Appendix A. CEILINGS ON NET OPERATING COST REIMBURSEMENT FOR GENERAL AND COUNTY NURSING FACILITIES  


Latest version.

  • Editor’s 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, 1995
    1. 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
    Allentown—Bethlehem—Easton
    Carbon$117.20$ 98.00
    Lehigh$117.20$ 98.00
    Northampton$117.20$ 98.00
    Erie
    Erie$117.20$ 98.00
    Harrisburg—Lebanon—Carlisle
    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
    Scranton—Wilkes-Barre—Hazleton
    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, 1995
    Statewide 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, 1995
    Statewide 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, 1995
    1. 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
    Allentown—Bethlehem—Easton
    Carbon$145.04$125.96
    Lehigh$145.04$125.96
    Northampton$145.04$125.96
    Erie
    Erie$145.04$125.96
    Harrisburg—Lebanon—Carlisle
    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
    Scranton—Wilkes-Barre—Hazleton
    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).