55 Pa. Code § 140.142. You must submit an ORIGINAL application, which MUST be TYPED (handwritten applications will not be accepted). Download Pennsylvania Employment Acceptance Letter template, modify and send for signing using BoloForms Signature.