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PA Bulletin, Doc. No. 01-2331



Dental and Physician Services Revisions

[31 Pa.B. 7074]

   The Department of Public Welfare (Department) announces changes to dental and physician services effective with dates of service January 1, 2002. The Department is adding a new service to the dental fee schedule (D2740) and increasing the payment rate for anesthesia (X0598). The changes are as follows:

Code Terminology Limit Fee
D2740 Crown-Porcelain/Ceramic Substrate 1 per 5 years $300 PA
X0598 Anesthesia Procedure w/o assigned TOS 40$200

   Section 443.6(b)(7) of the Public Welfare Code (62 P. S. § 443.6(b)(7)) authorizes the Department to add items and services to the list of services requiring prior authorization by publication of notice in the Pennsylvania Bulletin. Procedure Code D2740 will require prior authorization, effective with dates of service January 1, 2002.

   The proposed addition and prior authorization of procedure code D2740 and the proposed increased payment rate for anesthesia procedure code X0598 were presented to the Medical Assistance Advisory Committee (MAAC) at its October 25, 2001, meeting. The Department received no written comments from the MAAC regarding either the proposed changes or the requirement of prior authorization.

Fiscal Impact

   The fiscal note was prepared under the authority 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. 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. Any comments received will be considered for subsequent fee schedule updates.

   Persons with a disability may use the AT&T Relay services 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-310. (1) General Fund;

Med AssistMed Assist
   (2)  Implementing year 2001-02 is$23,000$  63,000
   (3)  1st Succeeding year 2002-03 is$70,000$189,000
   2nd Succeeding Year 2003-04 is$70,000$189,000
   3rd Succeeding Year 2004-05 is$70,000$189,000
   4th Succeeding Year 2005-06 is$70,000$189,000
   5th Succeeding Year 2006-07 is$70,000$189,000
   (4)  2000-01 Program--$668,586,000$1,487,944,000
   1999-00 Program--$622,669,000$1,384,763,000
   1998-99 Program--$695,935,000$1,026,075,000

   (8)  recommends adoption. Funds for these changes were included in the 2001-02 budget.

[Pa.B. Doc. No. 01-2331. Filed for public inspection December 28, 2001, 9:00 a.m.]

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