2430 Highmark Inc. and Highmark Blue Shield; professional provider reimbursement increase for the low income fee schedule programs; rate filing
INSURANCE DEPARTMENT Highmark Inc. and Highmark Blue Shield; Professional Provider Reimbursement Increase for the Low Income Fee Schedule Programs; Rate Filing [36 Pa.B. 7516]
[Saturday, December 9, 2006]On November 14, 2006, the Insurance Department (Department) received from Highmark Blue Cross Blue Shield and Highmark Blue Shield filing number 3-Pricing (Provider Reimbursement)-06-HI requesting to adjust the low income fee schedule program allowances. The following increases are proposed:
* 4.16% for Plan C Medical/Surgical
* 5.80% for 1800S Medical/Surgical
* 2.17% for 5000S Medical/Surgical
* 13.94% for Special Care Medical/Surgical--Entry Tier
* 0.00% for Special Care Medical/Surgical--Tier TwoHighmark requests the approval without an immediate adjustment in rates for these programs.
The filing will impact select evaluation and management allowances under the Plan C, 1800S and 5000S Fixed Fee Schedules.
Unless formal administrative action is taken prior to February 14, 2007, the subject filing may be deemed approved by operation of law.
A copy of the filing is available on the Department's website at www.ins.state.pa.us. Under the Quick Links section, click on the link ''Rate Filings Published in the PA Bulletin.''
A copy of the filing is also available for public inspection, by appointment, during normal working hours at the Department's regional office in Harrisburg.
Interested parties are invited to submit written comments, suggestions or objections to Cherri Sanders-Jones, Insurance Department, Insurance Product Regulation and Market Enforcement, Room 1311, Strawberry Square, Harrisburg, PA 17120, csandersjo@state.pa.us within 30 days after publication of this notice in the Pennsylvania Bulletin.
M. DIANE KOKEN,
Insurance Commissioner[Pa.B. Doc. No. 06-2430. Filed for public inspection December 8, 2006, 9:00 a.m.]
