35 Pa. Stat. § 445.3
County departments are hereby authorized to enter into written agreements with the department for the purpose of rendering home nursing care services to persons within their respective counties. Such agreements shall provide for the maintenance of standards established by the department for home nursing care by the county departments and for such supervision by the department as is deemed necessary to implement an effective program of home nursing care on the part of the county departments.
Whenever any county department has entered into an agreement with the department as is herein provided, it may render such home nursing care services as are authorized by this act and for that purpose may charge fees and expend moneys to the same extent as this act authorizes for the department. Any county department may render such service anywhere within the county or counties which it serves.
35 P.S.§ 445.3