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PA Bulletin, Doc. No. 14-2023


Medical Assistance Program Fee Schedule Addition

[44 Pa.B. 6169]
[Saturday, September 27, 2014]

 In accordance with 55 Pa. Code § 1150.61(a) (relating to guidelines for fee schedule changes), the Department of Public Welfare (Department) announces the addition of the following procedure code to the Medical Assistance (MA) Program Fee Schedule for the oral evaluation for a patient under 3 years of age, effective for dates of service on and after October 13, 2014.

Description MA
D0145 Oral evaluation for a patient under
3 years of age and counseling with primary caregiver.

 The Department is adding procedure code D0145 to the MA Program Fee Schedule to ensure quality dental services and improved access to preventive dental care for children enrolled in the MA Program.

 The Department will issue a MA Bulletin to enrolled providers notifying them of the addition of procedure code D0145 and its fee to the MA Program's Dental Fee Schedule.

Fiscal Impact

 The Department anticipates no fiscal impact as a result of adding procedure code D0145 to the MA Fee Schedule, since there are existing procedure codes on the fee schedule for comprehensive and periodic oral evaluations.

Public Comment

 Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revision 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 at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).


Fiscal Note: 14-NOT-908. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 14-2023. Filed for public inspection September 26, 2014, 9:00 a.m.]

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