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PA Bulletin, Doc. No. 17-166


Rate-Setting Methodology for Consolidated and Person/Family Directed Support Waiver-Funded and Base-Funded Services for Individuals Participating in the Office of Developmental Programs Service System

[47 Pa.B. 550]
[Saturday, January 28, 2017]

 The Department of Human Services (Department) is providing final notice of the methodology used in the Prospective Payment System (PPS) to develop rates for residential habilitation eligible and transportation trip services funded through the Consolidated and Person/Family Directed Support waivers.

 The Department published notice of the methodology used in the PPS at 46 Pa.B. 3386 (June 25, 2016). The Department will implement the methodology described in the proposed notice.

 The Department received one letter requesting information about how the rates were calculated, how the cost to the Commonwealth was determined and how increases in costs were factored into the rates for residential habilitation eligible and transportation trip services. The letter also requested information about additional topics unrelated to the rates for residential habilitation eligible and transportation trip services. The Department previously explained the methodology for developing rates for residential habilitation eligible and transportation trip services in the notice published at 46 Pa.B. 3386, and therefore, will not be providing additional information in this notice.

 Copies of this notice may be obtained at the local Mental Health/Intellectual Disability (MH/ID) County Program, Administrative Entity (AE) or regional Office of Developmental Programs in the corresponding regions:

 • Western Region: Piatt Place, Room 4900, 301 5th Avenue, Pittsburgh, PA 15222, (412) 565-5144

 • Northeast Region: Room 315, Scranton State Office Building, 100 Lackawanna Avenue, Scranton, PA 18503, (570) 963-4749

 • Southeast Region: 801 Market Street, Suite 5071, Philadelphia, PA 19107, (215) 560-2242 or (215) 560-2245

 • Central Region: Room 430, Willow Oak Building, P.O. Box 2675, DGS Annex Complex, Harrisburg, PA 17105, (717) 772-6507

 Contact information for the local MH/ID County Program or AE may be found at Interested persons are invited to submit written comments regarding this notice to the Department of Human Services, Office of Developmental Programs, Division of Provider Assistance and Rate Setting, 4th Floor, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120. Comments can also be sent to, use subject header ''PN PPS Methodology.''

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service by dialing 711 or by using one of the following toll free numbers: (800) 654-5984 (TDD users), (800) 654-5988 (voice users), (844) 308-9292 (Speech-to-Speech) or (844) 308-9291 (Spanish).

Fiscal Impact

 It is anticipated that there will be an approximate cost to the Commonwealth of $69.563 million ($33.939 million State funds) in Fiscal Year 2016-2017.


Fiscal Note: 14-NOT-1079. (1) General Fund; (2) Implementing Year 2016-17 is $33,939; (3) 1st Succeeding Year 2017-18 through 5th Succeeding Year 2021-22 are $18,238; (4) 2015-16 Program—$1,350,912; 2014-15 Program—$1,224,568; 2013-14 Program—$1,177,708; (7) ID—Community Waiver Program and ID—Community Base Program; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 17-166. Filed for public inspection January 27, 2017, 9:00 a.m.]

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