In instances where the development of specialty partial hospitalizaton program services is severely limited by these standards, such as, rural clinics, a waiver may be granted to a particular standard for a period of 6 months and may be renewed up to 3 times. The waivers can be applied only in areas where the need for the services and the attempts to meet the standards are adequately documented. The waivers are to be considered only in exceptional circumstances and are subject to approval by the Office of Mental Health.
55 Pa. Code § 5210.57