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PA Bulletin, Doc. No. 05-784



Fee Increase for Emergency Room, Clinic and Medical School Clinic Visits

[35 Pa.B. 2470]

   The Department of Public Welfare (Department) announces that the fees for emergency room, clinic and medical school clinic visits provided under 55 Pa. Code Chapter 1221 (relating to clinic and emergency room services) are increased effective with dates of service on and after January 1, 2005.

Procedure Code Description Current Fee Increased Fee Effective January 1, 2005
W9046 Emergency room support services, basic, nonemergency services $21 $30
W9048 Emergency room support services, basic, emergency services $65 $100
W9045 Emergency room support services, special, nonemergency services $24 $35
W9047 Emergency room support services, special, emergency services $70 $105
W9051 Basic hospital outpatient clinic visit $35 $53
W9049 Hospital outpatient clinic visit $40 $60
W9064 Medical school clinic visit $40 $60

Fiscal Impact

   The cost of these increases is estimated at $2.824 million ($1.303 million in State funds) in Fiscal Year (FY) 2004-2005. The FY 2005-2006 cost is estimated at $8.471 million ($3.833 million in State funds).

Public Comment

   Interested persons are invited to submit written comments to this notice within 30 days of this publication 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. Comments received within 30 days will be reviewed and considered for any subsequent revision of this notice.

   Persons with a disability who require an auxiliary aid or service may submit comments using the AT&T Relay Service at (800) 654-5984 (TDD Users) or (800) 654-5988 (voice users).


   Fiscal Note: 14-NOT-413. (1) General Fund; (2) Implementing Year 2004-05 is $1,303,000; (3) 1st Succeeding Year 2005-06 is $3,833,000; 2nd Succeeding Year 2006-07 is $3,843,000; 3rd Succeeding Year 2007-08 is $3,843,000; 4th Succeeding Year 2008-09 is $3,843,000; 5th Succeeding Year 2009-10 is $3,843,000; (4) 2003-04 Program--$727,979,000; 2002-03 Program--$666,832,000; 2001-02 Program--$705,750,000; (7) Medical Assistance--Outpatient; (8) recommends adoption. The costs outlined for FY 2004-05 have been included in the General Appropriation Act of 2004 (Act 7A). Fiscal Year 2005-06 costs are reflected in the proposed budget for the Department.

[Pa.B. Doc. No. 05-784. Filed for public inspection April 22, 2005, 9:00 a.m.]

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