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PA Bulletin, Doc. No. 96-189

NOTICES

Office of Medical Assistance Programs; Fee Increase for Pediatric Office Visits

[26 Pa.B. 634]

   The Department of Public Welfare announces that effective April 1, 1995, the fee for pediatric office visits for Medical Assistance eligible individuals under 21 years of age has been changed using a Resource-Based Relative Value Scale (RBRVS) rate.

   The pediatric office visit procedure codes being changed, RBRVS rates and their effective dates are:

Procedure CodeRBRVS RateEffective Date
99211$16.5012/1/95
99212$22.50  4/1/95
99213$25.00  4/1/95
99214$30.00  4/1/95
99215$45.00  4/1/95

   The fiscal note was prepared under provision of section 612 of The Administrative Code of 1929 (71 P. S. § 232).

   The Department's estimate of the cost for the fee changes for the pediatric office visits are based upon data in the Medical Assistance Management Information System. Based on the cost information received the Department estimates the cost of pediatric office visit fee schedule changes to be $5,839,000 for Fiscal Year 1995-1996 ($2,748,460) in State funds; ($3,090,540) in Federal funds.

Contact Person

   Interested persons are invited to submit written comments to this notice within 30 days of this publication. Comments should be sent to the Department of Public Welfare, Office on Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120.

   Persons with a disability may use the AT&T Relay Service by calling 1 (800) 654-5984 (TDD users) or 1 (800) 654-5988 (Voice users), or may use the Department of Public Welfare TDD by calling (717) 787-3616. Persons who require another alternative format should contact India Wood at (717) 783-2212.

FEATHER O. HOUSTOUN,   
Secretary

   Fiscal Note: 14-NOT-106. (1) General Fund; (2) Implementing year 1995-96 is $2,749,000; (3) 1st succeeding year 1996-97 is $2,794,000; 2nd succeeding year 1997-98 is $3,073,000; 3rd succeeding year 1998-99 is $3,381,000; 4th succeeding year 1999-00 is $3,719,000; 5th succeeding year 2000-01 is $4,091,000; (4) FY 1994-95 is $722,422,000; FY 1993-94 is $623,050,000; FY 1992-93 is $594,642,000; (7) Medical Assistance-Outpatient; (8) rec-ommends adoption. The increased costs have been included in the 1995-96 Budget.

[Pa.B. Doc. No. 96-189. Filed for public inspection February 9, 1996, 9:00 a.m.]


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