2573 Medical Assistance program fee schedule revisions

Medical Assistance Program Fee Schedule Revisions

[36 Pa.B. 8020]
[Saturday, December 30, 2006]

   The Department of Public Welfare (Department) announces that it is increasing fees on the Medical Assistance (MA) Program Fee Schedule for two enteral pediatric formulas, effective December 1, 2006. The fees are being increased after the Department received input from the Pennsylvania Association of Medical Suppliers.

Fee Schedule Revisions

   The Department is increasing fees for the following Healthcare Common Procedure Coding System procedure codes:

Code	Description	Fee Revision
		Previous	Current
B4103	Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit	$0.72 per unit	$2.92 per unit
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	$1.24 per unit	$1.74 per unit

Fiscal Impact

   The estimated costs for these increases is $0.051 million ($0.023 million in State funds) in the Medical Assistance-Outpatient Program in Fiscal Year 2006-2007 and the annualized cost of $0.102 million ($0.047 million in State funds) in Fiscal Year 2007-2008.

Public Comment

   Interested persons are invited to submit written comments regarding this notice 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. Comments received will be reviewed and considered in any subsequent revisions to the MA Program Fee Schedule.

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

ESTELLE B. RICHMAN,   
Secretary

   Fiscal Note:  14-NOT-494. (1) General Fund; (2) Implementing Year 2006-07 is $23,000; (3) 1st Succeeding Year 2007-08 is $47,000; 2nd Succeeding Year 2008-09 is $47,000; 3rd Succeeding Year 2009-10 is $47,000; 4th Succeeding Year 2010-11 is $47,000; 5th Succeeding Year 2011-12 is $47,000; (4) 2005-06 Program--$945,950,000; 2004-05 Program--$842,991,000; 2003-04 Program--$677,979,000; (7) Medical Assistance--Outpatient; (8) recommends adoption. Funds have been included in the budget to cover these increases.

[Pa.B. Doc. No. 06-2573. Filed for public inspection December 29, 2006, 9:00 a.m.]