DEPARTMENT OF
PUBLIC WELFAREDental and Physician Services Revisions [31 Pa.B. 7074] The Department of Public Welfare (Department) announces changes to dental and physician services effective with dates of service January 1, 2002. The Department is adding a new service to the dental fee schedule (D2740) and increasing the payment rate for anesthesia (X0598). The changes are as follows:
Procedure Code Terminology Limit Fee D2740 Crown-Porcelain/Ceramic Substrate 1 per 5 years $300 PA X0598 Anesthesia Procedure w/o assigned TOS 40 $200 Section 443.6(b)(7) of the Public Welfare Code (62 P. S. § 443.6(b)(7)) authorizes the Department to add items and services to the list of services requiring prior authorization by publication of notice in the Pennsylvania Bulletin. Procedure Code D2740 will require prior authorization, effective with dates of service January 1, 2002.
The proposed addition and prior authorization of procedure code D2740 and the proposed increased payment rate for anesthesia procedure code X0598 were presented to the Medical Assistance Advisory Committee (MAAC) at its October 25, 2001, meeting. The Department received no written comments from the MAAC regarding either the proposed changes or the requirement of prior authorization.
Fiscal Impact
The fiscal note was prepared under the authority of section 612 of The Administrative Code of 1929 (71 P. S. § 232).
Contact Person
A copy of this notice is available for review at local county assistance offices. Interested persons are invited to submit written comments to this notice. These comments should be sent to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Deputy Secretary's Office, Attention: Regulations Coordinator, Room 515 Health and Welfare Building, Harrisburg, PA 17120. Any comments received will be considered for subsequent fee schedule updates.
Persons with a disability may use the AT&T Relay services by calling (800) 654-5984 (TDD users) or (800) 654-5988 (Voice users). Persons who require another alternative should contact Thomas Vracarich in the Office of Legal Counsel at (717) 783-2209.
FEATHER O. HOUSTOUN,
SecretaryFiscal Note: 14-NOT-310. (1) General Fund;
Med Assist Med Assist Outpatient Capitation (2) Implementing year 2001-02 is $23,000 $ 63,000 (3) 1st Succeeding year 2002-03 is $70,000 $189,000 2nd Succeeding Year 2003-04 is $70,000 $189,000 3rd Succeeding Year 2004-05 is $70,000 $189,000 4th Succeeding Year 2005-06 is $70,000 $189,000 5th Succeeding Year 2006-07 is $70,000 $189,000 Medical Medical Assistance Assistance Outpatient Capitation (4) 2000-01 Program-- $668,586,000 $1,487,944,000 1999-00 Program-- $622,669,000 $1,384,763,000 1998-99 Program-- $695,935,000 $1,026,075,000 (8) recommends adoption. Funds for these changes were included in the 2001-02 budget.
[Pa.B. Doc. No. 01-2331. Filed for public inspection December 28, 2001, 9:00 a.m.]
