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PA Bulletin, Doc. No. 19-1489



Payment for Nursing Facility Services Provided by a Special Rehabilitation Facility Located in a City of the Third Class; Special Rehabilitation Facility Payment for Fiscal Year 2019-2020

[49 Pa.B. 5767]
[Saturday, October 5, 2019]

 This announcement provides advance notice that the Department of Human Services (Department) intends to make an additional payment to a special rehabilitation facility in peer group 13 (PG 13) located in a city of the third class in Fiscal Year (FY) 2019-2020.

Proposed Payment

 The Department intends to make a payment to a qualified special rehabilitation facility in PG 13. To qualify, the special rehabilitation facility must be located in a city of the third class with a population between 115,000 and 120,000 based on 2010 census data.

 The Department will calculate the payment to qualifying facilities by multiplying the supplementation per diem by the number of paid Medical Assistance (MA) facility and therapeutic leave days for the prior fiscal year. The supplementation per diem will be calculated by dividing the total funds available by the total number of paid MA facility and therapeutic leave days for the prior fiscal year for qualifying facilities.

 The Department will submit a State Plan Amendment (SPA) to the Centers for Medicare & Medicaid Services (CMS). If CMS approves the SPA, the total funds will consist of both State and Federal funding. The Department will use its best efforts to process this payment within 30 days of the date it receives notice from CMS.

Fiscal Impact

 This change will result in a cost of $1.780 million ($0.850 million in State funds) for FY 2019-2020.

Public Comment

 Interested persons are invited to submit written comments regarding the special rehabilitation facility payment to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Marilyn Yocum, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice.

 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-1358. (1) General Fund; (2) Implementing Year 2019-20 is $850,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$850,149,000; 2017-18 Program—$1,099,000,000; 2016-17 Program—$1,082,000,000; (7) Long Term Care; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 19-1489. Filed for public inspection October 4, 2019, 9:00 a.m.]

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