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Home » 2012 Issues » Vol. 42, No. 23 (06/09/2012) » 1058 Rate-setting methodology, fee schedule rates and vendor goods and services for the medical assistance aging, attendant care, COMMCARE, independence and OBRA waivers and the Act 150 Program?

  1058 Rate-setting methodology, fee schedule rates and vendor goods and services for the medical assistance aging, attendant care, COMMCARE, independence and OBRA waivers and the Act 150 Program?  

  • DEPARTMENT OF
    PUBLIC WELFARE

    Rate-Setting Methodology, Fee Schedule Rates and Vendor Goods and Services for the Medical Assistance Aging, Attendant Care, COMMCARE, Independence and OBRA Waivers and the Act 150 Program

    [42 Pa.B. 3343]
    [Saturday, June 9, 2012]

     The Department of Public Welfare (Department) is announcing the rate-setting methodology and fee schedule rates for the Medical Assistance (MA) Aging, Attendant Care, COMMCARE, Independence and OBRA Waivers (waivers) and the Act 150 Program under 55 Pa. Code §  52.45(a) and (b) (relating to fee schedule rates). In addition, the Department is announcing which waiver and Act 150 Program services are vendor goods or services under 55 Pa. Code §  52.51 (relating to vendor good or service payment). Finally, the Department is announcing which services are specific to each applicable waiver and Act 150 Program under 55 Pa. Code §  52.42(b) (relating to payment policies).

     With the exception of the amendments related to service coordination, the United States Department of Health and Human Services (HHS) has approved these changes effective June 1, 2012. The waiver amendments related to service coordination are pending HHS approval.

    Rate-Setting Methodology

     The rate methodology for the fee schedule rates was developed utilizing specific allowable cost categories as prescribed by the Federal Centers for Medicare and Medicaid Services. These cost categories include the following:

     • Wage costs.

      o Direct care staff.

      o Direct supervisor.

     • Benefit costs.

      o Health and dental insurance, Social Security and Medicare, unemployment taxes, worker's compensation, 401k employer match and other benefits.

     • Non-client time (productivity) adjustments.

      o Training time for direct care staff.

     • Travel costs as applicable to the appropriate waiver or Act 150 Program.

     • Direct program costs.

      o Supplies and food as applicable to the appropriate waiver or Act 150 Program.

     • Supervisory and oversight costs.

      o Quality management and clinical reviews as applicable to the appropriate waiver or Act 150 Program.

     • Indirect costs.

      o Administrative expenses such as management, office supplies and equipment, recruitment, information technology, human resources, billing, finance and accounting, legal and other indirect costs necessary for program operations.

     Fee schedule rates were developed using a standardized market-based rate setting methodology. Relevant market-based information used to determine the fee schedule rates included Commonwealth-specific wage information from the Center for Workforce Information and Analysis, Occupational Wages by County, Bureau of Labor Statistics Employer Costs, cost surveys from providers, Medicare rate information and MA State Plan Fee Schedules.

     The rates also have been adjusted regionally to reflect differences in service delivery costs, based on the characteristics of each region. The counties are categorized into Regions 1 thorough 4 as follows:

    Region 1: Allegheny, Armstrong, Beaver, Fayette, Greene, Washington, Westmoreland.
    Region 2: Bedford, Blair, Bradford, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Elk, Erie, Forest, Indiana, Jefferson, Lackawanna, Lawrence, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northumberland, Pike, Potter, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Wayne, Wyoming.
    Region 3: Adams, Berks, Carbon, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Lehigh, Northampton, Perry, Schuylkill, York.
    Region 4: Bucks, Chester, Delaware, Montgomery, Philadelphia.

    Fee Schedule Rates

     The following table provides the list of services, respective procedure codes, regional rates per unit and a crosswalk of services to the waivers and the Act 150 Program:

    HCBS Fee Schedule Rates (Region 1)
    Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver;
    IW = Independence Waiver; OW = OBRA Waiver.
    In facility respite will be reimbursed at the nursing facility's case-mix per diem rate.
    ServiceAging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region 1 Unit
    Adult Daily Living X N/A N/A X X X S5102 $58.39 1 Day
    Adult Daily Living Services Enhanced X N/A N/A X X X S5102 U4 $75.01 1 Day
    Adult Daily Living Services Half Day X N/A N/A X X X S5102 U5 $29.20 1/2 Day
    Community Integration N/A N/A N/A X X X 97537 $6.29 15 Minutes
    Financial Management Services X X X X X X W7341 $85.00 1 Month
    Financial Management Services Start Up X X X X X X W7341 U4 $277.00 1 time
    Financial Management Services My Way X X X X X X W7341 U2 $85.00 1 month
    Home Health Aide X N/A N/A N/A N/A N/A T2025 $5.38 15 Minutes
    Home Health— Nursing (LPN) X N/A N/A X X X T1003 SE $11.02 15 Minutes
    Home Health— Nursing (RN) X N/A N/A X X X T1002 SE $16.55 15 Minutes
    Home Health— Occupational Therapy X N/A N/A X X X T2025 GO $21.29 15 Minutes
    Home Health— Occupational Therapy—Assist. XN/A N/A XXXT2025 GO U4 $14.48 15 Minutes
    Home Health— Physical Therapy XN/A N/A XXXT2025 GP $20.20 15 Minutes
    Home Health— Physical Therapy—Assist. XN/A N/A XXXT2025 GP U4 $11.51 15 Minutes
    Home Health— Speech & Language Therapy XN/A N/A XXXT2025 GN $21.72 15 Minutes
    PAS (Agency) XXXXXXW1793 $4.29 15 Minutes
    PAS (Consumer) XXXXXXW1792 $3.34 15 Minutes
    PAS (CSLA) N/A N/A N/A N/A XXW1793 TT $4.46 15 Minutes
    Prevocational Services N/A N/A N/A XN/A XW6107 $6.29 15 Minutes
    Residential Habilitation 1-3 N/A N/A N/A XN/A XW0100 $264.15 24 Hours
    Residential Habilitation 1-3 Supp 1:1 N/A N/A N/A XN/A XW0101 U4 $19.79 1 Hour
    Residential Habilitation 1-3 Supp 2:1 N/A N/A N/A XN/A XW0101 U5 $39.58 1 Hour
    Residential Habilitation 4-8 N/A N/A N/A XN/A XW0102 $247.67 1 Day
    Residential Habilitation 4-8 Supp 1:1 N/A N/A N/A XN/A XW0103 U4 $19.62 1 Hour
    Residential Habilitation 4-8 Supp 2:1 N/A N/A N/A XN/A XW0103 U5 $39.23 1 Hour
    Respite (Agency) XN/A N/A XXXT1005 $4.29 15 Minutes
    Respite (Consumer) XN/A N/A XXXS5150 $3.34 15 Minutes
    Service Coordination XXXXXXW1011 $13.98 15 Minutes
    Structured Day Habilitation Group N/A N/A N/A XN/A XW0104 $34.56 1 Hour
    Structured Day Habilitation 1:1 N/A N/A N/A XN/A XW0105 U4 $19.62 1 Hour
    Structured Day Habilitation 2:1 N/A N/A N/A XN/A XW0105 U5 $39.23 1 Hour
    Supported Employment N/A N/A N/A XXXW6106 $40.48 1 Hour
    Thera & Couns Svcs (Behavior Therapy) N/A N/A N/A XXXH2019 $ 20.79 15 Minutes
    Thera & Couns Svcs (Cognitive Rehabilitation) N/A N/A N/A XXX97532 SE $14.12 15 Minutes
    Thera & Couns Svcs (Counseling Svcs) XN/A N/A XXXH0004 $11.83 15 Minutes
    Thera & Couns Svcs (Nutritional Counseling) XN/A N/A XXXS9470 AE U4 $13.77 15 Minutes
    Transition Service Coordination XXN/A XXXW7337 $10.00 15 Minutes
    Telecare Equipment Installation and Removal XN/A N/A N/A N/A N/A W2024 $90.00 One Time
    Telecare Activity and Sensor Monitoring Ongoing XN/A N/A N/A N/A N/A W9006 $80.00 Monthly
    Telecare Equipment Installation and Removal with Training XN/A N/A N/A N/A N/A W2025 $200.00 One Time
    Telecare Health Status Measuring and Monitoring Remote XN/A N/A N/A N/A N/A T2025 GT $10.00 Per Day
    Telecare Medication Dispensing and Monitoring XN/A N/A N/A N/A N/A S5185 32 $50.00 Monthly

     

    HCBS Fee Schedule Rates (Region 2)
    Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver;
    IW = Independence Waiver; OW = OBRA Waiver.
    In facility respite will be reimbursed at the nursing facility's case-mix per diem rate.
    Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region 2 Unit
    Adult Daily Living XN/A N/A XXXS5102 $58.91 1 Day
    Adult Daily Living Services Enhanced XN/A N/A XXXS5102 U4 $71.79 1 Day
    Adult Daily Living Services Half Day XN/A N/A XXXS5102 U5 $29.45 1/2 Day
    Community Integration N/A N/A N/A XXX97537 $6.50 15 Minutes
    Financial Management Services XXX XXXW7341 $85.00 1 Month
    Financial Management Services Start Up XXX XXXW7341 U4 $277.00 1 time
    Financial Management Services My Way XXX XXXW7341 U2 $85.00 1 month
    Home Health Aide XN/A N/A N/A N/A N/A T2025 $5.38 15 Minutes
    Home Health— Nursing (LPN) XN/A N/A XXXT1003 SE $11.02 15 Minutes
    Home Health— Nursing (RN) XN/A N/A XXXT1002 SE $16.55 15 Minutes
    Home Health— Occupational Therapy XN/A N/A XXXT2025 GO $21.29 15 Minutes
    Home Health— Occupational Therapy—Assist. XN/A N/A XXXT2025 GO U4 $14.48 15 Minutes
    Home Health— Physical Therapy XN/A N/A XXXT2025 GP $20.20 15 Minutes
    Home Health— Physical Therapy—Assist. XN/A N/A XXXT2025 GP U4 $11.51 15 Minutes
    Home Health— Speech & Language Therapy XN/A N/A XXXT2025 GN $21.72 15 Minutes
    PAS (Agency) XXXXXXW1793 $4.77 15 Minutes
    PAS (Consumer) XXXXXXW1792 $3.20 15 Minutes
    PAS (CSLA) N/A N/A N/A N/A XXW1793 TT $4.96 15 Minutes
    Prevocational Services N/A N/A N/A XN/A XW6107 $6.50 15 Minutes
    Residential Habilitation 1-3 N/A N/A N/A XN/A XW0100 $264.15 24 Hours
    Residential Habilitation 1-3 Supp 1:1 N/A N/A N/A XN/A XW0101 U4 $19.79 1 Hour
    Residential Habilitation 1-3 Supp 2:1 N/A N/A N/A XN/A XW0101 U5 $39.58 1 Hour
    Residential Habilitation 4-8 N/A N/A N/A XN/A XW0102 $247.67 1 Day
    Residential Habilitation 4-8 Supp 1:1 N/A N/A N/A XN/A XW0103 U4 $19.62 1 Hour
    Residential Habilitation 4-8 Supp 2:1 N/A N/A N/A XN/A XW0103 U5 $ 39.23 1 Hour
    Respite (Agency) XN/A N/A XXXT1005 $4.77 15 Minutes
    Respite (Consumer) XN/A N/A XXXS5150 $3.20 15 Minutes
    Service Coordination XXXXXXW1011 $15.67 15 Minutes
    Structured Day Habilitation Group N/A N/A N/A XN/A XW0104 $34.56 1 Hour
    Structured Day Habilitation 1:1 N/A N/A N/A XN/A XW0105 U4 $19.62 1 Hour
    Structured Day Habilitation 2:1 N/A N/A N/A XN/A XW0105 U5 $39.23 1 Hour
    Supported Employment N/A N/A N/A XXXW6106 $39.88 1 Hour
    Thera & Couns Svcs (Behavior Therapy) N/A N/A N/A XXXH2019 $20.79 15 Minutes
    Thera & Couns Svcs (Cognitive Rehabilitation) N/A N/A N/A XXX97532 SE $14.12 15 Minutes
    Thera & Couns Svcs (Counseling Svcs) XN/A N/A XXXH0004 $11.83 15 Minutes
    Thera & Couns Svcs (Nutritional Counseling) XN/A N/A XXXS9470 AE U4 $13.77 15 Minutes
    Transition Service Coordination XXN/A XXXW7337 $10.00 15 Minutes
    Telecare Equipment Installation and Removal XN/A N/A N/A N/A N/A W2024 $90.00 One Time
    Telecare Activity and Sensor Monitoring Ongoing XN/A N/A N/A N/A N/A W9006 $80.00 Monthly
    Telecare Equipment Installation and Removal with Training XN/A N/A N/A N/A N/A W2025 $200.00 One Time
    Telecare Health Status Measuring and Monitoring Remote XN/A N/A N/A N/A N/A T2025 GT $10.00 Per Day
    Telecare Medication Dispensing and Monitoring XN/A N/A N/A N/A N/A S5185 32 $50.00 Monthly

     

    HCBS Fee Schedule Rates (Region 3)
    Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver;
    IW = Independence Waiver; OW = OBRA Waiver.
    In facility respite will be reimbursed at the nursing facility's case-mix per diem rate.
    Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region 3 Unit
    Adult Daily Living XN/A N/A XXXS5102 $60.86 1 Day
    Adult Daily Living Services Enhanced XN/A N/A XXXS5102 U4 $68.42 1 Day
    Adult Daily Living Services Half Day XN/A N/A XXXS5102 U5 $30.43 1/2 Day
    Community Integration N/A N/A N/A XXX97537 $6.96 15 Minutes
    Financial Management Services XXXXXXW7341 $85.00 1 Month
    Financial Management Services Start Up XXXXXXW7341 U4 $277.00 1 time
    Financial Management Services My Way XXXXXXW7341 U2 $85.00 1 month
    Home Health Aide XN/A N/A N/A N/A N/A T2025 $5.38 15 Minutes
    Home Health— Nursing (LPN) XN/A N/A XXXT1003 SE $11.02 15 Minutes
    Home Health— Nursing (RN) XN/A N/A XXXT1002 SE $16.55 15 Minutes
    Home Health— Occupational Therapy XN/A N/A XXXT2025 GO $21.29 15 Minutes
    Home Health— Occupational Therapy—Assist. XN/A N/A XXXT2025 GO U4 $14.48 15 Minutes
    Home Health-Physical Therapy XN/A N/A XXXT2025 GP $20.20 15 Minutes
    Home Health— Physical Therapy—Assist. XN/A N/A XXXT2025 GP U4 $11.51 15 Minutes
    Home Health— Speech & Language Therapy XN/A N/A XXXT2025 GN $21.72 15 Minutes
    PAS (Agency) XXXXXXW1793 $4.49 15 Minutes
    PAS (Consumer) XXXXXXW1792 $3.50 15 Minutes
    PAS (CSLA) N/A N/A N/A N/A XXW1793 TT $4.67 15 Minutes
    Prevocational Services N/A N/A N/A XN/A XW6107 $6.96 15 Minutes
    Residential Habilitation 1-3 N/A N/A N/A XN/A XW0100 $264.15 24 Hours
    Residential Habilitation 1-3 Supp 1:1 N/A N/A N/A XN/A XW0101 U4 $19.79 1 Hour
    Residential Habilitation 1-3 Supp 2:1 N/A N/A N/A XN/A XW0101 U5 $39.58 1 Hour
    Residential Habilitation 4-8 N/A N/A N/A XN/A XW0102 $247.67 1 Day
    Residential Habilitation 4-8 Supp 1:1 N/A N/A N/A XN/A XW0103 U4 $19.62 1 Hour
    Residential Habilitation 4-8 Supp 2:1 N/A N/A N/A XN/A XW0103 U5 $39.23 1 Hour
    Respite (Agency) XN/A N/A XXXT1005 $4.49 15 Minutes
    Respite (Consumer) XN/A N/A XXXS5150 $3.50 15 Minutes
    Service Coordination XXXXXXW1011 $14.53 15 Minutes
    Structured Day Habilitation Group N/A N/A N/A XN/A XW0104 $34.56 1 Hour
    Structured Day Habilitation 1:1 N/A N/A N/A XN/A XW0105 U4 $19.62 1 Hour
    Structured Day Habilitation 2:1 N/A N/A N/A XN/A XW0105 U5 $39.23 1 Hour
    Supported Employment N/A N/A N/A XXXW6106 $45.25 1 Hour
    Thera & Couns Svcs (Behavior Therapy) N/A N/A N/A XXXH2019 $20.79 15 Minutes
    Thera & Couns Svcs (Cognitive Rehabilitation) N/A N/A N/A XXX97532 SE $14.12 15 Minutes
    Thera & Couns Svcs (Counseling Svcs) XN/A N/A XXXH0004 $11.83 15 Minutes
    Thera & Couns Svcs (Nutritional Counseling) XN/A N/A XXXS9470 AE U4 $13.77 15 Minutes
    Transition Service Coordination XXN/A XXXW7337 $10.00 15 Minutes
    Telecare Equipment Installation and Removal XN/A N/A N/A N/A N/A W2024 $90.00 One Time
    Telecare Activity and Sensor Monitoring Ongoing XN/A N/A N/A N/A N/A W9006 $80.00 Monthly
    Telecare Equipment Installation and Removal with Training XN/A N/A N/A N/A N/A W2025 $200.00 One Time
    Telecare Health Status Measuring and Monitoring Remote XN/A N/A N/A N/A N/A T2025 GT $10.00 Per Day
    Telecare Medication Dispensing and Monitoring XN/A N/A N/A N/A N/A S5185 32 $50.00 Monthly

     

    HCBS Fee Schedule Rates (Region 4)
    Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver;
    IW = Independence Waiver; OW = OBRA Waiver.
    In facility respite will be reimbursed at the nursing facility's case-mix per diem rate.
    Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region 4 Unit
    Adult Daily Living XN/A N/A XXXS5102 $59.80 1 Day
    Adult Daily Living Services Enhanced XN/A N/A XXXS5102 U4 $75.01 1 Day
    Adult Daily Living Services Half Day XN/A N/A XXXS5102 U5 $29.90 1/2 Day
    Community Integration N/A N/A N/A XXX97537 $6.54 15 Minutes
    Financial Management Services XXXXXXW7341 $85.00 1 Month
    Financial Management Services Start Up XXXXXXW7341 U4 $277.00 1 time
    Financial Management Services My Way XXXXXXW7341 U2 $85.00 1 month
    Home Health Aide XN/A N/A N/A N/A N/A T2025 $5.38 15 Minutes
    Home Health— Nursing (LPN) XN/A N/A XXXT1003 SE $11.02 15 Minutes
    Home Health— Nursing (RN) XN/A N/A XXXT1002 SE $16.55 15 Minutes
    Home Health— Occupational Therapy XN/A N/A XXXT2025 GO $21.29 15 Minutes
    Home Health— Occupational Therapy—Assist. XN/A N/A XXXT2025 GO U4 $14.48 15 Minutes
    Home Health— Physical Therapy XN/A N/A XXXT2025 GP $20.20 15 Minutes
    Home Health— Physical Therapy—Assist. XN/A N/A XXXT2025 GP U4 $11.51 15 Minutes
    Home Health— Speech & Language Therapy XN/A N/A XXXT2025 GN $21.72 15 Minutes
    PAS (Agency) XXXXXXW1793 $4.78 15 Minutes
    PAS (Consumer) XXXXXXW1792 $3.93 15 Minutes
    PAS (CSLA) N/A N/A N/A N/A XXW1793 TT $4.97 15 Minutes
    Prevocational Services N/A N/A N/A XN/A XW6107 $6.54 15 Minutes
    Residential Habilitation 1-3 N/A N/A N/A XN/A XW0100 $264.15 24 Hours
    Residential Habilitation 1-3 Supp 1:1 N/A N/A N/A XN/A XW0101 U4 $19.79 1 Hour
    Residential Habilitation 1-3 Supp 2:1 N/A N/A N/A XN/A XW0101 U5 $39.58 1 Hour
    Residential Habilitation 4-8 N/A N/A N/A XN/A XW0102 $247.67 1 Day
    Residential Habilitation 4-8 Supp 1:1 N/A N/A N/A XN/A XW0103 U4 $19.62 1 Hour
    Residential Habilitation 4-8 Supp 2:1 N/A N/A N/A XN/A XW0103 U5 $39.23 1 Hour
    Respite (Agency) XN/A N/A XXXT1005 $4.78 15 Minutes
    Respite (Consumer) XN/A N/A XXXS5150 $3.93 15 Minutes
    Service Coordination XXXXXXW1011 $15.38 15 Minutes
    Structured Day Habilitation Group N/A N/A N/A XN/A XW0104 $34.56 1 Hour
    Structured Day Habilitation 1:1 N/A N/A N/A XN/A XW0105 U4 $19.62 1 Hour
    Structured Day Habilitation 2:1 N/A N/A N/A XN/A XW0105 U5 $39.23 1 Hour
    Supported Employment N/A N/A N/A XXXW6106 $40.68 1 Hour
    Thera & Couns Svcs (Behavior Therapy) N/A N/A N/A XXXH2019 $20.79 15 Minutes
    Thera & Couns Svcs (Cognitive Rehabilitation) N/A N/A N/A XXX97532 SE $14.12 15 Minutes
    Thera & Couns Svcs (Counseling Svcs) XN/A N/A XXXH0004 $11.83 15 Minutes
    Thera & Couns Svcs (Nutritional Counseling) XN/A N/A XXXS9470 AE U4 $13.77 15 Minutes
    Transition Service Coordination XXN/A XXXW7337 $10.00 15 Minutes
    Telecare Equipment Installation and Removal XN/A N/A N/A N/A N/A W2024 $90.00 One Time
    Telecare Activity and Sensor Monitoring Ongoing XN/A N/A N/A N/A N/A W9006 $80.00 Monthly
    Telecare Equipment Installation and Removal with Training XN/A N/A N/A N/A N/A W2025 $200.00 One Time
    Telecare Health Status Measuring and Monitoring Remote XN/A N/A N/A N/A N/A T2025 GT $10.00 Per Day
    Telecare Medication Dispensing and Monitoring XN/A N/A N/A N/A N/A S5185 32 $50.00 Monthly

    Vendor Goods or Services

     The Department will pay an Organized Health Care Delivery System or provider for the actual cost of a vendor good or service listed in this notice when rendered to an enrolled waiver participant. A vendor good or service is an item that is not on the MA fee schedule and is purchased by a Department-approved Organized Health Care Delivery provider and provided to an enrolled waiver participant. The payment may not exceed the amount for similar vendor goods or services charged to the general public. See 55 Pa. Code § 52.51.

     The following table provides:

     • The vendor goods and services that qualify for payment by the Department to an enrolled provider.

     • The procedure codes for vendor goods or services.

     • A crosswalk of vendor goods or services to waivers and Act 150 Program.

     

    Vendor Goods and Services
    Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region Unit
    Accessibility Adaptations (<$6000)XN/AN/AXXXW7008N/APer Purchase
    Accessibility Adaptations (>$6000)XN/A N/A XXXW7009 N/A Per Purchase
    Community Transition Svcs (Health Safety) XXN/A XXXW7336 N/A One Time
    Community Transition Svcs (House Hold Suppl) XXN/A XXXW7332 N/A One Time
    Community Transition Svcs (Moving Expenses) XXN/A XXXW7333 N/A One Time
    Community Transition Svcs (Security Deposit) XXN/A XXXW7334 N/A One Time
    Community Transition Svcs (Set-Up Fees) XXN/A XXXW7335 N/A One Time
    Durable Medical Equipment and Supplies XN/A N/A XXXT2029 N/A Per Purchase
    Home Delivered Meals-Emergency Pack XN/A N/A N/A N/A N/A W1762 N/A Per Purchase
    Home Delivered Meals-Frozen Entrée XN/A N/A N/A N/A N/A W1760 N/A Per Purchase
    Home Delivered Meals-Hot Entrée XN/A N/A N/A N/A N/A W1759 N/A Per Purchase
    Home Delivered Meals-Sandwich XN/A N/A N/A N/A N/A W1761 N/A Per Purchase
    Home Delivered Meals-Special Meal XN/A N/A N/A N/A N/A W1764 N/A Per Purchase
    Non-medical Transportation XN/A N/A XXXW6110 N/A Per Month
    Participant- Directed Community Supports XXN/A N/A N/A N/A W1900 N/A Per Purchase
    Participant- Directed Goods and Services XXN/A N/A N/A N/A W1901 N/A Per Purchase
    Personal Emergency Response System (Installation) XXXXXXW1894 N/A Per Purchase
    Personal Emergency Response System (Monthly Maintenance) XXXXXXW1895 N/A Per Purchase
    Telecare Specialized Supplies DME for Remote Monitoring XN/A N/A N/A N/A N/A T2029 GT N/A Per Purchase
    Telecare Specialized Supplies for Remote Monitoring XN/A N/A N/A N/A N/A T2028 GT N/A Per Purchase

    Fiscal Impact

     The Department anticipates that these changes will ensure that the Department's expenditures do not exceed the aggregate amount appropriated by the General Assembly in Fiscal Year 2011-2012.

    Public Comment

     Interested persons are invited to submit written comments regarding this notice within 30 days of its publication to the Department of Public Welfare, Office of Long-Term Living, Attention: Yvette Sanchez-Roberts, 555 Walnut Street, Fifth Floor, Harrisburg, PA 17101-1919. Comments can also be sent to RA-oltlstreamlining@pa.gov. Comments will be considered in subsequent revisions to the fee schedule and list of vendor goods or services.

     Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service by calling (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

    GARY D. ALEXANDER, 
    Secretary

     Fiscal Note: 14-NOT-761. No fiscal impact; (8) recommends adoption.

    [Pa.B. Doc. No. 12-1058. Filed for public inspection June 8, 2012, 9:00 a.m.]

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