Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 51 Pa.B. 1768 (March 27, 2021).

55 Pa. Code § 6210.74. Services included in the interim per diem rate.

§ 6210.74. Services included in the interim per diem rate.

 The Department’s interim per diem rate of reimbursement includes allowable costs for routine services. Services include the following:

   (1)  Regular room, habilitation services, personal care services, social services, therapeutic services, dietary services, general nursing services, other services required to implement the recipient’s plan of care and to meet certification standards, medical supplies and the use of equipment and facilities.

   (2)  Items furnished routinely and relatively uniformly to recipients, such as personal clothing, furniture and recreational equipment.

   (3)  Items furnished, distributed or used individually in small quantities such as personal hygiene supplies, health care supplies and nonprescription drugs ordinarily kept on hand.

   (4)  Items used by recipients but which are reusable and expected to be available, such as household furniture, therapeutic equipment and durable medical equipment.

   (5)  Special dietary supplements used for tube feeding or oral feeding, such as an elemental high nitrogen diet, even if written as a prescription item by a physician.

   (6)  Laundry services including the laundering of the recipient’s personal clothing.

   (7)  Other special medical services of a rehabilitative, restorative or maintenance nature, designed to restore or sustain the recipient’s physical and social capacities.

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