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PA Bulletin, Doc. No. 02-2243

NOTICES

DEPARTMENT OF PUBLIC WELFARE

Fee Increase for Home Health Agency Services

[32 Pa.B. 6218]

   The Department of Public Welfare (Department) announces that the fees for the following home health agency services, provided in accordance with 55 Pa. Code Chapter 1249 (relating to home health agency services), are increased, effective with dates of service on and after January 1, 2003.

ProcedureCurrentIncreased Fee
Code Description Fee Effective 1/1/03
W0520 Physical therapy (days 1-28) by a Physical Therapist $67.00 $77.00
W0521 Physical therapy (29th day and beyond) by a Physical Therapist $67.00 $77.00
W0522 Occupational therapy (days 1-28) by an Occupational Therapist $67.00 $77.00
W0523 Occupational therapy (29th day and beyond) by an Occupational Therapist $67.00 $77.00
W0524 Speech therapy (days 1-28) by a Speech Therapist $67.00 $77.00
W0526 Audiological therapy (days 1-28) by an Audiologist $67.00 $77.00
W0527 Audiological therapy (29th day and beyond) by an Audiologist $67.00 $77.00
W0529 Home Health Agency visit to patient's home (days 1-28) by a Registered Nurse/Licensed Practical Nurse $67.00 $77.00
W0530 Home Health Agency visit to patient's home (29th day and beyond) by a Registered Nurse/Licensed Practical Nurse $67.00 $77.00
W0531 Home Health Agency visit to patient's home for prenatal care by a Registered Nurse/Licensed Practical Nurse $67.00 $77.00
W0532 Home Health Agency visit to patient's home to provide assistance in planning for hospital or home delivery by a Registered Nurse/Licensed Practical Nurse $67.00 $77.00
W0533 Home Health Agency visit to patient's home for postpartum instruction and demonstration by a Registered Nurse/Licensed Practical Nurse $67.00 $77.00
W0534 Home Health Agency visit to patient's home for the purpose of giving instructions on special procedures, including the administration of medications and the use of prescribed appliances and equipment by a Registered Nurse/Licensed Practical Nurse $67.00 $77.00
W0938 Home Health Agency visit to patient's home (days 1-28) by a Home Health Aide $37.00 $40.00
W0939 Home Health Agency visit to patient's home (29th day and beyond) by a Home Health Aide $37.00 $40.00
W0965 Speech therapy (29th day and beyond) by a Speech Therapist $67.00 $77.00

   The Department will issue a Medical Assistance Bulletin to home health agency service providers before the effective date of the fee increase.

Fiscal Impact

   The fiscal impact of these fee increases is estimated at $1.375 million ($0.668 million in State funds) for Fiscal Year 2002-2003. The estimated cost for Fiscal Year 2003-2004 is $3.2 million ($1.563 million in State funds).

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 Deputy Secretary's Office, Attention: Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received will be considered for subsequent fee schedule revisions.

   Persons with a disability may use the AT&T Relay Service by calling (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

FEATHER O. HOUSTOUN,   
Secretary

   Fiscal Note: 14-NOT-341. (1) General Fund;

Outpatient Capitation
   (2)  Implementing Year 2002-03 is $112,000 $556,000
   (3)  1st Succeeding Year 2003-04 is $333,000 $1,230,000
         2nd Succeeding Year 2004-05 is $334,000 $1,353,000
         3rd Succeeding Year 2005-06 is $334,000 $1,488,000
         4th Succeeding Year 2006-07 is $334,000 $1,637,000
         5th Succeeding Year 2007-08 is $334,000 $1,801,000
Outpatient Capitation
   (4)  2001-02 Program-- $649,055,000 $2,037,376,000
         2000-01 Program-- $668,586,000 $1,487,944,000
         1999-00 Program-- $622,669,000 $1,384,763,000

   (7)  MA--Outpatient and MA--Capitation; (8)  recommends adoption. The additional costs have been included in the current budget.

[Pa.B. Doc. No. 02-2243. Filed for public inspection December 13, 2002, 9:00 a.m.]



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