1178 Proposed fee schedule rates and Department-established fees for Consolidated and Person/Family Directed Support waivers services, targeted services management and the Community Intellectual Disability Base-Funded Program

Proposed Fee Schedule Rates and Department-Established Fees for Consolidated and Person/Family Directed Support Waivers Services, Targeted Services Management and the Community Intellectual Disability Base-Funded Program

[43 Pa.B. 3588]
[Saturday, June 29, 2013]

 The purpose of this notice is to announce the Department of Public Welfare's (Department) proposed Fee Schedule Rates for select services funded through the Consolidated and Person/Family Directed Support waivers (waivers), the Department-established fees for residential ineligible services and fee for Targeted Service Management (TSM) effective July 1, 2013. These proposed Fee Schedule Rates also serve as the Department-established fees under 55 Pa. Code § 4300.115(a) (relating to Department established fees) for base-funded services managed through county programs for individuals with an intellectual disability under the Mental Health and Intellectual Disability Act of 1966 (50 P. S. §§ 4104—4704), 55 Pa. Code Chapter 4300 (relating to county mental health and mental retardation fiscal manual) and 55 Pa. Code Chapter 51 (relating to Office of Developmental Programs home and community-based services).

Fee Schedule Rates

 As part of the Department's efforts to continue to align rates and rate-setting methodology across all offices and programs, the Department used a market-based approach to develop the Fee Schedule Rates. This process includes a review of the waiver service definitions and a determination of allowable cost components which reflect costs that are reasonable, necessary and related to the delivery of the service. The Fee Schedule Rates were established by the Department to fund the services at a level sufficient to provide access to services, encourage provider participation and promote provider choice, while at the same time ensuring participant health and welfare and fiscal accountability.

 The Fee Schedule Rates are identified under the following categories: Select Community-Based Services and Agency with Choice/Financial Management Services (AWC/FMS), including benefit allowance and excluding benefit allowance.

 The Select Community-Based Services include behavior support, companion, home and community habilitation unlicensed, homemaker/chore, licensed day habilitation (adult training), prevocational services, therapy (physical, occupational, speech and language, individual behavior therapy, group behavior therapy and visual/mobility), nursing, older adult day, supplemental habilitation, additional individualized staffing, supported employment, supports broker, supports coordination, transitional work and all waiver-funded respite care services, excluding respite camp which is a vendor service.

 AWC/FMS (including and excluding benefit allowance) includes home and community habilitation (unlicensed), companion services, unlicensed in-home and out-of-home respite, supported employment, supports broker and homemaker/chore services. There are two separate tables for AWC/FMS, one provides the fee schedule rate including a benefit allowance and the other provides the fee schedule rate excluding a benefit allowance. The benefit allowance is provided as an option for the managing employer to include benefits such as disability insurance, life insurance, retirement savings and paid time off to the support service worker.

 In developing the proposed Fee Schedule Rates, the Department evaluated information from the following:

 • The United States Bureau of Labor Statistics.

 • Wages resulting from a Commonwealth-specific compensation study.

 • Other independent data sources.

 The Department considered the expected expenses for the delivery of services under the waivers for the following major allowable cost categories:

 • Wages for direct care workers and other program staff, such as supervisors and program specialists, when applicable.

 • Employee-related expenses for health insurance and other benefits, employer taxes, paid time off and training time.

 • Productivity related to the amount of time a direct care staff person is expected to be engaged in activities for which a claim can be submitted.

 • Program indirect expenses, including transportation-related costs.

 • Administration-related expenses.

 In addition to the cost categories previously outlined, the Department considered as part of the rate development process the impact of the Federal Patient Protection and Affordable Care Act (Pub. L. No. 111-148) (ACA) may have on provider costs to provide services. Under the ACA, employers with 50 or more full-time employees will be required, beginning January 1, 2014, to offer meaningful and affordable health insurance options to full-time employees. The ACA defines a full-time employee as an employee who on average works 30 or more hours per week. Because the Fee Schedule Rates for services delivered under the traditional agency model already include costs associated with employer-paid health care coverage and the Department has confirmed, after reviewing currently available information, that these rates are sufficient to cover any costs under the new ACA requirements, the Department has determined that it does not need to adjust the rates for services delivered under the traditional agency model as a result of the ACA.

 Currently available information indicates that AWC/FMS providers will be subject to the same provisions of the ACA as traditional agency employers. This means that AWC support service workers who work full-time will be considered ''full-time employees'' of the AWC providerorganization. Because the Fee Schedule Rates for AWC services did not include costs associated with employer-paid health care coverage, the Department adjusted the Fee Schedule Rates for AWC services to include consideration for costs associated with employer-paid health care coverage.

 The proposed Fee Schedule Rates should be used to process claims submitted to the Provider Reimbursement and Operations Management Information System in electronic format (PROMISe^TM) for services provided until a notice announcing final Fee Schedule Rates is published.

Department-Established Fees

 Similar to the process used to develop the Fee Schedule Rates, the Department-established fees for residential ineligible services were developed using a market-based pricing methodology. This process included a determination of allowable residential occupancy cost components which reflect costs that are reasonable and necessary to deliver the service.

 The Department considered information from the United States Bureau of Labor Statistics, United States Department of Agriculture, responses from providers to a maintenance cost survey, as well as other independent data sources. Expected occupancy-related expenses for the following major allowable cost categories were considered:

 • Operating-related costs, including occupancy and utility expenses.

 • Maintenance and service agreement-related costs.

 • Food and other individual-related occupancy expenses, such as household consumables.

 • Administration-related expenses.

 The Department-established fees represent a per-person, per-day net fee based on the size of the home (such as a one-individual home or two-individual home) and type of home (defined by licensed, unlicensed or family living home). The fee does not include consideration for payment by the participant, as it is the provider's responsibility to collect that portion of payment from the participant. The Department used the following process to develop the proposed per-person, per-day net fees:

 • Established gross fees (so that the fees do include consideration for participant contribution toward room and board) based on home size and type of home.

 • Applied a standardized vacancy factor of 97% to the gross fees to reflect that providers do not bill for vacant days.

 • Adjusted the gross fees by geographical area factors to reflect consideration for differences in costs observed across this Commonwealth. Refer to the following Geographic Areas section for additional information on the geographical areas.

 • Adjusted the area-specific gross fees by subtracting the participant contribution toward room and board. The participant contribution amount removed from the area-specific gross fees will be equal to 72% of the sum of the maximum supplemental security income amount for 2013 and the Commonwealth supplemental payment, converted to a daily amount.

 The proposed Department-established fees for residential ineligible services were developed to fund the residential occupancy costs at a level sufficient to provide access to services, encourage provider participation and promote provider choice, while at the same time ensuring participant health and welfare and fiscal accountability.

 The proposed Department-established fees should be used to process claims submitted to the PROMISe^TM in electronic format for services provided until a notice announcing final Department-established fees is published.

Geographic Areas

 After developing a single fee for each service, the Department adjusted each fee schedule rate and Department-established fee by geographical area factors to reflect consideration for differences in costs observed across this Commonwealth. Because stakeholders raised concerns regarding the changes in the geographic areas and factors made for Fiscal Year (FY) 2012-2013, the Department reviewed the most recently available (2011) United States Bureau of Labor Statistics Commonwealth-specific wage data for the applicable occupations in concert with 2010 wage data. Based on this review, the Department concluded that there was no need to change the three areas and area factors for FY 2013-2014. The geographic areas are as follows:

 Area 1: Adams, Cumberland, Dauphin, Delaware, Lancaster, Lebanon, Lehigh, Montgomery, Northampton, Perry, Philadelphia, York

 Area 2: Allegheny, Berks, Bucks, Chester, Franklin, Fulton

 Area 3: Armstrong, Beaver, Bedford, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lawrence, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming

TSM Fee

 TSM is provided under the State Plan to eligible Medical Assistance (MA) recipients. This service is provided consistent with the supports coordination service definition. The supports coordination MA fee identified in the fee schedule rate chart is also applicable to TSM.

Fee Schedule Rates and Department-Established Fees Tables: Effective July 1, 2013

 Modifier ET must be used with applicable procedure codes when billing for temporary Base-funded services.

 The supports coordination MA fee identified as follows and billed with procedure code W7210 is also applicable to TSM and base funded supports coordination.

 Prior authorization must be obtained from the Department for services denoted by (PA) in the service row in the following table.

Fee Schedule Rates

 

Service	Procedure	Modifier	Provider	Specialty	Unit	Area 1	Area 2	Area 3
	Code		Type	Code
Nursing Services: LPN	T2025	TE	05	051	15 min.	$11.36	$10.76	$10.05
TE & ET
TE	16	161
TE & ET
Nursing Services: RN	T2025	TD	05	051	15 min.	$14.72	$13.94	$13.03
TD & ET
TD	16	160
TD & ET
Physical Therapy	T2025	GP	17	170	15 min.	$21.61	$20.46	$19.12
GP & ET
Occupational Therapy	T2025	GO	17	171	15 min.	$20.93	$19.82	$18.52
GO & ET
Speech and Language Therapy	T2025	GN	17	173	15 min.	$19.23	$18.21	$17.02
GN & ET
Individual Behavioral Therapy	T2025	HE	19	208	15 min.	$25.29	$23.95	$22.38
HE & ET
Group Behavioral Therapy	T2025	HE&HQ	19	208	15 min.	$8.09	$7.66	$7.16
HE, HQ & ET
Visual/Mobility Therapy	W7246		51	517	15 min.	$19.23	$18.21	$17.02
ET
Companion, Basic staff support	W1724		51	363	15 min.	$1.26	$1.19	$1.12
ET
Companion, level 1	W1725		51	363	15 min.	$1.46	$1.38	$1.29
ET
Companion, level 2	W1726		51	363	15 min.	$2.23	$2.11	$1.97
ET
Companion, level 3	W1727		51	363	15 min.	$6.11	$5.79	$5.41
ET
Supplemental Habilitation, 1:1(PA)	W7070		52	456, 520, 521 or 522	15 min.	$5.41	$5.12	$4.79
ET
Supplemental Habilitation, 2:1(PA)	W7084		52	456, 520, 521 or 522	15 min.	$10.81	$10.24	$9.57
ET
Additional Individualized Staffing, 1:1(PA)	W7085		52	456, 520, 521 or 522	15 min.	$5.41	$5.12	$4.79
Additional Individualized Staffing, 2:1(PA)	W7086		52	456, 520, 521 or 522	15 min.	$10.81	$10.24	$9.57
Older Adult Day Habilitation	W7094		51	410	15 min.	$2.57	$2.43	$2.27
ET
Behavioral Support	W7095		51	510	15 min.	$19.42	$18.39	$17.19
ET
Supports Broker	W7096		51	510	15 min.	$8.65	$8.19	$7.65
Licensed Day-Adult	W7072		51	514	15 min.	$2.90	$2.75	$2.57
W7073		51	514	15 min.	$3.55	$3.36	$3.14
W7074		51	514	15 min.	$4.50	$4.26	$3.98
W7075		51	514	15 min.	$9.16	$8.67	$8.11
W7076		51		15 min.	$13.35	$12.64	$11.81
W7035				15 min.	$17.20	$16.29	$15.22
W7036				15 min.	$25.57	$24.21	$22.63
Prevocational	W7087				15 min.	$2.06	$1.95	$1.82
W7088				15 min.	$2.43	$2.30	$2.15
W7089				15 min.	$3.26	$3.09	$2.88
W7090				15 min.	$9.06	$8.58	$8.02
W7091				15 min.	$12.59	$11.92	$11.14
W7092				15 min.	$17.75	$16.81	$15.71
W7093				15 min.	$24.82	$23.50	$21.96
Supports Coordination	W7210		21	218	15 min.	$21.70	$20.55	$19.20
Supported Employment	W7235		53	530 531	15 min.	$17.75	$16.81	$15.71
Transitional Work	W7237		51	516	15 min.	$2.65	$2.51	$2.35
W7239		51	516	15 min.	$3.55	$3.36	$3.14
W7241		51	516	15 min.	$4.65	$4.40	$4.12
W7245		51	516	15 min.	$11.63	$11.01	$10.29
Unlicensed Home and Community Habilitation	W7057		51	510	15 min.	$2.54	$2.41	$2.25
W7058		51	510	15 min.	$3.52	$3.33	$3.12
W7059		51	510	15 min.	$4.47	$4.23	$3.96
W7060		51	510	15 min.	$7.21	$6.83	$6.38
W7061		51	510	15 min.	$11.09	$10.50	$9.81
TD
TE
W7068		51	510	15 min.	$13.96	$13.22	$12.35
W7069		51	510	15 min.	$23.97	$22.70	$21.21
TD
TE
In Home Respite—24 hours	W7247		51	512	Day	$85.20	$80.68	$75.40
W7248		51	512	Day	$110.80	$104.92	$98.05
W7250		51	512	Day	$241.92	$229.07	$214.09
W7251		51	512	Day	$381.84	$361.57	$337.91
W7252		51	512	Day	$475.82	$450.56	$421.08
W7253		51	512	Day	$755.66	$715.54	$668.73
TD
TE
In Home Respite—15 Minutes	W7255		51	512	15 min.	$2.13	$2.02	$1.88
W7256		51	512	15 min.	$2.77	$2.62	$2.45
W7258		51	512	15 min.	$6.11	$5.79	$5.41
W7264		51	512	15 min.	$9.55	$9.04	$8.45
W7265		51	512	15 min.	$11.90	$11.27	$10.53
W7266		51	512	15 min.	$18.89	$17.89	$16.72
TD
TE
Respite—unlicensed out of home—24 hour	W8000		51	513	Day	$85.20	$80.68	$75.40
W8001		51	513	Day	$110.80	$104.92	$98.05
W8002		51	513	Day	$241.92	$229.07	$214.09
W8003		51	513	Day	$381.84	$361.57	$337.91
W8004		51	513	Day	$475.82	$450.56	$421.08
W8005		51	513	Day	$755.66	$715.54	$668.73
TD
TE Respite—unlicensed out of home—15 minute	W8010		51	513	15 min.	$2.13	$2.02	$1.88
W8011		51	513	15 min.	$2.77	$2.62	$2.45
W8012		51	513	15 min.	$6.11	$5.79	$5.41
W8013		51	513	15 min.	$9.55	$9.04	$8.45
TD
TE
W8014		51	513	15 min.	$11.90	$11.27	$10.53
W8015		51	513	15 min.	$18.89	$17.89	$16.72
TD
TE Respite—licensed out of home—24 hour	W7259		51	513	Day	$111.11	$105.21	$98.33
U2
W7260		51	513	Day	$203.96	$193.13	$180.50
U2
W7262		51	513	Day	$269.98	$255.64	$238.92
U2
W7263		51	513	Day	$416.51	$394.39	$368.59
U2
W7299		51	513	Day	$524.61	$496.75	$464.26
U2
W7300		51	513	Day	$817.68	$774.26	$723.61
TD
TE
U2 Respite—licensed out of home—15 minutes	W7267		51	513	15 min.	$2.78	$2.63	$2.46
W7268		51	513	15 min.	$3.68	$3.48	$3.26
W7270		51	513	15 min.	$6.75	$6.39	$5.97
W7400		51	513	15 min.	$10.41	$9.86	$9.21
TD
TE
W7401		51	513	15 min.	$13.12	$12.42	$11.61
W7402		51	513	15 min.	$20.44	$19.35	$18.09
TD
TE
Homemaker/Chore (permanent)	W7283		43	430	1 hour	$19.44	$18.41	$17.20
	51	430 or 431
	55	430 or 431
Homemaker/Chore (temporary)	W7283	UA	43	430	1 hour	$19.44	$18.41	$17.20
UA & ET
UA	51	430 or 431
UA & ET
UA	45	430 or 431
UA & ET

Department-Established Fees

 

Service	Procedure	Modifier	Provider	Specialty	Unit	Area 1	Area 2	Area 3
	Code		Type	Code
Licensed Community Homes—Ineligible	W6091				Day	$72.71	$67.93	$62.35
W6093	$38.64	$35.67	$32.20
W6095	$27.32	$24.95	$22.18
W6097	$21.22	$19.17	$16.78
W6099	$16.78	$14.97	$12.86
Licensed Child Residential Services— Ineligible	W7011				Day	$72.71	$67.93	$62.35
W7013	$38.64	$35.67	$32.20
W7015	$27.32	$24.95	$22.18
W7017	$21.22	$19.17	$16.78
W7019	$16.78	$14.97	$12.86
Licensed Community Residential Rehabilitation Services—Ineligible	W7021				Day	$72.71	$67.93	$62.35
W7023	$38.64	$35.67	$32.20
W7025	$27.32	$24.95	$22.18
W7027	$21.22	$19.17	$16.78
W7029	$16.78	$14.97	$12.86
Unlicensed Residential Services—Ineligible	W7079				Day	$15.28	$13.56	$11.56
W7081	$6.14	$4.90	$3.47
W7083	$5.46	$4.26	$2.87
Unlicensed Family Living Home— Ineligible	W7038				Day	$2.70	$1.65	$0.43
W7040	$1.31	$0.34	$0.00
Licensed Adult Family Living Home— Ineligible	W7292				Day	$2.70	$1.65	$0.43
W7294	$1.31	$0.34	$0.00
Licensed Child Family Living Home— Ineligible	W7296				Day	$2.70	$1.65	$0.43
W7298	$1.31	$0.34	$0.00

 Agency with Choice Financial Management Services, Including Benefit Allowance***

 ***No modifier is needed to indicate the benefit allowance is included.

 

Service	Procedure	Modifier	Provider	Specialty	Unit	Area 1	Area 2	Area 3
	Code		Type	Code
Companion, level 3	W1727		54	540	15 min.	$3.76	$3.56	$3.33
Supported Employment	W7235		54	540	15 min.	$6.96	$6.59	$6.16
Unlicensed Habilitation, level 3	W7060		54	540	15 min.	$5.66	$5.36	$5.01
Unlicensed Habilitation, level 3, enhanced	W7061		54	540	15 min.	$8.82	$8.35	$7.81
TD
TE
Unlicensed Habilitation, level 4	W7068		54	540	15 min.	$11.34	$10.74	$10.04
Unlicensed Habilitation, level 4, enhanced	W7069		54	540	15 min.	$17.64	$16.70	$15.61
TD
TE
Supports Broker	W7096		54	540	15 min.	$6.41	$6.07	$5.67
Respite—unlicensed, in home, level 2	W7250		54	540	1 day	$268.61	$254.35	$237.71
W7258		54	540	15 min.	$4.16	$3.94	$3.68
Respite—unlicensed, in home, level 2, enhanced	W7251		54	540	1 day	$513.63	$486.36	$454.54
TD
TE
W7264		54	540	15 min.	$7.95	$7.53	$7.04
TD
TE
Respite—unlicensed, in home, level 3	W7252		54	540	1 day	$537.21	$508.69	$475.41
W7265		54	540	15 min.	$8.34	$7.90	$7.38
Respite—unlicensed, in home, level 3, enhanced	W7253		54	540	1 day	$1,027.25	$972.71	$909.07
TD
TE
W7266		54	540	15 min.	$15.92	$15.07	$14.09
TD
TE
Homemaker/ Chore	W7283		54	540	1 hour	$16.18	$15.32	$14.32
UA
Respite—unlicensed, out of home, level 2	W8002		54	540	1 day	$268.61	$254.35	$237.71
W8012		54	540	15 min.	$4.16	$3.94	$3.68
Respite—unlicensed, out of home, level 2, enhanced	W8003		54	540	1 day	$513.63	$486.36	$454.54
TD
TE
W8013		54	540	15 min.	$7.95	$7.53	$7.04
TD
TE

Service	Procedure	Modifier	Provider	Specialty	Unit	Area 1	Area 2	Area 3
	Code		Type	Code
Respite—unlicensed, out of home, level 3	W8004		54	540	1 day	$537.21	$508.69	$475.41
W8014		54	540	15 min.	$8.34	$7.90	$7.38
Respite—unlicensed, out of home, level 3, enhanced	W8005		54	540	1 day	$1,027.25	$972.71	$909.07
TD
TE
W8015		54	540	15 min.	$15.92	$15.07	$14.09
TD
TE

 Agency with Choice Financial Management Services, Excluding Benefit Allowance**

 **Modifier U4 must be used with all procedures codes when billing for services excluding benefit allowance.

Service	Procedure	Modifier	Provider	Specialty	Unit	Area 1	Area 2	Area 3
	Code		Type	Code
Companion, level 3	W1727	U4	54	540	15 min.	$3.14	$2.97	$2.78
Supported Employment	W7235	U4	54	540	15 min.	$6.34	$6.00	$5.61
Unlicensed Habilitation, level 3	W7060	U4	54	540	15 min.	$5.04	$4.77	$4.46
Unlicensed Habilitation, level 3, enhanced	W7061	U4	54	540	15 min.	$8.20	$7.76	$7.26
TD & U4
TE & U4
Unlicensed Habilitation, level 4	W7068	U4	54	540	15 min.	$10.10	$9.56	$8.94
Unlicensed Habilitation, level 4, enhanced	W7069	U4	54	540	15 min.	$16.40	$15.53	$14.51
TD & U4
TE & U4
Supports Broker	W7096	U4	54	540	15 min.	$5.79	$5.48	$5.12
Respite—unlicensed, in home, level 2	W7250	U4	54	540	1 day	$228.95	$216.79	$202.61
W7258	U4	54	540	15 min.	$3.54	$3.35	$3.13
Respite—unlicensed, in home, level 2, enhanced	W7251	U4	54	540	1 day	$473.97	$448.80	$419.44
TD & U4
TE & U4
W7264	U4	54	540	15 min.	$7.33	$6.94	$6.49
TD & U4
TE & U4
Respite—unlicensed in home, level 3	W7252	U4	54	540	1 day	$457.89	$433.58	$405.21
W7265	U4	54	540	15 min.	$7.10	$6.72	$6.28
Respite—unlicensed, in home, level 3, enhanced	W7253	U4	54	540	1 day	$947.93	$897.60	$838.88
TD & U4
TE & U4
W7266	U4	54	540	15 min.	$14.68	$13.90	$12.99
TD & U4
TE & U4
Homemaker/ Chore	W7283	U4	54	540	1 hour	$13.70	$12.97	$12.12
UA & U4
Respite—unlicensed, out of home, level 2	W8002	U4	54	540	1 day	$228.95	$216.79	$202.61
W8012	U4	54	540	15 min.	$3.54	$3.35	$3.13
Respite—unlicensed, out of home, level 2, enhanced	W8003	U4	54	540	1 day	$473.97	$448.80	$419.44
TD & U4
TE & U4
W8013	U4	54	540	15 min.	$7.33	$6.94	$6.49
TD & U4
TE & U4
Respite—unlicensed, out of home, level 3	W8004	U4	54	540	1 day	$457.89	$433.58	$405.21
W8014	U4	54	540	15 min.	$7.10	$6.72	$6.28
Respite—unlicensed, out of home, level 3, enhanced	W8005	U4	54	540	1 day	$947.93	$897.60	$838.88
TD & U4
TE & U4
W8015	U4	54	540	15 min.	$14.68	$13.90	$12.99

Fiscal Impact

 It is anticipated there will be an approximate cost to the Commonwealth of $20.959 million ($9.900 million State funds) in FY 2013-2014 and subsequent fiscal years. The amount of funding available for this program is dependent upon the funds appropriated by the General Assembly for the forthcoming fiscal year; therefore, until a budget bill is passed and enacted, the fiscal impact associated with this notice is estimated.

Public Comment

 Copies of this notice may be obtained at the local Mental Health/Intellectual Disability (MH/ID) County Program, Administrative Entity (AE) or regional Office of Developmental Programs in the corresponding regions:

 • Western region: Piatt Place, Room 4900, 301 5th Avenue, Pittsburgh, PA 15222, [phone]

 • Northeast region: Room 315, Scranton State Office Building, 100 Lackawanna Avenue, Scranton, PA 18503, [phone]

 • Southeast region: 801 Market Street, Suite 5071, Philadelphia, PA 19107, [phone] or [phone]

 • Central region: Room 430, Willow Oak Building, P. O. Box 2675, DGS Annex Complex, Harrisburg, PA 17105, [phone]

 Contact information for the local MH/ID County Program or AE may be found at https://www.hcsis.state. pa.us/hcsis-ssd/pgm/asp/PRCNT.ASP or contact the previously referenced regional Office of Developmental Programs.

 Interested persons are invited to submit written comments regarding this notice to the Department at the Office of Developmental Programs' rate-setting mailbox at [e-mail], use subject header ''PN Fee Schedule,'' or Department of Public Welfare, Office of Developmental Programs, Division of Provider Assistance and Rate Setting, 4th Floor, Health and Welfare Building, Forster and Commonwealth Avenues, Harrisburg, PA 17120.

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

BEVERLY D. MACKERETH, 
Acting Secretary

 Fiscal Note: 14-NOT-835. (1) General Fund;

 (7) ID—Community Waiver Program; (2) Implementing Year 2013-14 is $9,809,000; (3) 1st Succeeding Year (2014-15) through 5th Succeeding Year (2018-19) are $9,809,000; (4) 2012-13 Program—$919,885,000; 2011-12 Program—$854,863,000; 2010-11 Program—$872,376,000;

 (7) ID—Community Base Program; (2) Implementing Year 2013-14 is $91,000; (3) 1st Succeeding Year (2014-15) through 5th Succeeding Year (2018-19) are $91,000; (4) 2012-13 Program—$151,223,000; 2011-12 Program—$158,194,000; 2010-11 Program—$155,958,000;

 (8) recommends adoption. Funds have been included in the budget to cover the increase in costs for the ID—Community Waiver Program. The ID—Community Base Program is able to absorb the increased cost.

[Pa.B. Doc. No. 13-1178. Filed for public inspection June 28, 2013, 9:00 a.m.]