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PA Bulletin, Doc. No. 17-544


Medical Assistance Fee Schedule; Final Rates for Additional Services Added to the OBRA Waiver

[47 Pa.B. 1922]
[Saturday, April 1, 2017]

 This notice announces the Department of Human Services (Department) final Medical Assistance (MA) fee schedule rates for additional services added to the OBRA waiver, effective February 1, 2017.

Addition of Waiver Services

 Under 55 Pa. Code § 52.45(a) and (b) (relating to fee schedule rates), the Department has added the following services to the MA fee schedule for the OBRA waiver, effective February 1, 2017:

 • Benefits Counseling

 • Career Assessment

 • Employment Skills Development

 • Job Coaching Intensive and Follow-along

 • Job Finding

Rate-Setting Methodology

 The Department developed the MA fee schedule rates for the additional services added to the OBRA waiver 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.

Public Process

 The Department published the Changes to the Medical Assistance Fee Schedule for the Aging, COMMCARE, Independence and OBRA Waivers notice at 46 Pa.B. 5649 (August 27, 2016) announcing the addition of waiver services and proposed MA fee schedule rates and invited interested persons to submit comments. The Department received no comments.

 The final MA fee schedule rates are available on the Department's web site at or by contacting April Leonhard, Department of Human Services, Office of Long-Term Living at (717) 783-8412.

Fiscal Impact

 The fiscal impact of this change is estimated at $0.536 million ($0.258 million in State funds) for Fiscal Year (FY) 2016-2017 and $1.578 million ($0.760 million in State funds) for FY 2017-2018.

Public Comment

 Interested persons are invited to submit written comments regarding these final fee schedule rates to the Department of Human Services, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: Elaine Smith, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments can also be sent to Comments received within 30 days will be considered in subsequent revisions to the fee schedule.

 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).


Fiscal Note: 14-NOT-1122. (1) General Fund; (2) Implementing Year 2016-17 is $258,000,000; (3) 1st Succeeding Year 2017-18 through 5th Succeeding Year 2021-22 are $760,000,000; (4) 2015-16 Program—$339,077,000; 2014-15 Program—$273,538,000; 2013-14 Program—$233,104,000; (7) Services to Persons with Disabilities; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 17-544. Filed for public inspection March 31, 2017, 9:00 a.m.]

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