147 Medical Assistance fee schedule; change in service coordination fee for the Medical Assistance Aging, Attendant Care, COMMCARE, Independence and OBRA waivers and the Act 150 Program

Medical Assistance Fee Schedule; Change in Service Coordination Fee for the Medical Assistance Aging, Attendant Care, COMMCARE, Independence and OBRA Waivers and the Act 150 Program

[43 Pa.B. 590]
[Saturday, January 26, 2013]

 The purpose of this notice is to announce a Medical Assistance (MA) fee schedule rate change for the Service Coordination rate for the MA Aging, Attendant Care, COMMCARE, Independence and OBRA Waivers and the Act 150 Program under 55 Pa. Code § 52.45(a) and (b) (relating to fee schedule rates). In accordance with 55 Pa. Code § 52.45(a) and (b), the Department of Public Welfare (Department) is announcing this change effective upon publication.

Background

 A rate-setting methodology and fee schedule rates for home and community-based services (HCBS) were published at 42 Pa.B. 3343 (June 9, 2012). The fee schedule rate for Service Coordination is being revised consistent with the published methodology to ensure continued access to Service Coordination services.

HCBS Fee Schedule Rate—Service Coordination

HCBS Fee Schedule Rates
Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver; IW = Independence Waiver; OW = OBRA Waiver.
HCBS Fee Schedule Rates (Region 1)
Service	Aging	Attendant Care	ACT 150	CC	IW	OW	Procedure Code	Region 1	Unit
Service Coordination	X	X	X	X	X	X	W1011	$16.93	15 minute
HCBS Fee Schedule Rates (Region 2)
Service	Aging	Attendant Care	ACT 150	CC	IW	OW	Procedure Code	Region 2	Unit
Service Coordination	X	X	X	X	X	X	W1011	$19.10	15 minute
HCBS Fee Schedule Rates (Region 3)
Service	Aging	Attendant Care	ACT 150	CC	IW	OW	Procedure Code	Region 3	Unit
Service Coordination	X	X	X	X	X	X	W1011	$17.55	15 minute
HCBS Fee Schedule Rates (Region 4)
Service	Aging	Attendant Care	ACT 150	CC	IW	OW	Procedure Code	Region 4	Unit
Service Coordination	X	X	X	X	X	X	W1011	$19.02	15 minute

 The fee schedule rate is available at http://www. dpw.state.pa.us/dpworganization/officeoflongtermliving/providers/index.htm.

Fiscal Impact

 The fiscal impact of this change is estimated at $4.273 million ($2.042 million in State funds) in Fiscal Year 2012-2013.

Public Comment

 Interested persons are invited to submit written comments regarding this notice within 30 days of its publication to the Department at the Office of Long-Term Living, 555 Walnut Street, Fifth Floor, Harrisburg, PA 17101-1919. Comments can also be sent to RA-oltlstream [e-mail]. Comments will be considered in subsequent revisions to the MA Program Fee Schedule.

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service by calling [phone] (TDD users) or [phone] (voice users).

GARY D. ALEXANDER, 
Secretary

 Fiscal Note: 14-NOT-808. (1) General and Lottery Funds;

 (7) Home and Community-Based Services (General Fund); (2) Implementing Year 2012-13 is $999,000; (3) Estimated Costs for 1st Succeeding Year (2013-14) through 5th Succeeding Year (2017-18) are $2,398,000; (4) 2011-12 Program—$160,384,000; 2010-11 Program—$0; 2009-10 Program—$0;

 (7) Attendant Care (General Fund); (2) Implementing Year 2012-13 is $468,000; (3) Estimated Costs for 1st Succeeding Year (2013-14) through 5th Succeeding Year (2017-18) are $1,123,000; (4) 2011-12 Program—$103,463,000; 2010-11 Program—$97,869,000; 2009-10 Program—$99,488,000;

 (7) Services to Persons with Disabilities (General Fund); (2) Implementing Year 2012-13 is $523,000; (3) Estimated Costs for 1st Succeeding Year (2013-14) through 5th Succeeding Year (2017-18) are $1,255,000; (4) 2011-12 Program—$135,672,000; 2010-11 Program—$115,635,000; 2009-10 Program—$95,063,000;

 (7) PennCare (Lottery Fund); (2) Implementing Year 2012-13 is $52,000; (3) Estimated Costs for 1st Succeeding Year (2013-14) through 5th Succeeding Year (2017-18) are $126,000; (4) 2011-12 Program—$248,764,000; 2010-11 Program—$243,283,000; 2009-10 Program—$241,414,000;

 (8) recommends adoption. These appropriations are unable to absorb the increased cost; therefore, funding will be included in a supplemental request for 2012-13.

[Pa.B. Doc. No. 13-147. Filed for public inspection January 25, 2013, 9:00 a.m.]