Office of Medical Assistance Programs; Fee Increase for Selected Outpatient Services [29 Pa.B. 3264] The General Appropriations Act of 1999 provided funds to increase fees for outpatient psychiatric clinic services, outpatient partial hospitalization services and outpatient drug and alcohol services. By this notice, the Department of Public Welfare announces that the fees for the following outpatient services will be increased, effective July 1, 1999.
Procedure Code Description Fee Outpatient Drug
and AlcoholW9801 AF Individual Psychotherapy; 1/2 hour $26 W0856 AG Methadone Maintenance Clinic Visit for
Administration and Evaluation of Methadone
(15 minute visit only)$7.50 W0981 AF Group Psychotherapy; 1/2 hour, $14 per person per hour; minimum session 1 hour; minimum two and maximum ten persons (recipients and nonrecipients) $7 W0987 AF Psychiatric Evaluation; Examination and Evaluation of a Patient $75 W0983 AF Family Psychotherapy; 1/2 hour $26 W0845 AF Personality Inventories (without graphics or projectives) MMPI or (16 personality factors) $31 W0841 AF Individual Measurements: WAIS, WISC, Binet or Raven only $31 Outpatient Psych
Partial HospitalizationW0865 AH Licensed Children's Psychiatric Partial Hospitalization Program, Child, Per Hour $15 W0860 AH Licensed Adult Psychiatric Partial Hospitalization Program; Adult; Per Hour $14 W0862 AH Psy Partial Hospital Program; Noncovered Medicare Hours, Adult $14 W0866 AH Licensed Children's Psychiatric Partial Hospitalization Program; Child (15--20 years of age) Per Hour $15 W0861 AH Licensed Adult Psychiatric Partial Hospitalization Program; Child, Per Hour $15 W0868 AH Licensed Child Psychiatric Partial Hospitalization Program; Child, Per Hour (0--14 years of age) (Services beyond 720 hours) $15 W0869 AH Licensed Child Psychiatric Partial Hospitalization Program; Child, Per Hour (15--20 years of age) (Services beyond 720 hours) $15 W0867 AH Licensed Adult Psychiatric Partial Hospitalization Program; Child, Per Hour (0--20 years of age) (Services beyond 720 hours) $15 Outpatient Psychiatric W9801 70 Individual Psychotherapy; 1/2 hour $26 W1855 70 Psychiatric Clinic Med Visit (15 minute visit only) for Drug Administration and Evaluation $15 W0987 70 Psychiatric Evaluation; Examination and Evaluation of a Patient $75 W0981 70 Group Psychotherapy 1/2 hour, $14 per person per hour; minimum sessions 1 hr; minimum two and maximum ten sessions in group (recipients and nonrecipients) $7 W0983 70 Family Psychotherapy; 1/2 hour $26 W0984 70 Collateral Fam Psychotherapy; 1/2 hour Session provided to the family members of a clinical patient in the absence of that patient $26 W1856 70 Clozaril Monitor & Evaluation Visit-Psych Clinic $20 W0988 40 Anesthesia for Electroconvulsion Therapy $41 W0988 70 Anesthesia for Electroconvulsion Therapy $41 W0841 70 Generally Accepted Individual Measurements $31 W0845 70 Generally Accepted Personality Inventories $31 W0986 70 Clinic, Neurological Follow-Up $15 W0985 70 Clinic, Neurological Evaluation $53 W0148 70 Psychotherapy (Indiv, Family, Collat) quarter-hour increments; only to be used after the initial 1/2-hour session $10
The fiscal note was prepared under provision 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 within 30 days of this publication. 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.
Persons with a disability may use the AT&T Relay Service 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-209. (1) General Fund; (2) Implementing Year 1999-00 is $28.158 million; (3) 1st Succeeding Year 2000-01 is $33.781 million; 2nd Succeeding Year 2001-02 is $34.119 million; 3rd Succeeding Year 2002-03 is $34.460 million; 4th Succeeding Year 2003-04 is $34.805 million; 5th Succeeding Year 2004-05 is $35.153 million; (4) 1997-98 Program--$662.740 million; 1996-97 Program--$798.836 million; 1995-96 Program--$792.293 million; (7) Medical Assistance--Outpatient; (8) recommends adoption. There will be funds available in the Department's budget to cover the cost of this increase.
[Pa.B. Doc. No. 99-1026. Filed for public inspection June 25, 1999, 9:00 a.m.]
