NOTICES
DEPARTMENT OF
PUBLIC WELFARE
Rate-Setting Methodology, Fee Schedule Rates and Vendor Goods and Services for the Medical Assistance Aging, Attendant Care, COMMCARE, Independence and OBRA Waivers and the Act 150 Program
[42 Pa.B. 3343]
[Saturday, June 9, 2012]The Department of Public Welfare (Department) is announcing the rate-setting methodology and fee schedule rates for the Medical Assistance (MA) Aging, Attendant Care, COMMCARE, Independence and OBRA Waivers (waivers) and the Act 150 Program under 55 Pa. Code § 52.45(a) and (b) (relating to fee schedule rates). In addition, the Department is announcing which waiver and Act 150 Program services are vendor goods or services under 55 Pa. Code § 52.51 (relating to vendor good or service payment). Finally, the Department is announcing which services are specific to each applicable waiver and Act 150 Program under 55 Pa. Code § 52.42(b) (relating to payment policies).
With the exception of the amendments related to service coordination, the United States Department of Health and Human Services (HHS) has approved these changes effective June 1, 2012. The waiver amendments related to service coordination are pending HHS approval.
Rate-Setting Methodology
The rate methodology for the fee schedule rates was developed utilizing specific allowable cost categories as prescribed by the Federal Centers for Medicare and Medicaid Services. These cost categories include the following:
• Wage costs.
o Direct care staff.
o Direct supervisor.
• Benefit costs.
o Health and dental insurance, Social Security and Medicare, unemployment taxes, worker's compensation, 401k employer match and other benefits.
• Non-client time (productivity) adjustments.
o Training time for direct care staff.
• Travel costs as applicable to the appropriate waiver or Act 150 Program.
• Direct program costs.
o Supplies and food as applicable to the appropriate waiver or Act 150 Program.
• Supervisory and oversight costs.
o Quality management and clinical reviews as applicable to the appropriate waiver or Act 150 Program.
• Indirect costs.
o Administrative expenses such as management, office supplies and equipment, recruitment, information technology, human resources, billing, finance and accounting, legal and other indirect costs necessary for program operations.
Fee schedule rates were developed using a standardized market-based rate setting methodology. Relevant market-based information used to determine the fee schedule rates included Commonwealth-specific wage information from the Center for Workforce Information and Analysis, Occupational Wages by County, Bureau of Labor Statistics Employer Costs, cost surveys from providers, Medicare rate information and MA State Plan Fee Schedules.
The rates also have been adjusted regionally to reflect differences in service delivery costs, based on the characteristics of each region. The counties are categorized into Regions 1 thorough 4 as follows:
Region 1: Allegheny, Armstrong, Beaver, Fayette, Greene, Washington, Westmoreland. Region 2: Bedford, Blair, Bradford, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Elk, Erie, Forest, Indiana, Jefferson, Lackawanna, Lawrence, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northumberland, Pike, Potter, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Wayne, Wyoming. Region 3: Adams, Berks, Carbon, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Lehigh, Northampton, Perry, Schuylkill, York. Region 4: Bucks, Chester, Delaware, Montgomery, Philadelphia. Fee Schedule Rates
The following table provides the list of services, respective procedure codes, regional rates per unit and a crosswalk of services to the waivers and the Act 150 Program:
HCBS Fee Schedule Rates (Region 1)
Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver;
IW = Independence Waiver; OW = OBRA Waiver.
In facility respite will be reimbursed at the nursing facility's case-mix per diem rate.Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region 1 Unit Adult Daily Living X N/A N/A X X X S5102 $58.39 1 Day Adult Daily Living Services Enhanced X N/A N/A X X X S5102 U4 $75.01 1 Day Adult Daily Living Services Half Day X N/A N/A X X X S5102 U5 $29.20 1/2 Day Community Integration N/A N/A N/A X X X 97537 $6.29 15 Minutes Financial Management Services X X X X X X W7341 $85.00 1 Month Financial Management Services Start Up X X X X X X W7341 U4 $277.00 1 time Financial Management Services My Way X X X X X X W7341 U2 $85.00 1 month Home Health Aide X N/A N/A N/A N/A N/A T2025 $5.38 15 Minutes Home Health— Nursing (LPN) X N/A N/A X X X T1003 SE $11.02 15 Minutes Home Health— Nursing (RN) X N/A N/A X X X T1002 SE $16.55 15 Minutes Home Health— Occupational Therapy X N/A N/A X X X T2025 GO $21.29 15 Minutes Home Health— Occupational Therapy—Assist. X N/A N/A X X X T2025 GO U4 $14.48 15 Minutes Home Health— Physical Therapy X N/A N/A X X X T2025 GP $20.20 15 Minutes Home Health— Physical Therapy—Assist. X N/A N/A X X X T2025 GP U4 $11.51 15 Minutes Home Health— Speech & Language Therapy X N/A N/A X X X T2025 GN $21.72 15 Minutes PAS (Agency) X X X X X X W1793 $4.29 15 Minutes PAS (Consumer) X X X X X X W1792 $3.34 15 Minutes PAS (CSLA) N/A N/A N/A N/A X X W1793 TT $4.46 15 Minutes Prevocational Services N/A N/A N/A X N/A X W6107 $6.29 15 Minutes Residential Habilitation 1-3 N/A N/A N/A X N/A X W0100 $264.15 24 Hours Residential Habilitation 1-3 Supp 1:1 N/A N/A N/A X N/A X W0101 U4 $19.79 1 Hour Residential Habilitation 1-3 Supp 2:1 N/A N/A N/A X N/A X W0101 U5 $39.58 1 Hour Residential Habilitation 4-8 N/A N/A N/A X N/A X W0102 $247.67 1 Day Residential Habilitation 4-8 Supp 1:1 N/A N/A N/A X N/A X W0103 U4 $19.62 1 Hour Residential Habilitation 4-8 Supp 2:1 N/A N/A N/A X N/A X W0103 U5 $39.23 1 Hour Respite (Agency) X N/A N/A X X X T1005 $4.29 15 Minutes Respite (Consumer) X N/A N/A X X X S5150 $3.34 15 Minutes Service Coordination X X X X X X W1011 $13.98 15 Minutes Structured Day Habilitation Group N/A N/A N/A X N/A X W0104 $34.56 1 Hour Structured Day Habilitation 1:1 N/A N/A N/A X N/A X W0105 U4 $19.62 1 Hour Structured Day Habilitation 2:1 N/A N/A N/A X N/A X W0105 U5 $39.23 1 Hour Supported Employment N/A N/A N/A X X X W6106 $40.48 1 Hour Thera & Couns Svcs (Behavior Therapy) N/A N/A N/A X X X H2019 $ 20.79 15 Minutes Thera & Couns Svcs (Cognitive Rehabilitation) N/A N/A N/A X X X 97532 SE $14.12 15 Minutes Thera & Couns Svcs (Counseling Svcs) X N/A N/A X X X H0004 $11.83 15 Minutes Thera & Couns Svcs (Nutritional Counseling) X N/A N/A X X X S9470 AE U4 $13.77 15 Minutes Transition Service Coordination X X N/A X X X W7337 $10.00 15 Minutes Telecare Equipment Installation and Removal X N/A N/A N/A N/A N/A W2024 $90.00 One Time Telecare Activity and Sensor Monitoring Ongoing X N/A N/A N/A N/A N/A W9006 $80.00 Monthly Telecare Equipment Installation and Removal with Training X N/A N/A N/A N/A N/A W2025 $200.00 One Time Telecare Health Status Measuring and Monitoring Remote X N/A N/A N/A N/A N/A T2025 GT $10.00 Per Day Telecare Medication Dispensing and Monitoring X N/A N/A N/A N/A N/A S5185 32 $50.00 Monthly
HCBS Fee Schedule Rates (Region 2)
Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver;
IW = Independence Waiver; OW = OBRA Waiver.
In facility respite will be reimbursed at the nursing facility's case-mix per diem rate.Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region 2 Unit Adult Daily Living X N/A N/A X X X S5102 $58.91 1 Day Adult Daily Living Services Enhanced X N/A N/A X X X S5102 U4 $71.79 1 Day Adult Daily Living Services Half Day X N/A N/A X X X S5102 U5 $29.45 1/2 Day Community Integration N/A N/A N/A X X X 97537 $6.50 15 Minutes Financial Management Services X X X X X X W7341 $85.00 1 Month Financial Management Services Start Up X X X X X X W7341 U4 $277.00 1 time Financial Management Services My Way X X X X X X W7341 U2 $85.00 1 month Home Health Aide X N/A N/A N/A N/A N/A T2025 $5.38 15 Minutes Home Health— Nursing (LPN) X N/A N/A X X X T1003 SE $11.02 15 Minutes Home Health— Nursing (RN) X N/A N/A X X X T1002 SE $16.55 15 Minutes Home Health— Occupational Therapy X N/A N/A X X X T2025 GO $21.29 15 Minutes Home Health— Occupational Therapy—Assist. X N/A N/A X X X T2025 GO U4 $14.48 15 Minutes Home Health— Physical Therapy X N/A N/A X X X T2025 GP $20.20 15 Minutes Home Health— Physical Therapy—Assist. X N/A N/A X X X T2025 GP U4 $11.51 15 Minutes Home Health— Speech & Language Therapy X N/A N/A X X X T2025 GN $21.72 15 Minutes PAS (Agency) X X X X X X W1793 $4.77 15 Minutes PAS (Consumer) X X X X X X W1792 $3.20 15 Minutes PAS (CSLA) N/A N/A N/A N/A X X W1793 TT $4.96 15 Minutes Prevocational Services N/A N/A N/A X N/A X W6107 $6.50 15 Minutes Residential Habilitation 1-3 N/A N/A N/A X N/A X W0100 $264.15 24 Hours Residential Habilitation 1-3 Supp 1:1 N/A N/A N/A X N/A X W0101 U4 $19.79 1 Hour Residential Habilitation 1-3 Supp 2:1 N/A N/A N/A X N/A X W0101 U5 $39.58 1 Hour Residential Habilitation 4-8 N/A N/A N/A X N/A X W0102 $247.67 1 Day Residential Habilitation 4-8 Supp 1:1 N/A N/A N/A X N/A X W0103 U4 $19.62 1 Hour Residential Habilitation 4-8 Supp 2:1 N/A N/A N/A X N/A X W0103 U5 $ 39.23 1 Hour Respite (Agency) X N/A N/A X X X T1005 $4.77 15 Minutes Respite (Consumer) X N/A N/A X X X S5150 $3.20 15 Minutes Service Coordination X X X X X X W1011 $15.67 15 Minutes Structured Day Habilitation Group N/A N/A N/A X N/A X W0104 $34.56 1 Hour Structured Day Habilitation 1:1 N/A N/A N/A X N/A X W0105 U4 $19.62 1 Hour Structured Day Habilitation 2:1 N/A N/A N/A X N/A X W0105 U5 $39.23 1 Hour Supported Employment N/A N/A N/A X X X W6106 $39.88 1 Hour Thera & Couns Svcs (Behavior Therapy) N/A N/A N/A X X X H2019 $20.79 15 Minutes Thera & Couns Svcs (Cognitive Rehabilitation) N/A N/A N/A X X X 97532 SE $14.12 15 Minutes Thera & Couns Svcs (Counseling Svcs) X N/A N/A X X X H0004 $11.83 15 Minutes Thera & Couns Svcs (Nutritional Counseling) X N/A N/A X X X S9470 AE U4 $13.77 15 Minutes Transition Service Coordination X X N/A X X X W7337 $10.00 15 Minutes Telecare Equipment Installation and Removal X N/A N/A N/A N/A N/A W2024 $90.00 One Time Telecare Activity and Sensor Monitoring Ongoing X N/A N/A N/A N/A N/A W9006 $80.00 Monthly Telecare Equipment Installation and Removal with Training X N/A N/A N/A N/A N/A W2025 $200.00 One Time Telecare Health Status Measuring and Monitoring Remote X N/A N/A N/A N/A N/A T2025 GT $10.00 Per Day Telecare Medication Dispensing and Monitoring X N/A N/A N/A N/A N/A S5185 32 $50.00 Monthly
HCBS Fee Schedule Rates (Region 3)
Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver;
IW = Independence Waiver; OW = OBRA Waiver.
In facility respite will be reimbursed at the nursing facility's case-mix per diem rate.Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region 3 Unit Adult Daily Living X N/A N/A X X X S5102 $60.86 1 Day Adult Daily Living Services Enhanced X N/A N/A X X X S5102 U4 $68.42 1 Day Adult Daily Living Services Half Day X N/A N/A X X X S5102 U5 $30.43 1/2 Day Community Integration N/A N/A N/A X X X 97537 $6.96 15 Minutes Financial Management Services X X X X X X W7341 $85.00 1 Month Financial Management Services Start Up X X X X X X W7341 U4 $277.00 1 time Financial Management Services My Way X X X X X X W7341 U2 $85.00 1 month Home Health Aide X N/A N/A N/A N/A N/A T2025 $5.38 15 Minutes Home Health— Nursing (LPN) X N/A N/A X X X T1003 SE $11.02 15 Minutes Home Health— Nursing (RN) X N/A N/A X X X T1002 SE $16.55 15 Minutes Home Health— Occupational Therapy X N/A N/A X X X T2025 GO $21.29 15 Minutes Home Health— Occupational Therapy—Assist. X N/A N/A X X X T2025 GO U4 $14.48 15 Minutes Home Health-Physical Therapy X N/A N/A X X X T2025 GP $20.20 15 Minutes Home Health— Physical Therapy—Assist. X N/A N/A X X X T2025 GP U4 $11.51 15 Minutes Home Health— Speech & Language Therapy X N/A N/A X X X T2025 GN $21.72 15 Minutes PAS (Agency) X X X X X X W1793 $4.49 15 Minutes PAS (Consumer) X X X X X X W1792 $3.50 15 Minutes PAS (CSLA) N/A N/A N/A N/A X X W1793 TT $4.67 15 Minutes Prevocational Services N/A N/A N/A X N/A X W6107 $6.96 15 Minutes Residential Habilitation 1-3 N/A N/A N/A X N/A X W0100 $264.15 24 Hours Residential Habilitation 1-3 Supp 1:1 N/A N/A N/A X N/A X W0101 U4 $19.79 1 Hour Residential Habilitation 1-3 Supp 2:1 N/A N/A N/A X N/A X W0101 U5 $39.58 1 Hour Residential Habilitation 4-8 N/A N/A N/A X N/A X W0102 $247.67 1 Day Residential Habilitation 4-8 Supp 1:1 N/A N/A N/A X N/A X W0103 U4 $19.62 1 Hour Residential Habilitation 4-8 Supp 2:1 N/A N/A N/A X N/A X W0103 U5 $39.23 1 Hour Respite (Agency) X N/A N/A X X X T1005 $4.49 15 Minutes Respite (Consumer) X N/A N/A X X X S5150 $3.50 15 Minutes Service Coordination X X X X X X W1011 $14.53 15 Minutes Structured Day Habilitation Group N/A N/A N/A X N/A X W0104 $34.56 1 Hour Structured Day Habilitation 1:1 N/A N/A N/A X N/A X W0105 U4 $19.62 1 Hour Structured Day Habilitation 2:1 N/A N/A N/A X N/A X W0105 U5 $39.23 1 Hour Supported Employment N/A N/A N/A X X X W6106 $45.25 1 Hour Thera & Couns Svcs (Behavior Therapy) N/A N/A N/A X X X H2019 $20.79 15 Minutes Thera & Couns Svcs (Cognitive Rehabilitation) N/A N/A N/A X X X 97532 SE $14.12 15 Minutes Thera & Couns Svcs (Counseling Svcs) X N/A N/A X X X H0004 $11.83 15 Minutes Thera & Couns Svcs (Nutritional Counseling) X N/A N/A X X X S9470 AE U4 $13.77 15 Minutes Transition Service Coordination X X N/A X X X W7337 $10.00 15 Minutes Telecare Equipment Installation and Removal X N/A N/A N/A N/A N/A W2024 $90.00 One Time Telecare Activity and Sensor Monitoring Ongoing X N/A N/A N/A N/A N/A W9006 $80.00 Monthly Telecare Equipment Installation and Removal with Training X N/A N/A N/A N/A N/A W2025 $200.00 One Time Telecare Health Status Measuring and Monitoring Remote X N/A N/A N/A N/A N/A T2025 GT $10.00 Per Day Telecare Medication Dispensing and Monitoring X N/A N/A N/A N/A N/A S5185 32 $50.00 Monthly
HCBS Fee Schedule Rates (Region 4)
Notes: Aging = Aging Waiver; Attendant Care = Attendant Care Waiver; CC = COMMCARE Waiver;
IW = Independence Waiver; OW = OBRA Waiver.
In facility respite will be reimbursed at the nursing facility's case-mix per diem rate.Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region 4 Unit Adult Daily Living X N/A N/A X X X S5102 $59.80 1 Day Adult Daily Living Services Enhanced X N/A N/A X X X S5102 U4 $75.01 1 Day Adult Daily Living Services Half Day X N/A N/A X X X S5102 U5 $29.90 1/2 Day Community Integration N/A N/A N/A X X X 97537 $6.54 15 Minutes Financial Management Services X X X X X X W7341 $85.00 1 Month Financial Management Services Start Up X X X X X X W7341 U4 $277.00 1 time Financial Management Services My Way X X X X X X W7341 U2 $85.00 1 month Home Health Aide X N/A N/A N/A N/A N/A T2025 $5.38 15 Minutes Home Health— Nursing (LPN) X N/A N/A X X X T1003 SE $11.02 15 Minutes Home Health— Nursing (RN) X N/A N/A X X X T1002 SE $16.55 15 Minutes Home Health— Occupational Therapy X N/A N/A X X X T2025 GO $21.29 15 Minutes Home Health— Occupational Therapy—Assist. X N/A N/A X X X T2025 GO U4 $14.48 15 Minutes Home Health— Physical Therapy X N/A N/A X X X T2025 GP $20.20 15 Minutes Home Health— Physical Therapy—Assist. X N/A N/A X X X T2025 GP U4 $11.51 15 Minutes Home Health— Speech & Language Therapy X N/A N/A X X X T2025 GN $21.72 15 Minutes PAS (Agency) X X X X X X W1793 $4.78 15 Minutes PAS (Consumer) X X X X X X W1792 $3.93 15 Minutes PAS (CSLA) N/A N/A N/A N/A X X W1793 TT $4.97 15 Minutes Prevocational Services N/A N/A N/A X N/A X W6107 $6.54 15 Minutes Residential Habilitation 1-3 N/A N/A N/A X N/A X W0100 $264.15 24 Hours Residential Habilitation 1-3 Supp 1:1 N/A N/A N/A X N/A X W0101 U4 $19.79 1 Hour Residential Habilitation 1-3 Supp 2:1 N/A N/A N/A X N/A X W0101 U5 $39.58 1 Hour Residential Habilitation 4-8 N/A N/A N/A X N/A X W0102 $247.67 1 Day Residential Habilitation 4-8 Supp 1:1 N/A N/A N/A X N/A X W0103 U4 $19.62 1 Hour Residential Habilitation 4-8 Supp 2:1 N/A N/A N/A X N/A X W0103 U5 $39.23 1 Hour Respite (Agency) X N/A N/A X X X T1005 $4.78 15 Minutes Respite (Consumer) X N/A N/A X X X S5150 $3.93 15 Minutes Service Coordination X X X X X X W1011 $15.38 15 Minutes Structured Day Habilitation Group N/A N/A N/A X N/A X W0104 $34.56 1 Hour Structured Day Habilitation 1:1 N/A N/A N/A X N/A X W0105 U4 $19.62 1 Hour Structured Day Habilitation 2:1 N/A N/A N/A X N/A X W0105 U5 $39.23 1 Hour Supported Employment N/A N/A N/A X X X W6106 $40.68 1 Hour Thera & Couns Svcs (Behavior Therapy) N/A N/A N/A X X X H2019 $20.79 15 Minutes Thera & Couns Svcs (Cognitive Rehabilitation) N/A N/A N/A X X X 97532 SE $14.12 15 Minutes Thera & Couns Svcs (Counseling Svcs) X N/A N/A X X X H0004 $11.83 15 Minutes Thera & Couns Svcs (Nutritional Counseling) X N/A N/A X X X S9470 AE U4 $13.77 15 Minutes Transition Service Coordination X X N/A X X X W7337 $10.00 15 Minutes Telecare Equipment Installation and Removal X N/A N/A N/A N/A N/A W2024 $90.00 One Time Telecare Activity and Sensor Monitoring Ongoing X N/A N/A N/A N/A N/A W9006 $80.00 Monthly Telecare Equipment Installation and Removal with Training X N/A N/A N/A N/A N/A W2025 $200.00 One Time Telecare Health Status Measuring and Monitoring Remote X N/A N/A N/A N/A N/A T2025 GT $10.00 Per Day Telecare Medication Dispensing and Monitoring X N/A N/A N/A N/A N/A S5185 32 $50.00 Monthly Vendor Goods or Services
The Department will pay an Organized Health Care Delivery System or provider for the actual cost of a vendor good or service listed in this notice when rendered to an enrolled waiver participant. A vendor good or service is an item that is not on the MA fee schedule and is purchased by a Department-approved Organized Health Care Delivery provider and provided to an enrolled waiver participant. The payment may not exceed the amount for similar vendor goods or services charged to the general public. See 55 Pa. Code § 52.51.
The following table provides:
• The vendor goods and services that qualify for payment by the Department to an enrolled provider.
• The procedure codes for vendor goods or services.
• A crosswalk of vendor goods or services to waivers and Act 150 Program.
Vendor Goods and Services
Service Aging Attendant Care ACT 150 CC IW OW Procedure Code Modifier Region Unit Accessibility Adaptations (<$6000) X N/A N/A X X X W7008 N/A Per Purchase Accessibility Adaptations (>$6000) X N/A N/A X X X W7009 N/A Per Purchase Community Transition Svcs (Health Safety) X X N/A X X X W7336 N/A One Time Community Transition Svcs (House Hold Suppl) X X N/A X X X W7332 N/A One Time Community Transition Svcs (Moving Expenses) X X N/A X X X W7333 N/A One Time Community Transition Svcs (Security Deposit) X X N/A X X X W7334 N/A One Time Community Transition Svcs (Set-Up Fees) X X N/A X X X W7335 N/A One Time Durable Medical Equipment and Supplies X N/A N/A X X X T2029 N/A Per Purchase Home Delivered Meals-Emergency Pack X N/A N/A N/A N/A N/A W1762 N/A Per Purchase Home Delivered Meals-Frozen Entrée X N/A N/A N/A N/A N/A W1760 N/A Per Purchase Home Delivered Meals-Hot Entrée X N/A N/A N/A N/A N/A W1759 N/A Per Purchase Home Delivered Meals-Sandwich X N/A N/A N/A N/A N/A W1761 N/A Per Purchase Home Delivered Meals-Special Meal X N/A N/A N/A N/A N/A W1764 N/A Per Purchase Non-medical Transportation X N/A N/A X X X W6110 N/A Per Month Participant- Directed Community Supports X X N/A N/A N/A N/A W1900 N/A Per Purchase Participant- Directed Goods and Services X X N/A N/A N/A N/A W1901 N/A Per Purchase Personal Emergency Response System (Installation) X X X X X X W1894 N/A Per Purchase Personal Emergency Response System (Monthly Maintenance) X X X X X X W1895 N/A Per Purchase Telecare Specialized Supplies DME for Remote Monitoring X N/A N/A N/A N/A N/A T2029 GT N/A Per Purchase Telecare Specialized Supplies for Remote Monitoring X N/A N/A N/A N/A N/A T2028 GT N/A Per Purchase Fiscal Impact
The Department anticipates that these changes will ensure that the Department's expenditures do not exceed the aggregate amount appropriated by the General Assembly in Fiscal Year 2011-2012.
Public Comment
Interested persons are invited to submit written comments regarding this notice within 30 days of its publication to the Department of Public Welfare, Office of Long-Term Living, Attention: Yvette Sanchez-Roberts, 555 Walnut Street, Fifth Floor, Harrisburg, PA 17101-1919. Comments can also be sent to RA-oltlstreamlining@pa.gov. Comments will be considered in subsequent revisions to the fee schedule and list of vendor goods or services.
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).
GARY D. ALEXANDER,
SecretaryFiscal Note: 14-NOT-761. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 12-1058. Filed for public inspection June 8, 2012, 9:00 a.m.]
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