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PA Bulletin, Doc. No. 22-352

NOTICES

DEPARTMENT OF HUMAN SERVICES

Medical Assistance Program Fee Schedule Addition

[52 Pa.B. 1430]
[Saturday, March 5, 2022]

 In accordance with 55 Pa. Code § 1150.61(a) (relating to guidelines for fee schedule changes), the Department of Human Services (Department) announces the addition of procedure code T1999 to the Medical Assistance (MA) Program Fee Schedule related to United States Food and Drug Administration-authorized over-the-counter SARS-CoV-2 (COVID-19) tests.

Procedure Code Being Added

 The Department is adding the following procedure code, procedure code description, provider type, provider specialty, place of service, MA fee, MA unit and limits to the MA Program Fee Schedule, effective with dates of service on and after August 30, 2021:

Procedure Code Description Provider TypeSpecialtyPlace of ServiceMA FeePrior AuthMA UnitsLimits
T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in ''remarks''24ALL11$11.51 NoPer test8 tests per month

Fiscal Impact

 The Department does not anticipate there will be a fiscal impact related to the addition of procedure code T1999 to the MA Program Fee Schedule.

Public Comment

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

MEG SNEAD, 
Acting Secretary

 Fiscal Note: 14-NOT-1497. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 22-352. Filed for public inspection March 4, 2022, 9:00 a.m.]


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