NOTICES
DEPARTMENT OF
HUMAN SERVICES
Corrected Fee Schedule Rates for Select Services Funded Through the Office of Developmental Programs' Consolidated, Community Living, Person/Family Directed Support and Adult Autism Waivers and the Community Intellectual Disability Base-Funded Program
[54 Pa.B. 7290]
[Saturday, November 2, 2024]The Department of Human Services (Department) published final notice of Fee Schedule Rates for services funded through the Consolidated, Community Living, Person/Family Directed Support (P/FDS) and Adult Autism Waivers and the Department-established fees for base-funded services at 54 Pa.B. 5541 (August 31, 2024). After the notice was issued, the Department realized that corrections were needed to several of the rates. The Department is providing final notice of the correct rates.
Discussion
Due to a calculation error, the Department has made corrections to the Fee Schedule Rates for the following services funded through the Consolidated, Community Living and P/FDS Waivers and base-funding:
• Community Participation Support, effective July 1, 2024
• Life Sharing Without Day 1-person needs group 3 and 4, effective October 1, 2024
Additionally, due to a mistake in aligning the procedure code with the correct Statewide fee, the Department is republishing the Fee Schedule Rates for the following services funded through the Adult Autism Waiver effective July 1, 2024:
• Residential Habilitation
• Specialized Skill Development
• Supported Employment
• Career Planning
• Therapies
• Day Unit Respite
• 15-minute unit Respite
• Supports Coordination
• Transportation—Trip
The final Fee Schedule Rates and Department-established fees for the previously listed services are included in the following tables and have been available online at https://www.dhs.pa.gov/providers/Providers/Pages/ODP-Rates.aspx since September 4, 2024. The Department notified interested persons of the correction in communication 24-087, published on the Office of Developmental Programs' ListServs on September 4, 2024.
COMMUNITY PARTICIPATION SUPPORT SERVICES FEE SCHEDULE RATES FOR THE CONSOLIDATED, COMMUNITY LIVING AND P/FDS WAIVERS EFFECTIVE JULY 1, 2024 Rates in the table are per 15-minute unit.
Service Name Staffing Level Procedure
CodeStatewide Fee Enhanced
Communication
Statewide FeeCommunity Participation Support Community 1:2 or 1:3 W9351 $7.54 $8.66 2:3 W9352 $11.26 $14.69 1:1 W5996 $13.83 $16.17 1:1 enhanced W5997 $19.26 $23.09 2:1 W5993 $26.59 $31.40 2:1 enhanced W5994 $32.08 $38.26 Facility 1:11 to 1:15 W7222 $3.20 $3.53 1:7 to 1:10 W7223 $3.43 $3.90 1:4 to 1:6 W7226 $5.65 $6.49 1:2 to 1:3 W7224 $7.39 $8.53 1:1 W7244 $13.39 $15.66 1:1 enhanced W9353 $18.65 $22.31 2:1 W7269 $25.67 $30.20 2:1 enhanced W9356 $30.94 $36.85
LIFE SHARING SERVICES FEE SCHEDULE RATES FOR THE CONSOLIDATED AND COMMUNITY LIVING WAIVERS EFFECTIVE OCTOBER 1, 2024 Rates in the table are per day unit.
Service Group Needs Group Program
CapacityProcedure
CodeStatewide Fee Enhanced
Communication
Statewide FeeLife Sharing—Over 30 Hours Per Week On Average Without Day Needs Group 3 1 person W8593 $325.99 $342.29 Needs Group 4 1 person W8593 $414.65 $435.38
FEE SCHEDULE RATES FOR SELECT ADULT AUTISM WAIVER SERVICES EFFECTIVE JULY 1, 2024 Rates in the table are per 15-minute unit unless otherwise noted.
Service Name Staffing Level Procedure
CodeStatewide Fee Residential Habilitation Community Home Light W7228 $168.87
(per day)Limited W7229 $237.09
(per day)Extensive W7230 $309.47
(per day)Intensive W7231 $600.74
(per day)Intensive + W7232 $709.30
(per day)Life Sharing Low W7052 $181.57
(per day)Medium W7054 $220.48
(per day)High W7053 $259.39
(per day)Specialized Skill Development Behavioral Specialist (Plan Development) 1:1 96156 $1,890.66
(per unit)Behavioral Specialist (Consult) 1:1 96171 $23.63 Behavioral Specialist (Direct) 1:1 96159 $23.63 Systematic Skill Building (Plan Development) 1:1 W7214 $659.69
(per unit)Systematic Skill Building (Consult) 1:1 W7216 $19.02 Systematic Skill Building (Direct) 1:1 W7215 $19.02 Community Support 1:1 W7201 $12.46 1:2 W7204 $6.73 1:3 W7205 $4.82 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 W7200 $20.13 Intensive Job Coaching (Indirect) 1:1 W7207 $20.13 Extended Employment Supports (Direct) 1:1 W7206 $20.13 Extended Employment Supports (Indirect) 1:1 W7202 $20.13 Career Planning Vocational Assessment 1:1 W7071 $20.13 Job Finding 1:1 W7077 $20.13 Therapies Counseling 1:1 T2025 $24.17 Speech/Language 1:1 T2025 $25.44 Day Unit Respite Licensed Out-of-Home All staffing levels W7211 $302.46
(per day)Unlicensed Out-of-Home All staffing levels W9495 $231.81
(per day)15-Minute Unit Respite In-Home 1:1 W7213 $10.37 Licensed Out-of-Home All staffing levels W7212 $7.56 Unlicensed Out-of-Home All staffing levels W9596 $5.80 Supports Coordination Plan Development 1:1 W7199 $1,196.28
(per unit)Ongoing 1:1 T2024 $25.67 Transportation—Trip Zone 1 W7274 $36.54 Zone 2 W7275 $65.78 Zone 3 W7276 $74.73 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 Human Services Building, 625 Forster Street, Harrisburg, PA 17120, ra-ratesetting@pa.gov.
Fiscal Impact
It is anticipated that there will be no additional cost to the Commonwealth in Fiscal Year 2024-2025 as a result of publishing the correct rates.
VALERIE A. ARKOOSH,
SecretaryFiscal Note: 14-NOT-1660. No fiscal impact; recommends adoption.
[Pa.B. Doc. No. 24-1583. Filed for public inspection November 1, 2024, 9:00 a.m.]
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