Section 51.131. Department-established fees

(a) From July 1, 2011, through June 30, 2012, the Department is authorized to establish fees for the ineligible portion of the payment for respite care ineligible HCBS.

(b) The Department will establish fees for the ineligible portion of payment for residential habilitation services and publish the fees as a notice in the Pennsylvania Bulletin.

(c) The Department will apply a vacancy factor to the ineligible portion of payment across the provider’s residential habilitation service locations.

(d) The Department-established fees are established using the following methodology:

(1) Market-based approach.

(2) Use of independent data sources including validation against previously approved cost reports, as applicable.

(3) Geographic cost considerations.

(e) Subsections (a) and (d)(3) do not apply to a provider of HCBS in the Adult Autism Waiver.

Notation

Cross References

This section cited in 55 Pa. Code § 51.43 (relating to Department rates and HCBS classification).