NOTICES
DEPARTMENT OF
HUMAN SERVICES
Fee Schedule Rates and Department-Established Fees for Services Funded Through the Office of Developmental Programs' Consolidated, Community Living, Person/Family Directed Support and Adult Autism Waivers, Targeted Support Management and the Community Intellectual Disability Base-Funded Program
[54 Pa.B. 5541]
[Saturday, August 31, 2024]The Department of Human Services (Department) is providing final notice of the Fee Schedule Rates for Targeted Support Management and services funded through the Consolidated, Community Living, Person/Family Directed Support (P/FDS), and Adult Autism Waivers and Department-established fees for residential ineligible services. The rates for community-based services and residential services are effective July 1, 2024. The rates for Agency With Choice Financial Management Services and Life Sharing with and without day will be effective October 1, 2024.
The Fee Schedule Rates also serve as the Department-established fees under 55 Pa. Code § 4300.115(a) (relating to Department established fees) for base-funded services managed through county programs for individuals with an intellectual disability under the Mental Health and Intellectual Disability Act of 1966 (50 P.S. §§ 4101—4704), 55 Pa. Code Chapter 4300 (relating to county mental health and intellectual disability fiscal manual) and 55 Pa. Code Chapter 6100 (relating to services for individuals with an intellectual disability or autism).
Background
The amount of funding available for Targeted Support Management and services funded through the Consolidated, Community Living, P/FDS and Adult Autism Waivers and Department-established fees for residential ineligible services is dependent upon the funds appropriated by the General Assembly. The General Appropriation Act of 2024, Act 1A of 2024, made available funding for rate increases for Targeted Support Management and home and community-based services funded through the Consolidated, Community Living, P/FDS and Adult Autism Waivers and Department-established fees for residential ineligible services. The Department is required to fund services within the amount of funds appropriated by the General Assembly.
Rate-Setting Methodology for Fee Schedule Rates and Department-Established Fees:
The Fee Schedule Rates and Department-established fees were established by applying an inflationary adjustment factor of 8% to the rates for nonresidential services and 6% to the rates for residential services.
Payments for Residential Services
Licensed Residential Habilitation, Unlicensed Residential Habilitation, Life Sharing and Supported Living providers whose services are funded through the Consolidated and Community Living Waivers and have been assigned to the primary, select or clinically enhanced tier as part of the Department's implementation of performance-based contracting are eligible to receive pay- for-performance supplemental payments. To receive a supplemental payment, the provider must meet or exceed performance targets for staff credentialing, employment of individuals served, transition of individuals to Life Sharing or Supported Living services, rural provider capacity and reporting on use of technology.
Residential providers that meet or exceed performance standards for staff credentialing, employment of individuals served, rural provider capacity and reporting on the use of technology will receive one-time or combined payments up to 3% of Office of Developmental Program-eligible service revenue from the applicable review period or established payment amount per qualifying event.
Residential providers that support individuals to successfully transition from licensed Residential Habilitation services to Life Sharing or Supported Living services are eligible for 2 one-time per individual transition to Independent Living payments. To be eligible for the payment, an individual must transition from a licensed home in which Residential Habilitation is provided to four or fewer people to a Life Sharing or Supported Living service rendered by the same provider. The first payment of $15,000 will be made after the new Life Sharing or Supported Living service is rendered. The second payment of $15,000 will be made after the individual has received 6 consecutive months of Life Sharing or Supported Living service if the individual continues to reside in the setting to which the individual transitioned and is expected to continue residing in that location and receive Life Sharing or Supported Living services.
Licensed Residential Habilitation, Unlicensed Residential Habilitation, Life Sharing and Supported Living providers that meet the requirements to qualify as a Select provider or a Clinically Enhanced residential provider will also receive a payment that is in addition to the Fee Schedule Rate for the services they provide. Select providers will receive a rate add-on of 3% per individual served and Clinically Enhanced providers will receive a rate add-on of 5% per individual served.
For all services but residential services, the final Fee Schedule Rates represent the maximum rates the Department will pay for each service. For residential services the maximum rate the Department will pay for each service is the Fee Schedule Rate and the Department-established fees and any add on per individual served. The final Fee Schedule Rates and Department-Established Fees for each service are included in the following tables and can also be found online at https://www.dhs.pa.gov/providers/Providers/Pages/ODP-Rates. aspx.
COMMUNITY BASED SERVICES FEE SCHEDULE RATES FOR THE CONSOLIDATED, COMMUNITY LIVING AND P/FDS WAIVERS EFFECTIVE JULY 1, 2024Rates in the table are per 15-minute unit unless otherwise noted.
Service Name Staffing Level Procedure Code Statewide Fee Enhanced Communication Statewide Fee Companion 1:3 W1724 $3.45 $4.58 1:2 W1725 $4.77 $6.47 1:1 W1726 $8.33 $11.55 Homemaker/Chore 1:1 W7283 $24.55 (hour) N/A 1:1 W7282 $24.55 (hour) N/A In-Home and Community Supports 1:3 W7058 $4.42 $6.06 1:2 W7059 $6.22 $8.65 1:1 W7060 $11.10 $15.65 1:1 enhanced W7061 $15.31 $20.67 2:1 W7068 $21.42 $30.46 2:1 enhanced W7069 $25.64 $35.48 Older Adult Daily Living Centers 1:1 W7094 $4.02 $4.76 Community Participation Support Community 1:2 or 1:3 W9351 $6.32 $7.60 2:3 W9352 $9.71 $11.85 1:1 W5996 $12.79 $15.72 1:1 enhanced W5997 $17.14 $20.68 2:1 W5993 $24.39 $30.27 2:1 enhanced W5994 $28.74 $35.23 Facility 1:11 to 1:15 W7222 $2.57 $2.84 1:7 to 1:10 W7223 $2.69 $3.05 1:4 to 1:6 W7226 $4.46 $5.21 1:2 to 1:3 W7224 $5.76 $6.89 1:1 W7244 $12.61 $15.51 1:1 enhanced W9353 $16.89 $20.37 2:1 W7269 $23.98 $29.78 2:1 enhanced W9356 $28.25 $34.62 Community Participation Support—
Fading SupportN/A W9400 $1.77 $1.92 Community Participation Support Teleservices 1:1 to 1:5 W0065 $5.34 $5.87 1:6 and above W0066 $2.06 $2.27 Small Group Employment 1:10 to 1:6 W7237 $2.48 $3.01 <1:6 to 1:3.5 W7239 $3.82 $4.65 <1:3.5 to >1:1 W7241 $7.52 $9.17 1:1 W7245 $14.20 $17.31 Benefits Counseling 1:1 W1740 $14.43 $17.38 Supported Employment Job Finding and Development 1:1 H2023 $19.34 $23.25 Job Coaching and Support 1:1 W9794 $19.34 $23.25 1:2 H2025 $11.58 $13.91 Career Assessment 1:1 W7235 $19.34 $23.25 Advanced Supported Employment Discovery Profile 1:1 W7235 $4,318.68 (outcome) $5,244.72 (outcome) Job Acquisition 1:1 H2023 $4,318.68 (outcome) $5,244.72 (outcome) Job Retention 1:1 H2025 $10,364.85 (outcome) $12,587.32 (outcome) Shift Nursing—RN 1:2 T2025 $10.50 $13.22 1:1 T2025 $20.60 $26.05 Shift Nursing—LPN 1:2 T2025 $7.64 $9.53 1:1 T2025 $14.87 $18.66 Therapies—Physical 1:1 T2025 $25.88 $32.86 Therapies—Occupational 1:1 T2025 $24.56 $31.18 Therapies—Speech/Language 1:1 T2025 $23.63 $29.98 Therapies—Orientation, Mobility, Vision 1:1 W7246 $22.44 $28.45 Music Therapy 1:1 G0176 $18.81 $23.78 1:2 to 1:4 $10.35 $13.08 Art Therapy 1:1 G0176 $18.81 $23.78 1:2 to 1:4 $10.35 $13.08 Equine Therapy 1:1 S8940 $13.09 $15.96 1:2 to 1:4 $7.20 $8.78 Behavioral Supports—Level 1 1:1 W7095 $23.85 $29.27 Behavioral Supports—Level 2 1:1 W8996 $25.55 $32.29 Communication Specialist 1:1 T1013 $18.24 $23.04 Consultative Nutritional Services 1:1 S9470 $15.08 $18.96 Family Caregiver Training and Support 1:1 without participant present 90846 $14.39 N/A 1:1 with participant present 90847 $14.39 $18.07 24 Hour Respite—In-Home and Unlicensed Out-of-Home 1:4 W9795 $97.84
(per day)$128.74
(per day)1:3 W9796 $128.64
(per day)$169.84
(per day)1:2 W9797 $190.26
(per day)$252.06
(per day)1:1 W9798 $343.22
(per day)$456.67
(per day)1:1 enhanced W9799 $531.24
(per day)$654.73
(per day)2:1 W9800 $681.46
(per day)$908.34
(per day)2:1 enhanced W9801 $869.48
(per day)$1,106.41
(per day)15-Minute Respite (In-Home Respite and Unlicensed Out-of-Home Respite) 1:4 W8096 $2.44 $3.22 1:3 W9860 $3.22 $4.24 1:2 W9861 $4.75 $6.30 1:1 W9862 $8.59 $11.42 1:1 enhanced W9863 $13.28 $16.37 2:1 W9864 $17.03 $22.71 2:1 enhanced W8095 $21.74 $27.66 Supports Broker 1:1 W7096 $19.46 $23.16 Supports Coordination 1:1 W7210 $27.21 N/A Targeted Supports Management 1:1 T1017 $27.21 N/A Housing Transition and Tenancy Sustaining Services 1:1 H0043 $21.86 $26.37 Family Medical Support Assistance 1:1 W0064 $19.88 $23.86 Transportation Trip (for providers that do not have a cost-based rate) Zone 1 W7274 $36.54 N/A Zone 2 W7275 $65.78 N/A Zone 3 W7276 $74.73 N/A
AGENCY WITH CHOICE FINANCIAL MANAGEMENT SERVICES FOR THE CONSOLIDATED, COMMUNITY LIVING AND P/FDS WAIVERS, INCLUDING BENEFIT ALLOWANCE EFFECTIVE OCTOBER 1, 2024 Rates in the table are per 15-minute unit unless otherwise noted.
Service Name Staffing Level Procedure Code Statewide Fee Enhanced Communication Statewide Fee In-Home and Community Supports 1:1 W7060 $8.15 $10.17 2:1 W7068 $16.30 $20.36 In-Home and Community Supports—Enhanced 1:1 (Enhanced) W7061 $10.43 $13.12 2:1 (Enhanced) W7069 $15.34 $19.11 Companion Services 1:1 W1726 $6.56 $8.12 In-Home Respite and Unlicensed Out-of-Home Respite Services 1:1 W9862 $5.59 $6.87 2:1 W9864 $11.18 $13.74 1:1 W9798 $424.54
(per day)$521.99
(per day)2:1 W9800 $701.78
(per day)$853.99
(per day)In-Home Respite and Unlicensed Out-of-Home Respite Services—Enhanced 1:1 W9863 $10.89 $13.71 2:1 W8095 $16.48 $20.57 1:1 W9799 $764.39
(per day)$960.40
(per day)2:1 W9801 $11,115.28
(per day)$1,387.39
(per day)Supported Employment—Career Assessment 1:1 W7235 $9.21 $11.55 Supported Employment—Job Finding and Development 1:1 H2023 $9.21 $11.55 Supported Employment—Job Coaching and Support 1:1 W9794 $9.21 $11.55 Supports Broker 1:1 W7096 $7.72 $9.62 Homemaker 1:1 W7283 $18.07
(per hour)N/A Chore 1:1 W7282 $18.07
(per hour)N/A AWC FMS Monthly Administrative Fee (This Fee Will Be Effective July 1, 2024) Per Person
Per MonthW7319 $336.61 N/A
AGENCY WITH CHOICE FINANCIAL MANAGEMENT SERVICES FOR THE CONSOLIDATED, COMMUNITY LIVING AND P/FDS WAIVERS, EXCLUDING BENEFIT ALLOWANCE EFFECTIVE OCTOBER 1, 2024 Rates in the table are per 15-minute unit unless otherwise noted.
Service Name Staffing Level Procedure Code Statewide Fee Enhanced Communication Statewide Fee In-Home and Community Supports 1:1 W7060 $7.33 $9.35 2:1 W7068 $14.66 $18.71 In-Home and Community Supports—Enhanced 1:1 (Enhanced) W7061 $9.61 $12.29 2:1 (Enhanced) W7069 $13.68 $17.45 Companion Services 1:1 W1726 $5.72 $7.29 In-Home Respite and Unlicensed Out-of-Home Respite Services 1:1 W9862 $4.76 $6.04 2:1 W9864 $9.53 $12.09 1:1 W9798 $361.79
(per day)$459.25
(per day)2:1 W9800 $576.30
(per day)$728.49
(per day)In-Home Respite and Unlicensed Out-of-Home Respite Services—Enhanced 1:1 W9863 $10.07 $12.88 2:1 W8095 $14.83 $18.92 1:1 W9799 $701.65
(per day)$897.66
(per day)2:1 W9801 $989.80
(per day)$1,262.35
(per day)Supported Employment—Career Assessment 1:1 W7235 $8.39 $10.72 Supported Employment—Job Finding and Development 1:1 H2023 $8.39 $10.72 Supported Employment—Job Coaching and Support 1:1 W9794 $8.39 $10.72 Supports Broker 1:1 W7096 $6.90 $8.80 Homemaker 1:1 W7283 $14.76
(per hour)N/A Chore 1:1 W7282 $14.76
(per hour)N/A AWC FMS Monthly Administrative Fee (This Fee Will Be Effective July 1, 2024) Per Person
Per MonthW7319 $336.61 N/A
RESIDENTIAL SERVICES FEE SCHEDULE RATES FOR THE CONSOLIDATED AND COMMUNITY LIVING WAIVERS EFFECTIVE JULY 1, 2024 Rates in the table are per day unit unless otherwise noted.
Service Group Needs Group Program Capacity or Staffing Level Procedure Code Statewide Fee Enhanced Communication Statewide Fee Licensed Residential Habilitation With Day Needs Group 1 1 person W9000 $433.05 $512.88 2 people W9029 $433.05 $512.88 3 people W9045 $312.16 $369.79 4 people W9047 $245.99 $289.41 5—8 people W9064 $224.75 $264.79 Needs Group 2 1 person W9000 $545.91 $653.79 2 people W9029 $545.91 $653.79 3 people W9045 $361.68 $431.80 4 people W9047 $284.31 $337.38 5—8 people W9064 $265.75 $320.24 Needs Group 3 1 person W9000 $790.99 $958.99 2 people W9029 $668.54 $809.65 3 people W9045 $467.35 $565.43 4 people W9047 $362.42 $436.31 5—8 people W9064 $333.29 $400 Needs Group 4 1 person W9000 $871.56 $1,061.06 2 people W9029 $730.86 $889.75 3 people W9045 $513.07 $623.58 4 people W9047 $398.69 $482.06 5—8 people W9064 $358.89 $433.85 Needs Group 5 1 person W9000 $1,341.85 $1,610.22 2 people W9029 $1,215.16 $1,458.20 3 people W9045 $835.46 $1,002.55 4 people W9047 $642.84 $771.40 5—8 people W9064 $579.75 $695.70 Licensed Residential Habilitation Without Day Needs Group 1 1 person W9000 $554.38 $663.44 2 people W9029 $554.38 $663.44 3 people W9045 $411.03 $492.48 4 people W9047 $322.49 $384.21 5—8 people W9064 $283.18 $337.28 Needs Group 2 1 person W9000 $643.34 $774.89 2 people W9029 $643.34 $774.89 3 people W9045 $468.38 $569.76 4 people W9047 $367.82 $441.18 5—8 people W9064 $330.71 $395.05 Needs Group 3 1 person W9000 $980.38 $1,194.98 2 people W9029 $726.82 $882.26 3 people W9045 $545.05 $662.25 4 people W9047 $425.56 $514.96 5—8 people W9064 $381.85 $460.51 Needs Group 4 1 person W9000 $1,185.86 $1,454.26 2 people W9029 $869.36 $1,063.02 3 people W9045 $662.22 $810.18 4 people W9047 $510.56 $622.01 5—8 people W9064 $454.78 $553.80 Needs Group 5 1 person W9000 $1,754.51 $2,105.41 2 people W9029 $1,312.57 $1,575.08 3 people W9045 $1,004.32 $1,205.18 4 people W9047 $766.28 $919.54 5—8 people W9064 $683.54 $820.25 Unlicensed Residential Habilitation N/A 1 person W7078 $140.44 $156.96 2 people W7080 $88.19 $100.78 3 people W7082 $63.71 $73.86 Life Sharing—Over 30 Hours Per Week On Average (These rates will be effective from 7/1/24 to 9/30/24) Needs Group 1 1 person W8593 $181.63 $186.25 2 people W8595 $128.04 $130.53 Needs Group 2 1 person W8593 $216.55 $224.56 2 people W8595 $153.53 $157.72 Needs Group 3 1 person W8593 $296.35 $318.51 2 people W8595 $208.88 $220.99 Needs Group 4 1 person W8593 $376.95 $418.59 2 people W8595 $251.39 $272.87 Life Sharing—Under 30 Hours Per Week On Average N/A 1 person W7037 $156.49 $157.96 2 people W7039 $111.44 $112.33 Medically Complex Life Sharing Needs Group 4 1 person W0062 $462.10 $531.41 2 people W0063 $290.44 $334.01 24 Hour Respite (Licensed Respite Group Homes) Needs Group 1 2 people W9791 $503.18 $583.01 3 people W9792 $369.73 $427.36 4 people W9793 $295.27 $338.69 Needs Group 2 2 people W9791 $616.04 $723.92 3 people W9792 $419.25 $489.37 4 people W9793 $333.59 $386.66 Needs Group 3 1 person W9790 $906.68 $1,074.68 2 people W9791 $738.67 $879.78 3 people W9792 $524.92 $622.99 4 people W9793 $411.70 $485.59 Needs Group 4 1 person W9790 $987.25 $1,176.75 2 people W9791 $800.99 $959.88 3 people W9792 $570.64 $681.15 4 people W9793 $447.97 $531.34 Needs Group 5 1 person W9790 $987.25 $1,184.70 2 people W9791 $800.99 $961.19 3 people W9792 $570.64 $684.77 4 people W9793 $447.97 $537.56 24 Hour Respite (Respite Only Home) Needs Group 1 2 people W9865 $574.21 $665.32 3 people W9866 $421.93 $487.70 4 people W9871 $336.95 $386.50 Needs Group 2 2 people W9865 $703.01 $826.12 3 people W9866 $478.44 $558.46 4 people W9871 $380.69 $441.25 Needs Group 3 2 people W9865 $842.97 $1,003.99 3 people W9866 $599.03 $710.95 4 people W9871 $469.82 $554.14 Needs Group 4 2 people W9865 $914.07 $1,095.39 3 people W9866 $651.20 $777.31 4 people W9871 $511.21 $606.35 Needs Group 5 2 people W9865 $914.07 $1,096.88 3 people W9866 $651.20 $781.44 4 people W9871 $511.21 $613.45 24 Hour Respite (Life Sharing) N/A 1:2 W6100 $190.26
(per day)$228.31 1:1 W6101 $343.22
(per day)$411.86 1:1 Enhanced W6102 $531.24
(per day)$637.49 2:1 W6103 $681.46
(per day)$817.75 2:1 Enhanced W6104 $869.48
(per day)$1,043.38 Supplemental Habilitation N/A 1:1 W7070 $6.12 (15-minute unit) $8.01 (15-minute
unit)2:1 W7084 $12.22 (15-minute unit) $16.03 (15-minute
unit)Supported Living Needs Group 1 1 person W9872 $160.19 $194.39 2 people W9873 $112.14 $136.07 3 people W9874 $80.09 $97.20 Needs Group 2 1 person W9872 $268.46 $326.06 2 people W9873 $214.77 $260.84 3 people W9874 $142.24 $172.75 Needs Group 3 1 person W9872 $428.64 $520.45 2 people W9873 $358.94 $435.80 3 people W9874 $249.17 $302.56 Needs Group 4 1 person W9872 $576.34 $700.36 2 people W9873 $576.34 $700.36 3 people W9874 $401.19 $487.49
LIFE SHARING SERVICES FEE SCHEDULE RATES FOR THE CONSOLIDATED AND COMMUNITY LIVING WAIVERS EFFECTIVE OCTOBER 1, 2024
Service Group Needs Group Program Capacity or Staffing Level Procedure Code Statewide Fee Enhanced Communication Statewide Fee Life Sharing—Over 30 Hours Per Week On Average With Day Needs Group 1 1 person W8593 $181.63 $190.71 2 people W8595 $128.04 $134.44 Needs Group 2 1 person W8593 $216.55 $227.38 2 people W8595 $153.53 $161.21 Needs Group 3 1 person W8593 $296.35 $311.17 2 people W8595 $208.88 $219.32 Needs Group 4 1 person W8593 $376.95 $395.80 2 people W8595 $251.39 $263.96 Life Sharing—Over 30 Hours Per Week On Average Without Day Needs Group 1 1 person W8593 $200.90 $210.95 2 people W8595 $160.45 $168.47 Needs Group 2 1 person W8593 $230.47 $241.99 2 people W8595 $182.70 $191.84 Needs Group 3 1 person W8593 $286.71 $301.05 2 people W8595 $230.61 $242.14 Needs Group 4 1 person W8593 $355.80 $373.59 2 people W8595 $271.93 $285.53
DEPARTMENT-ESTABLISHED FEES FOR RESIDENTIAL HABILITATION INELIGIBLE SERVICES FOR THE CONSOLIDATED AND COMMUNITY LIVING WAIVERS EFFECTIVE JULY 1, 2024 Rates in the table are per day.
Service Procedure Code Approved Program Capacity Area 1 (Bucks, Carbon, Chester, Delaware, Lehigh, Monroe, Montgomery, Northampton, Philadelphia and Pike) Area 2 (Remaining Counties in Pennsylvania) Licensed Residential Habilitation—Ineligible W9001 1 person $105.05 $93.64 W9030 2 people $57.29 $50.22 W9046 3 people $41.06 $35.47 W9048 4 people $31.91 $27.15 W9065 5—8 people $22.87 $18.93 Unlicensed Residential Habilitation—Ineligible W7079 1 person $28.29 $25.16 W7081 2 people $16.38 $13.95 W7083 3 people $9.58 $7.50
FEE SCHEDULE RATES FOR ADULT AUTISM WAIVER SERVICES
EFFECTIVE JULY 1, 2024Rates in the table are per 15-minute unit unless otherwise noted.
Service Name Staffing Level Procedure Code Statewide Fee Day Habilitation >1:6 W7063 $3.61 <1:6—1:3.5 W7064 $4.36 <1:3.5—>1:1 W7065 $6.80 1:1 W7066 $13.38 Day Habilitation Teleservices 1:1 to 1:5 W0065 $5.34 1:6 and above W0066 $2.06 Residential Habilitation Community Home Light $168.87
(per day)$171.94
(per day)Limited $237.09
(per day)$250.72
(per day)Extensive $309.47
(per day)$315.10
(per day)Intensive $600.74
(per day)$611.67
(per day)Intensive + $709.30
(per day)$722.20
(per day)Life Sharing Low $181.57
(per day)$189.82
(per day)Medium $220.48
(per day)$230.51
(per day)High $259.39
(per day)$271.18
(per day)Specialized Skill Development Behavioral Specialist (Plan Development) 1:1 $1,890.66
(per unit)$2,018.25
(per unit)Behavioral Specialist (Consult) 1:1 $23.63 $25.23 Behavioral Specialist (Direct) 1:1 $23.63 $25.23 Systematic Skill Building (Plan Development) 1:1 $659.69
(per unit)$650.08
(per unit)Systematic Skill Building (Consult) 1:1 $19.02 $20.31 Systematic Skill Building (Direct) 1:1 $19.02 $20.31 Community Support 1:1 $12.46 $12.39 1:2 $6.73 $6.83 1:3 $4.82 $4.98 Small Group Employment < 1:6 to > 1:3.5 W0012 $3.42 < 1:3.5 to > 1:1 W0011 $5.03 Supported Employment Intensive Job Coaching (Direct) 1:1 $20.13 $21.44 Intensive Job Coaching (Indirect) 1:1 $20.13 $21.44 Extended Employment Supports (Direct) 1:1 $20.13 $21.44 Extended Employment Supports (Indirect) 1:1 $20.13 $21.44 Career Planning Vocational Assessment 1:1 $20.13 $21.44 Job Finding 1:1 $20.13 $21.44 Therapies Counseling 1:1 $24.17 $25.07 Speech/Language 1:1 $25.44 $26.39 Nutritional Consultation 1:1 S9470 $18.88 Family Support 1:1 without participant present 90846 $21.05 1:1 with participant present 90847 $21.05 Other H0046 $21.05 Day Unit Respite Licensed Out-of-Home All staffing levels $302.46
(per day)$313.67
(per day)Unlicensed Out-of-Home All staffing levels $231.81
(per day)$245.91
(per day)15-Minute Unit Respite In-Home 1:1 $10.37 $10.89 Licensed Out-of-Home All staffing levels $7.56 $7.84 Unlicensed Out-of-Home All staffing levels $5.80 $6.15 Supports Coordination Plan Development 1:1 $1,196.28
(per unit)$1,367.17
(per unit)Ongoing 1:1 $25.67 $30.46 Transportation—Trip Zone 1 W7274 $20.34 Zone 2 W7275 $36.56 Zone 3 W7276 $54.50 Temporary Supplemental Services 1:1 W7236 $12.77
DEPARTMENT-ESTABLISHED FEES FOR ADULT AUTISM WAIVER RESIDENTIAL HABILITATION INELIGIBLE SERVICES
EFFECTIVE JULY 1, 2024Rates in the table are per day.
Service Staffing Level Procedure Code Statewide Fee Licensed Residential Habilitation (Community Homes)—Ineligible All staffing levels W7233 $37.87 Fiscal Impact
It is anticipated that there will be a total cost to the Commonwealth in Fiscal Year 2024-2025 of $280.000 million ($125.751 million in State funds).
Public Comment
Interested persons are invited to submit written comments within 30 days regarding the final Fee Schedule Rates and Department-established fees to the Department of Human Services, Office of Developmental Programs, Division of Provider Assistance and Rate Setting, 4th Floor, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120. Comments may also be sent to the Department at ra-ratesetting@pa.gov using subject header ''PN Fee Schedule.''
Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania Hamilton Relay Service by dialing 711 or by using one of the following toll-free numbers: (800) 654-5984 (TDD users), (800) 654-5988 (voice users), (844) 308-9292 (Speech-to-Speech) or (844) 308-9291 (Spanish).
Copies of this notice may be obtained by contacting the Department of Human Services, Office of Developmental Programs, Division of Provider Assistance and Rate Setting, 4th Floor, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120, ra-ratesetting@pa.gov.
VALERIE A. ARKOOSH,
SecretaryFiscal Note: 14-NOT-1641. Under section 612 of The Administrative Code of 1929 (71 P.S. § 232), (1) General Fund;
(7) ID Community Waiver Program; (2) Implementing Year 2024-25 is $123,662,000; (3) 1st Succeeding Year 2025-26 through 5th Succeeding Year 2029-30 are $146,117,000; (4) 2023-24 Program—$2,291,000,000; 2022-23 Program—$1,877,000,000; 2021-22 Program—$1,799,000,000;
(7) Autism Intervention and Services; (2) Implementing Year 2024-25 is $1,460,000; (3) 1st Succeeding Year 2025-26 through 5th Succeeding Year 2029-30 are $1,460,000; (4) 2023-24 Program—$31,679,000; 2022-23 Program—$27,610,000; 2021-22 Program—$27,493,000;
(7) ID Community Base Program; (2) Implementing Year 2024-25 is $629,000; (3) 1st Succeeding Year 2025-26 through 5th Succeeding Year 2029-30 are $629,000; (4) 2023-24 Program—$150,970,000; 2022-23 Program—$146,126,000; 2021-22 Program—$144,189,000;
(8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 24-1217. Filed for public inspection August 30, 2024, 9:00 a.m.]
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