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PA Bulletin, Doc. No. 17-1268


Availability of Amendments to the Office of Long-Term Living's Home and Community-Based Attendant Care Waiver

[47 Pa.B. 4221]
[Saturday, July 29, 2017]

 The Department of Human Services (Department) is making available for public review and comment the Office of Long-Term Living's proposed Attendant Care waiver amendments.


 The Department proposes the following substantive changes to the Attendant Care waiver effective January 1, 2018:

 • Reduce the length of time for individuals to reside in a nursing facility from 90 days to 30 days to allow payment of transition activities through the waiver.

 • Add tenancy and pre-tenancy activities to the Service Coordination service definition.

 • Add Support Broker services.

 • Revise the unduplicated recipient numbers and cost neutrality estimates for Fiscal Year 2017-2018 to reflect the transition of waiver participants to managed care.

 The proposed Attendant Care waiver amendments and a summary of all revisions are available for review at or by contacting the Department of Human Services, Office of Long-Term Living at (717) 783-8412.

Fiscal Impact

 The fiscal impact of this change is estimated at $1.652 million ($0.796 million in State funds) for Fiscal Year 2017-2018.

Public Comment

 Interested persons are invited to submit written comments regarding the proposed waiver amendments to the Department of Human Services, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: Attendant Care Amendments, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments may also be submitted to the Department at Use ''Attendant Care Waiver Amendments'' as the subject line. Comments received within 30 days of publication of this notice will be reviewed and considered for revisions to the proposed waiver amendments.

 In addition, the Department will hold two webinars to receive comments on the proposed Attendant Care waiver amendments. Dates and times of the webinars, including dial-in information, are available at or by contacting the Department of Human Services, Office of Long-Term Living at (717) 783-8412.

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


Fiscal Note: 14-NOT-1166. (1) General Fund; (2) Implementing Year 2017-18 is $796,000; (3) 1st Succeeding Year 2018-19 is $280,000; 2nd Succeeding Year 2019-20 through 5th Succeeding Year 2022-23 are $0; (4) 2016-17 Program—$226,899,000; 2015-16 Program—$161,741,000; 2014-15 Program—$137,229,000; (7) Attendant Care; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 17-1268. Filed for public inspection July 28, 2017, 9:00 a.m.]

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