ODPANN 22-007 – Preparation for the Upcoming Rate Increases

 Per the final public notice for Fee Schedule Rates and Department-established fees and the AWC FMS Department-established fees rendered through the Consolidated, Community Living (CLW) and Person/Family Directed Support (P/FDS) waivers, which is scheduled to be published in the Pennsylvania Bulletin on February 26, 2022: 

  • The anticipated effective date for the increased Fee Schedule Rates is January 1, 2022; however, the effective date in the Home and Community Services Information System (HCSIS) will be March 1, 2022. 
  • The anticipated effective date for the Department-established fees for residential ineligible services is July 1, 2022 and HCSIS will reflect the same effective date. 
  • Both the Fee Schedule Rates and Department-established fees for residential ineligible services will be visible in HCSIS on February 28, 2022. 
  • On January 6, 2022, the P/FDS cap was increased to $41,000 and the Community Living Waiver cap was increased to $85,000. 
  • This communication will provide guidance and address Individual Support Plan (ISP) related impacts. 

Note: The rate increase will also apply to the Department-established fees under 55 Pa. Code § 4300.115(a) (relating to Department established fees) for base-funded services managed through county programs for individuals with an intellectual disability under the Mental Health and Intellectual Disability Act of 1966 (50 P.S. §§ 4101—4704); 55 Pa. Code Chapter 4300 (relating to county mental health and intellectual disability fiscal manual); and 55 Pa. Code Chapter 6100 (relating to Services for Individuals with an Intellectual Disability or Autism). 

For more information, please review the announcement: ODPANN 22-007

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