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PA Bulletin, Doc. No. 99-2013



Office of Medical Assistance Programs; Increase in Family Planning Clinic Services and Payment for the ParaGuard I.U.D.

[29 Pa.B. 6061]

   By this notice, the Department of Public Welfare (Department) announces the following increases in Family Planning Clinic Services, effective May 1, 1999:

   1.  Procedure Code W6003 (DepoProvera Visit--1 per year), Type of Service AR, has been added to the Medical Assistance Program Fee Schedule with a reimbursement rate of $40.

   2.  Procedure Code Z9997 (Medication for vaginal infection) and Z9984 (Antibiotics for sexually transmitted diseases) may be billed with Procedure Codes W9181 (Comprehensive visit), W9184 (Routine revisit) and W9182 (Problem visit).

   In addition, the Department is increasing the reimbursement rate for Procedure Code Z9999 (ParaGuard I.U.D.) to $262 per occurrence for Type of Service 30 and AR.

   The fiscal note was prepared under provision of section 612 of The Administrative Code of 1929 (71 P. S. § 232).

Contact Person

   A copy of this notice is available for review at local County Assistance Offices. Interested persons are invited to submit written comments to this notice within 30 days of this publication. These comments should be sent 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.

   Persons with a disability may use the AT&T Relay Service by calling (800) 654-5984 (TDD users) or (800) 654-5988 (voice users). Persons who require another alternative should contact Thomas Vracarich in the Office of Legal Counsel at (717) 783-2209.


   Fiscal Note:  14-NOT-226. (1) General Fund; (2) Implementing Year 1999-00 is $49,000; (3) 1st Succeeding Year 2000-01 is $49,000; 2nd Succeeding Year 2001-02 is $49,000; 3rd Succeeding Year 2002-03 is $49,000; 4th Succeeding Year 2003-04 is $49,000; 5th Succeeding Year 2004-05 is $49,000; (4)  1998-99 Program--$695.935 Million; 1997-98 Program--$662.740 Million; 1996-97 Program--$798.836 Million; (7)  Medical Assistance--Outpatient; (8)  recommends adoption. There are funds available in the Department's budget to cover the cost of this increase.

[Pa.B. Doc. No. 99-2013. Filed for public inspection November 24, 1999, 9:00 a.m.]

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