NOTICES

Inpatient Hospitals Qualifying for Medical Assistance Disproportionate Share Payments for the Period July 1, 2003 through June 30, 2004

[34 Pa.B. 5653]

   On July 1, 1988, the Department of Public Welfare (Department) implemented a disproportionate share payment system. Under 55 Pa. Code §§ 1151.54(i), 1163.67(k) and 1163.459(j) (relating to disproportionate share payments), the Department is required to annually publish the names of each inpatient acute care general hospital, rehabilitation hospital and private psychiatric hospital qualifying for a disproportionate share payment and their respective disproportionate share payment percentage.

A.  Disproportionate Share for Acute Care General Hospitals, Rehabilitation Hospitals and Private Psychiatric Hospitals.

   The following lists identify the inpatient acute care general hospitals, psychiatric units and rehabilitation units of acute care general hospitals, rehabilitation hospitals and private psychiatric hospitals eligible for disproportionate share payments for the period July 1, 2003, through June 30, 2004, and their respective payment percentages. For all inpatient facilities, disproportionate share payments are calculated as a percentage of projected MA inpatient income.

Payment period July 1, 2003, to June 30, 2004, disproportionate share payment percentages:

Acute Care General Hospitals

ALBERT EINSTEIN MED CTR	4.45%
ALFRED I. DUPONT INSTITUTE	9.41%
BARNES KASSON HOSPITAL	4.59%
CHARLES COLE MEMORIAL HOSPITAL	4.83%
CHILDREN'S HOSPITAL OF PHILADELPHIA	8.47%
CHILDREN'S HOSPITAL OF PITTSBURGH	9.27%
CLEARFIELD HOSPITAL	4.78%
DIVINE PROVIDENCE--WILLIAMSPORT	5.96%
DUBOIS REGIONAL MED CTR	10.00%
HIGHLAND HOSPITAL	3.08%
INDIANA HOSPITAL	3.45%
KENSINGTON HOSPITAL	4.66%
MAGEE WOMEN'S	6.23%
MEMORIAL HOSPITAL--TOWANDA	5.46%
MERCY HOSP OF PHILA	4.75%
MONSOUR MEDICAL CENTER	6.04%
NPHS--GIRARD	1.00%
NPHS--ST. JOE'S	7.44%
PRESBYTERIAN MED CTR OF UPHS	2.96%
PUNXSUTAWNEY AREA HOSPITAL	4.04%
TEMPLE EAST	3.99%
TEMPLE UNIVERSITY CHILDREN'S MEDICAL CTR	15.00%
TEMPLE UNIVERSITY HOSPITAL	6.29%
THS--HAHNEMANN UNIV HOSPITAL	3.58%
THS--MED COLL OF PA HOSP	4.71%
THS--PARKVIEW	4.46%
THS--ST. CHRISTOPHER'S	14.00%
TITUSVILLE AREA HOSP	4.81%
UPMC--BEDFORD	9.00%
VALLEY FORGE	6.05%
WAYNE COUNTY MEMORIAL	5.54%
WEST VIRGINIA UNIV HOSPITALS, INC.	5.48%

Private Psychiatric Hospitals

BELMONT CENTER	3.92%
CLARION PSYCHIATRIC CENTER	6.33%
DEVEREAUX-MAPLETON PSYCH CTR	10.00%
EUGENIA HOSPITAL	2.97%
FAIRMOUNT BHS	3.00%
FIRST HOSPITAL WYOMING VALLEY	5.60%
FOUNDATIONS BEHAVIORAL HEALTH	7.49%
FRIENDS HOSPITAL	2.60%
HORSHAM PSYCHIATRIC HOSPITAL	4.59%
MEADOWS PSYCHIATRIC CENTER	7.44%
MONTGOMERY COUNTY MH/MR ER SVS	4.85%
NATIONAL HOSPITAL FOR KIDS IN CRISIS	9.00%
NORTHWESTERN INSTITUTE OF PSYCHIATRY	6.51%
PHILHAVEN	5.60%
SOUTHWOOD PSYCHIATRIC HOSPITAL	7.25%

Psychiatric Units of Acute Care Hospitals

ALBERT EINSTEIN	2.97%
DIVINE PROVIDENCE--WILLIAMSPORT	3.83%
DUBOIS REGIONAL MEDICAL CENTER	3.02%
HIGHLAND HOSPITAL	2.19%
INDIANA HOSPITAL	2.03%
MERCY HOSP OF PHILADELPHIA	3.14%
MONSOUR MEDICAL CENTER	3.88%
NPHS--GIRARD	1.00%
PRESBYTERIAN MED CNTR OF UPHS	2.12%
TEMPLE UNIVERSITY HOSP	4.02%
THS--HAHNEMANN UNIV HOSP	2.47%
THS--MEDICAL COLLEGE OF PA HOSP (EPPI)	3.12%
THS--PARKVIEW HOSPITAL	2.98%

Drug and Alcohol Units of Acute Care Hospitals

NPHS--ST JOSEPHS	9.00%
PRESBYTERIAN MED CNTR OF UPHS	2.24%
VALLEY FORGE	6.91%

Private Drug and Alcohol Hospitals

EAGLEVILLE HOSPITAL

3.57%

Medical Rehab Units of Acute Care Hospitals

ALBERT EINSTEIN	4.50%
DUBOIS REGIONAL MEDICAL CENTER	4.63%
MONSOUR MEDICAL CENTER	6.89%
TEMPLE UNIVERSITY HOSP	7.26%

Freestanding Rehab Hospitals

CHILDRENS INSTITUTE OF PITTSBURGH	6.75%
CHILDRENS SEASHORE HOUSE	10.00%

B.  Additional Disproportionate Share Payments

   Additional disproportionate share payments are made to inpatient facilities with a Medicaid inpatient utilization rate of not less than 1% which have provided services to persons who have been determined to be low income by meeting the income and resource standards for the State's general assistance program.

   The payment adjustments are paid directly proportional to the payment received for either general assistance recipients for all hospital services or Title XIX recipients, 21 years of age or older but under 65 years of age, for services rendered by institutions for mental diseases under the fee-for-service and capitation programs.

   The following hospitals are eligible for this payment adjustment:

Acute Care General Hospitals

ABINGTON MEMORIAL HOSPITAL
ALBERT EINSTEIN MED CTR
ALFRED I. DUPONT INSTITUTE
ALIQUIPPA COMMUNITY HOSP
ALLEGHENY GENERAL HOSPITAL
ALLEGHENY KISKI
ALTOONA HOSPITAL
AMERICAN ONCOLOGIC
ARMSTRONG COUNTY MEMORIAL
ASHLAND REGIONAL
BARNES KASSON HOSPITAL
BLOOMSBURG HOSPITAL
BON SECOURS
BRADFORD REGIONAL
BRANDYWINE HOSPITAL
BROOKVILLE HOSPITAL
BROWNSVILLE GENERAL HOSPITAL
BRYN MAWR HOSPITAL
BUCKTAIL MEDICAL CENTER
BUTLER COUNTY MEMORIAL
CANONSBURG GENERAL HOSPITAL
CARLISLE HOSPITAL
CENTRAL MONTGOMERY HOSP
CHAMBERSBURG HOSPITAL
CHARLES COLE MEMORIAL HOSPITAL
CHESTER COUNTY HOSPITAL
CHESTNUT HILL HOSPITAL
CHILDREN'S HOSPITAL OF PHILADELPHIA
CHILDREN'S HOSPITAL OF PITTSBURGH
CHS--BERWICK HOSPITAL
CLARION HOSPITAL
CLEARFIELD HOSPITAL
COMMUNITY HOSPITAL OF LANCASTER
COMMUNITY MED CTR--SCRANTON
CONEMAUGH VALLEY HOSP
CORRY MEMORIAL
CROZER CHESTER MEDICAL CENTER
DELAWARE COUNTY MEMORIAL
DIVINE PROVIDENCE--WILLIAMSPORT
DOYLESTOWN HOSPITAL
DUBOIS REGIONAL MED CTR
EASTON HOSPITAL
ELK REGIONAL
ELLWOOD CITY
ENDLESS MTS. HLTH SYS
EPHRATA COMMUNITY
EVANGELICAL COMMUNITY
FORBES REGIONAL HOSPITAL
FRANKFORD HOSPITAL
FRICK COMMUNITY
FULTON COUNTY MEDICAL CENTER
GEISINGER MEDICAL CENTER
GEISINGER WYOMING VALLEY
GETTYSBURG HOSPITAL
GNADEN HUETTEN MEMORIAL
GOOD SAMARITAN--LEBANON
GOOD SAMARITAN--POTTSVILLE
GRAND VIEW HOSPITAL
GREENE COUNTY MEMORIAL
HAMOT MED CTR
HANOVER HOSPITAL
HAZLETON GENERAL HOSPITAL
HIGHLAND HOSPITAL
HOLY REDEEMER
HOLY SPIRIT HOSPITAL
HOSPITAL OF THE UNIVERSITY OF PENNA
INDIANA HOSPITAL
JAMESON MEMORIAL HOSPITAL
JC BLAIR
JEANES HOSPITAL
JEFFERSON HOSPITAL
JENNERSVILLE REGIONAL HOSP
JERSEY SHORE HOSPITAL
KANE COMMUNITY
KENSINGTON HOSPITAL
LANCASTER GENERAL
LANCASTER REGIONAL MED CTR
LANKENAU HOSPITAL
LATROBE AREA
LEHIGH VALLEY HOSP--MUHLENBERG
LEHIGH VALLEY HOSPITAL
LEWISTOWN HOSPTIAL
LIFECARE HOSPITALS OF PITTSBURGH
LOCK HAVEN HOSP
M S HERSHEY MEDICAL CENTER
MAGEE WOMEN'S
MARIAN COMMUNITY
MEADVILLE MED CTR
MEDICAL CENTER, BEAVER. PA
MEMORIAL HOSP--YORK
MEMORIAL HOSPITAL--TOWANDA
MERCY CATHOLIC FITZGERALD
MERCY HOSP--NANTICOKE
MERCY HOSP--PGH
MERCY HOSP--WILKES-BARRE
MERCY HOSP OF PHILA
MERCY HOSPITAL--SCRANTON
MERCY JEANNETTE HOSPITAL
MERCY SUBURBAN--NORRISTOWN
MEYERSDALE COMMUNITY HOSPITAL
MID VALLEY HOSPITAL
MILLCREEK COMMUNITY HOSPITAL
MINERS HOSPITAL OF N CAMBRIA
MINERS MEMORIAL MEDICAL CENTER
MONONGAHELA VALLEY
MONSOUR MEDICAL CENTER
MONTGOMERY HOSPITAL MED CTR
MOSES TAYLOR
MT. NITTANY MED CTR
MUNCY VALLEY HOSPITAL
NASON HOSPITAL
NAZARETH HOSPITAL
NPHS--GIRARD
NPHS--ST. JOE'S
OHIO VALLEY GENERAL
PALMERTON HOSPITAL
PAOLI MEMORIAL HOSPITAL
PENNSYLVANIA HOSPITAL OF UPHS
PHILIPSBURG AREA HOSPITAL
PHOENIXVILLE HOSPITAL OF UPHS
PINNACLE HEALTH HOSPITALS
POCONO MED CTR
POTTSTOWN MEMORIAL
POTTSVILLE HOSPITAL
PRESBYTERIAN MED CTR OF UPHS
PUNXSUTAWNEY AREA HOSPITAL
READING HOSPITAL AND MED CTR
RIDDLE MEMORIAL HOSPITAL
ROBERT PACKER HOSP
ROXBOROUGH MEMORIAL
SACRED HEART--ALLENTOWN
SAINT JOSEPH MED CTR--HAZLETON
SEWICKLEY VALLEY HOSPITAL
SHAMOKIN AREA COMMUNITY HOSPITAL
SHARON REGIONAL HEALTH SYSTEM
SOLDIERS AND SAILORS MEMORIAL
SOMERSET HOSPITAL
ST. AGNES MED CTR
ST. CLAIR MEMORIAL
ST. JOSEPH MED CTR--READING
ST. LUKE'S--BETHLEHEM
ST. LUKE'S--QUAKERTOWN
ST. MARY'S--LANGHORNE
ST. VINCENT HLTH CTR
SUBURBAN GENERAL HOSPITAL--PGH
SUNBURY COMMUNITY
TEMPLE EAST
TEMPLE LOWER BUCKS HOSPITAL
TEMPLE UNIVERSITY CHILDREN'S MEDICAL CTR
TEMPLE UNIVERSITY HOSPITAL
THOMAS JEFFERSON UNIV HOSPITAL
THS--GRADUATE HOSPITAL
THS--HAHNEMANN UNIV HOSPITAL
THS--MED COLL OF PA HOSP
THS--PARKVIEW
THS--ST. CHRISTOPHER'S
THS--WARMINSTER
TITUSVILLE AREA HOSP
TROY COMMUNITY
TYLER MEMORIAL HOSPITAL
TYRONE HOSPITAL
UNIONTOWN HOSPITAL
UNITED COMMUNITY HOSPITAL
UPMC--BEDFORD
UPMC--BRADDOCK
UPMC--HORIZON
UPMC--LEE REGIONAL
UPMC--MCKEESPORT
UPMC--NORTHWEST MED CTR
UPMC--PASSAVANT--CRANBERRY
UPMC--PRESBYTERIAN-SHADYSIDE UNIV HOSP
UPMC--SOUTH SIDE
UPMC--ST. MARGARET
VALLEY FORGE
WARREN GENERAL HOSPITAL
WASHINGTON HOSPITAL
WAYNE COUNTY MEMORIAL
WAYNESBORO HOSPITAL
WEST VIRGINIA UNIV HOSPITALS, INC.
WESTERN PENNSYLVANIA
WESTMORELAND REGIONAL
WILLIAMSPORT HOSPITAL & MED CTR
WILLS EYE HOSPITAL
WINDBER MED CTR
WYOMING VALLEY HLTH CARE SYS
YORK HOSPITAL

Private Drug and Alcohol

EAGLEVILLE HOSPITAL

Freestanding Rehab Hospitals

ALLIED SERVICES REHAB HOSPITAL
BRYN MAWR REHAB HOSPITAL
CHESTNUT HILL SPRINGFIELD CENTER
CHILDREN'S HOME OF PITTSBURGH
CHILDREN'S INSTITUTE
CHILDREN'S SEASHORE HOUSE
GOOD SHEPHERD REHAB HOSPITAL
H/S HARMARVILLE
H/S MECHANICSBURG REHAB
H/S READING REHAB HOSPITAL
H/S REHAB HOSPITAL OF ERIE
H/S REHAB HOSPITAL OF YORK
H/S REHAB OF ALTOONA
H/S REHAB OF NITTANY VALLEY
H/S REHAB OF SEWICKLEY
JOHN HEINZ INSTITUTE
MAGEE MEMORIAL REHAB HOSPITAL
H/S PENN STATE GEISENGER REHAB HOSP
UPMC REHABILITATION HOSPITAL

Private Psychiatric Hospitals

BELMONT CENTER FOR COMP TREATMENT
CLARION PSYCHIATRIC CENTER
DEVEREUX--MAPLETON PSYCH CTR
EUGENIA HOSPITAL
FAIRMOUNT BHS
FIRST HOSPITAL
FOUNDATIONS BEHAVIORAL HEALTH
FRIENDS HOSPITAL
HORSHAM CLINIC
KIRKBRIDE CENTER
MEADOWS PSYCHIATRIC CENTER
MONTGOMERY COUNTY EMERGENCY SERVICE, INC
NATIONAL HOSPITAL FOR KIDS IN CRISIS
NORTHWESTERN INSTITUTE OF PSYCHIATRY
PHILHAVEN
SOUTHWOOD PSYCH HOSPITAL

Medical Rehab Units of Acute Care Hospitals

ABINGTON MEMORIAL HOSP
ALBERT EINSTEIN
BON SECOURS HOLY FAMILY REG H. S.
CARLISLE REGIONAL MEDICAL CENTER
CHAMBERSBURG HOSPITAL
COMMUNITY HOSP--LANCASTER
CONEMAUGH VALLEY HOSP
CROZER-CHESTER MED CNTR
DELAWARE CNTY MEM HOSP
DOYLESTOWN HOSPITAL
DUBOIS REG MED CNTR
EASTON HOSPITAL
FRANKFORD
GEISINGER--WYOMING VALLEY
GNADEN HUETTEN MEMORIAL HOSP--MRU
GOOD SAMARITAN HOSPITAL--LEBANON
HAZELTON GENERAL HOSPITAL MRU
HOSP OF THE UNIV OF PA
JAMESON MEMORIAL
MERCY JEANNETTE HOSP
JEFFERSON HEALTH SERVICES
LANCASTER GENERAL HOSP
LANCASTER REGIONAL MEDICAL CENTER
MERCY CATHOLIC--FITZGERALD
MERCY HOSPITAL--PITTSBURGH
MILTON S. HERSHEY MED CTR
MONONGAHELA VALLEY HOSP
NAZARETH
PINNACLE HEALTH HOSPITALS
POTTSVILLE HOSPITAL
PRESBYTERIAN UNIV--PGH
SEWICKLEY VALLEY HOSPITAL
ST AGNES MEDICAL CNTR
ST MARY HOSP--LANGHORNE
ST VINCENT HEALTH CNTR
SUBURBAN GENERAL HOSPITAL--PGH
THS--WARMINSTER HOSPITAL
TEMPLE UNIVERSITY HOSP
THOMAS JEFFERSON UNIV HOSP
UPMC--HORIZON
UPMC--LEE HOSP
UPMC--MCKEESPORT
UPMC--NORTHWEST MED CTR
UPMC--SOUTHSIDE
UPMC--ST MARGARET
WESTMORELAND HOSPITAL
WILLIAMSPORT HOSPITAL

Drug and Alcohol Units of Acute Care Hospitals

BUTLER COUNTY MEMORIAL
HAMOT MEDICAL CENTER
MEADVILLE MED CTR
MONSOUR MEDICAL CENTER D & A
NPHS--ST JOSEPHS HOSP
PRESBY MED CTR OF UNIV OF PA HLTH SYST
UPMC--HORIZON--SHENANGO VALLEY
VALLEY FORGE
WESTMORELAND

Psychiatric Units of Acute Care Hospitals

ABINGTON MEMORIAL
ALBERT EINSTEIN
ALIQUIPPA COMMUNITY HOSPITAL
ALLEGHENY GENERAL
ALLEGHENY--KISKI MED CTR
ALTOONA
ARMSTRONG COUNTY MEMORIAL
BERWICK HOSP CENTER
BLOOMSBURG HOSP
BON SECOURS HOLY FAM REG H. S.
BRADFORD
BRANDYWINE HOSPITAL
BROWNSVILLE
BRYN MAWR HOSP
BUTLER COUNTY MEMORIAL
CENTRE COMMUNITY
CHAMBERSBURG HOSPITAL
COMMUNITY MEDICAL CENTER
CONEMAUGH VALLEY
CORRY MEMORIAL
CROZER CHESTER
DIVINE PROVIDENCE--WMSPT
DUBOIS REGIONAL MED CNTR
ELK REGIONAL HEALTH CENTER
EPHRATA COMMUNITY
FORBES REG HOSP
FRANKFORD HOSP--BUCKS CO CAMPUS
GEISINGER MEDICAL CENTER
GNADEN HUETTEN
GRANDVIEW
HAMOT MEDICAL CENTER
HAZELTON GEN HOSP
HIGHLAND HOSPITAL
HOLY SPIRIT
HOSP--UNIVERSITY OF PA
INDIANA HOSPITAL
J C BLAIR
JAMESON MEMORIAL HOSP
JEFFERSON HEALTH SERV
LANCASTER REGIONAL MED CTR
LANCASTER GENERAL
LATROBE AREA
LEHIGH VALLEY HOSPITAL
LEHIGH VALLEY HOSP--MUHLENBERG
LEWISTOWN
MARIAN COMMUNITY HOSPITAL
MEADVILLE MED CNTR
MEDICAL CENTER, BEAVER PA., THE
MEMORIAL HOSP--YORK
MERCY CATHOLIC--FITZGERALD
MERCY HOSPITAL OF PHILADELPHIA
MERCY HOSPITAL--PGH
MERCY HOSPITAL--WILKES-BARRE
MILLCREEK COMMUNITY HOSPITAL
MILTON S. HERSHEY MED CTR
MONONGAHELA VALLEY
MONSOUR MED CNTR
MONTGOMERY
MOSES TAYLOR
NAZARETH
NPHS--GIRARD
PAOLI MEMORIAL
PENNSYLVANIA HOSPITAL/UPHS
PINNACLE HEALTH HOSPITALS
POCONO HOSPITAL
POTTSTOWN MEMORIAL MED CTR
POTTSVILLE HOSPITAL
PRESBYTERIAN MED CNTR OF UPHS
PRESBYTERIAN UNIV HOSP--PGH
READING HOSPITAL
ROBERT PACKER
SACRED HEART HOSP--ALLENTOWN
SEWICKLEY VALLEY HOSP
SHAMOKIN AREA COMM HOSP
SHARON REGIONAL HLTH SYST
SOLDIERS AND SAILORS
SOMERSET HOSP CNTR FOR HEALTH
ST CLAIR MEMORIAL
ST JOSEPH MED CTR--READING
ST LUKES OF BETHLEHEM
ST LUKES--QUAKERTOWN
ST VINCENT
TEMPLE UNIVERSITY HOSPITAL
TEMPLE--LOWER BUCKS
THOMAS JEFFERSON
THS--HAHNEMANN UNIV HOSP
THS--MEDICAL COL OF PA HOSP (EPPI)
THS--PARKVIEW HOSPITAL
THS--WARMINSTER HOSPITAL
UNIV OF PITT MED CTR--BRADDOCK
UNIV OF PITT MED CTR--MCKEESPORT
UNIV OF PITT MED CTR--SOUTHSIDE PSY
UPMC--NORTHWEST MED CTR
WARREN GENERAL
WASHINGTON
WESTERN PENN
WESTMORELAND
YORK HOSPITAL

C.  Additional Class of Disproportionate Share Payments

   Effective March 1, 1998, the Department established a new class of disproportionate share payments to hospitals which render uncompensated care and which the Department has determined are experiencing significant revenue loss as a result of MA program revisions under the act of May 16, 2002 (P. L. 175, No. 35).

   Effective January 15, 1999, the Department revised its previously established new class of disproportionate share payments to include a Charity Care component of the Community Access Fund. A disproportionate share payment will be made to qualifying hospitals based on each hospital's percentage of charity care cost to the total charity care costs of all qualifying hospitals. The Department also established a disproportionate share payment for those hospitals which the Department has determined advanced its goal of enhanced access to multiple types of medical care in economically distressed areas of this Commonwealth.

   The following hospitals qualify for this payment:

A I DUPONT
ABINGTON MEMORIAL
ALBERT EINSTEIN
ALLEGHENY GENERAL
ALLIQUIPPA COMMUNITY
BARNES KASSON
BRADDOCK MEDICAL CENTER
CHARLES COLE MEMORIAL
CHILDRENS HOSP OF PHILA
CLARION
CLEARFIELD
CROZER CHESTER MED CTR
DOYLESTOWN
DUBOIS REGIONAL MED CTR
EAGLEVILLE
EASTON HOSPITAL
EVANGELICAL COMMUNITY
FRANKFORD
FULTON COUNTY MEDICAL CTR
GEISINGER MEDICAL CENTER
GRADUATE HOSPITAL
HAMOT MEDICAL CENTER
HOSP OF THE UNIV OF PA
INDIANA HOSPITAL
J C BLAIR
JAMESON MEMORIAL
LANKENAU
LEHIGH VALLEY
LOCK HAVEN
MAGEE WOMENS
MEADVILLE MED CTR
MEMORIAL HOSP BEDFORD
MEMORIAL HOSP TOWANDA
MERCY CATHOLIC--FITZGERALD
MERCY HOSPITAL OF PHILA
MERCY HOSPITAL--PGH
MERCY JEANNETTE HOSPITAL
MILTON S. HERSHEY MED CTR
NORTH PHILA HEALTH SYSTEM
NPHS--GIRARD
PRESBYT MED CTR OF PHILA
PRESBYT UNIV HOSPITAL--PGH
PUNXSUTAWNEY
READING HOSPITAL
SOLDIERS AND SAILORS
ST AGNES
ST LUKES OF BETHLEHEM
TEMPLE UNIVERSITY HSP
TEMPLE/EPISCOPAL
THOMAS JEFFERSON
THS--HAHNEMANN HOSPITAL
THS--MED COLL HOSP--MAIN
THS--PARKVIEW HOSPITAL
TITUSVILLE
UPHS--PENNSYLVANIA HOSPITAL
VALLEY FORGE
WAYNE COUNTY MEMORIAL
WEST VIRGINIA
WESTERN PENN
YORK HOSPITAL

Public Comment

   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 of Medical Assistance Programs, c/o Deputy Secretary's Office, Attention: Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Persons with a disability may use the AT&T Relay Service by calling (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

ESTELLE B. RICHMAN,   
Secretary

   Fiscal Note:  14-NOT-398. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 04-1866. Filed for public inspection October 8, 2004, 9:00 a.m.]

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