Medical Assistance Fee Schedule; Change in Enrollment Service Fee in the Medical Assistance Aging Waiver

[43 Pa.B. 589]
[Saturday, January 26, 2013]

 The purpose of this notice is to announce a Medical Assistance (MA) fee schedule rate change for the Home and Community-Based Services (HCBS) enrollment service in the Aging Waiver. In accordance with 55 Pa. Code § 52.45(a) and (b) (relating to fee schedule rates), the Department of Public Welfare (Department) is announcing this change effective upon publication in the Pennsylvania Bulletin.


 A rate-setting methodology for HCBS fee schedule rates was published at 42 Pa.B. 3343 (June 9, 2012). The Department also published at 42 Pa.B. 3811 (June 30, 2012) the addition of the procedure code and MA fee-schedule rate for the HCBS enrollment service in the Aging Waiver. The Department is revising this rate across all four regions of the State as follows:

HCBS Fee Schedule Rate—Aging Waiver Only

Service Aging Waiver Procedure Code Region Rate Unit
Enrollment X W0009 1, 2, 3, 4 $95.00 One Time

 The fee schedule rate is available at

Fiscal Impact

 The fiscal impact of this change is estimated at $0.157 million ($0.085 million in State funds) in Fiscal Year 2012-2013.

Public Comment

 Interested persons are invited to submit written comments regarding this notice within 30 days of its publication to the Department at the Office of Long-Term Living, 555 Walnut Street, Fifth Floor, Harrisburg, PA 17101-1919. Comments can also be sent to RA-oltlstream Comments will be considered in subsequent revisions to the MA Program Fee Schedule.

 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).


Fiscal Note: 14-NOT-807. (1) Tobacco Settlement Fund; (2) Implementing Year 2012-13 is 85,000; (3) 1st Succeeding Year 2013-14 is $170,000; 2nd Succeeding Year 2014-15 is $170,000; 3rd Succeeding Year 2015-16 is $170,000; 4th Succeeding Year 2016-17 is $170,000; 5th Succeeding Year 2017-18 is $170,000; (4) 2011-12 Program—$32,183,000*; 2010-11 Program—$30,358,000*; 2009-10 Program—$27,275,000*; *Executive Authorization from the Tobacco Settlement Fund to the Department of Aging; (7) Home and Community-Based Services; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 13-146. Filed for public inspection January 25, 2013, 9:00 a.m.]

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