Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART III. Medical Assistance Manual |
Chapter 1181. Nursing Facility Care |
SubChapter A. NURSING FACILITY CARE |
Appendix A. CEILINGS ON NET OPERATING COST REIMBURSEMENT FOR GENERAL AND COUNTY NURSING FACILITIES
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Editors Note: The following document was published in the Pennsylvania Bulletin as a Notice and is codified under 1 Pa. Code § 3.1(9) (relating to contents of Code) as a document which the Legislative Reference Bureau finds to be general and permanent in nature.
Annex A
GENERAL NURSING FACILITIES
(Excluding Hospital-Based and Special Rehabilitation Facilities)
*Skilled Nursing Care
Net Operating
Ceilings Effective
July 1, 1995 thru
December 31, 1995*Intermediate
Care
Net Operating
Ceilings Effective
July 1, 1995 thru
December 31, 19951. LEVEL A Philadelphia Bucks $133.39 $110.54 Chester $133.39 $110.54 Delaware $133.39 $110.54 Montgomery $133.39 $110.54 Philadelphia $133.39 $110.54 Pittsburgh Allegheny $133.39 $110.54 Beaver $133.39 $110.54 Butler $133.39 $110.54 Fayette $133.39 $110.54 Washington $133.39 $110.54 Westmoreland $133.39 $110.54 2. LEVEL B AllentownBethlehemEaston Carbon $117.20 $ 98.00 Lehigh $117.20 $ 98.00 Northampton $117.20 $ 98.00 Erie Erie $117.20 $ 98.00 HarrisburgLebanonCarlisle Cumberland $117.20 $ 98.00 Dauphin $117.20 $ 98.00 Lebanon $117.20 $ 98.00 Perry $117.20 $ 98.00 Lancaster Lancaster $117.20 $ 98.00 Newburgh Pike $117.20 $ 98.00 Reading Berks $117.20 $ 98.00 ScrantonWilkes-BarreHazleton Columbia $117.20 $ 98.00 Lackawanna $117.20 $ 98.00 Luzerne $117.20 $ 98.00 Wyoming $117.20 $ 98.00 York York $117.20 $ 98.00 3. LEVEL C Altoona Blair $115.67 $ 91.37 Johnstown Cambria $115.67 $ 91.37 Somerset $115.67 $ 91.37 Sharon Mercer $115.67 $ 91.37 State College Centre $115.67 $ 91.37 Williamsport Lycoming $115.67 $ 91.37 4. Non-MSA Adams $105.51 $ 86.15 Armstrong $105.51 $ 86.15 Bedford $105.51 $ 86.15 Bradford $105.51 $ 86.15 Cameron $105.51 $ 86.15 Clarion $105.51 $ 86.15 Clearfield $105.51 $ 86.15 Clinton $105.51 $ 86.15 Crawford $105.51 $ 86.15 Elk $105.51 $ 86.15 Forest $105.51 $ 86.15 Franklin $105.51 $ 86.15 Fulton $105.51 $ 86.15 Greene $105.51 $ 86.15 Huntingdon $105.51 $ 86.15 Indiana $105.51 $ 86.15 Jefferson $105.51 $ 86.15 Juniata $105.51 $ 86.15 Lawrence $105.51 $ 86.15 McKean $105.51 $ 86.15 Mifflin $105.51 $ 86.15 Monroe $105.51 $ 86.15 Montour $105.51 $ 86.15 Northumberland $105.51 $ 86.15 Potter $105.51 $ 86.15 Schuylkill $105.51 $ 86.15 Snyder $105.51 $ 86.15 Sullivan $105.51 $ 86.15 Susquehanna $105.51 $ 86.15 Tioga $105.51 $ 86.15 Union $105.51 $ 86.15 Venango $105.51 $ 86.15 Warren $105.51 $ 86.15 Wayne $105.51 $ 86.15 *Does not include depreciation and interest.
HOSPITAL-BASED NURSING FACILITIES *Skilled Nursing Care
Net Operating
Ceilings Effective
July 1, 1995 thru
December 31, 1995*Intermediate Care
Net Operating
Ceilings Effective
July 1, 1995 thru
December 31, 1995Statewide per diem ceilings $202.80 $135.08 *Does not include depreciation and interest.
SPECIAL REHABILITATION FACILITIES
*Skilled Nursing Care
Net Operating
Ceilings Effective
July 1, 1995 thru
December 31, 1995*Intermediate Care
Net Operating
Ceilings Effective
July 1, 1995 thru
December 31, 1995Statewide per diem ceilings $310.29 $231.97 *Does not include depreciation and interest. COUNTY NURSING FACILITIES *Skilled Nursing Care
Net Operating
Ceilings Effective
July 1, 1995 thru
December 31, 1995*Intermediate Care
Net Operating
Ceilings Effective
July 1, 1995 thru
December 31, 19951. LEVEL A and B Philadelphia Bucks $145.04 $125.96 Chester $145.04 $125.96 Delaware $145.04 $125.96 Montgomery $145.04 $125.96 Philadelphia $145.04 $125.96 Pittsburgh Allegheny $145.04 $125.96 Beaver $145.04 $125.96 Butler $145.04 $125.96 Fayette Washington $145.04 $125.96 Westmoreland $145.04 $125.96 AllentownBethlehemEaston Carbon $145.04 $125.96 Lehigh $145.04 $125.96 Northampton $145.04 $125.96 Erie Erie $145.04 $125.96 HarrisburgLebanonCarlisle Cumberland $145.04 $125.96 Dauphin $145.04 $125.96 Perry Lebanon $145.04 $125.96 Lancaster Lancaster $145.04 $125.96 Newburgh Pike Reading Berks $145.04 $125.96 ScrantonWilkes-BarreHazleton Columbia Lackawanna $145.04 $125.96 Luzerne $145.04 $125.96 Wyoming York York $145.04 $125.96 2. LEVEL C and Non-MSA Altoona Blair $125.90 $103.12 Johnstown Cambria $125.90 $103.12 Somerset $125.90 $103.12 Sharon Mercer $125.90 $103.12 State College Centre $125.90 $103.12 Williamsport Lycoming All Non-MSA Adams $125.90 $103.12 Armstrong $125.90 $103.12 Bedford Bradford $125.90 $103.12 Cameron Clarion Clearfield Clinton $125.90 $103.12 Crawford $125.90 $103.12 Elk Forest Franklin $125.90 $103.12 Fulton Greene $125.90 $103.12 Huntingdon Indiana $125.90 $103.12 Jefferson Juniata Lawrence $125.90 $103.12 McKean $125.90 $103.12 Mifflin Monroe $125.90 $103.12 Montour Northumberland $125.90 $103.12 Potter Schuylkill $125.90 $103.12 Snyder Sullivan Susquehanna Tioga Union Venango $125.90 $103.12 Warren $125.90 $103.12 Wayne *Does not include depreciation and interest.
Source The provisions of these ceilings on net operating costs, amended September 5, 1986, effective July 1, 1985, 16 Pa.B. 3350; amended September 5, 1986, effective October 1, 1985, 16 Pa.B. 3354; amended October 17, 1986, effective July 1, 1986, 16 Pa.B. 3996; amended September 18, 1987, effective July 1, 1987, 17 Pa.B. 3784; amended October 14, 1988, effective July 1, 1988, 18 Pa.B. 4716; amended November 17, 1989, effective July 1, 1989, 19 Pa.B. 4974; amended September 21, 1990, effective July 1, 1990, 20 Pa.B. 4901; amended April 17, 1992, effective for services rendered from July 1, 1991 through June 30, 1992, 22 Pa.B. 1956; amended September 24, 1993, effective for services rendered from July 1, 1992 through June 30, 1993, 23 Pa.B. 4581; amended July 8, 1994, effective July 1, 1993, 24 Pa.B. 3406; amended April 7, 1995, effective for services rendered from July 1, 1994, through June 30, 1995, 25 Pa.B. 1348; amended January 19, 1996, effective for services rendered from July 1, 1995, through December 31, 1996, 26 Pa.B. 259. Immediately preceding text appears at serial pages (201404) to (201410).