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PA Bulletin, Doc. No. 01-2334


Medical Assistance Program Fee Schedule Revisions

[31 Pa.B. 7077]

   The Department of Public Welfare (Department) announces that the following procedure codes and fees are being added to the Medical Assistance (MA) Program Fee Schedule effective with dates of service January 1, 2002, and are compensable for all MA recipients eligible for medical supplies, regardless of age:

Code Terminology Fee
B4154 Enteral formulae; category IV; defined formula for special metabolic need. 100 calories = 1 unit$.90/unit
B4155 Enteral formulae; category V; modular components. 100 calories = 1 unit$.72/unit

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

   Changes made to the MA Fee Schedule are routinely included in carryforward budget estimates.

Contact Person

   Interested persons are invited to submit written comments to this notice within 30 days of this publication. Comments should be sent to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Any comments received will be considered for subsequent Fee Schedule updates or revisions.

   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 at (717) 783-2800.


   Fiscal Note: 14-NOT-308. (1) General Fund;

Med AssistMed Assist
   (2)  Implementing year 2001-02 is$17,000$22,000
   (3)  1st Succeeding year 2002-03 is$17,000$22,000
   2nd Succeeding Year 2003-04 is$17,000$22,000
   3rd Succeeding Year 2004-05 is$17,000$22,000
   4th Succeeding Year 2005-06 is$17,000$22,000
   5th Succeeding Year 2006-07 is$17,000$22,000
   (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$1,025,075,000

   (8)  recommends adoption. Funds for these changes can be funded in the agency's 2001-02 budget.

[Pa.B. Doc. No. 01-2334. Filed for public inspection December 28, 2001, 9:00 a.m.]

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