Pennsylvania Code
Title 55 - HUMAN SERVICES
Part VIII - Intellectual Disability and Autism Manual
Subpart C - Administration and Fiscal Management
Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM
DEPARTMENT-ESTABLISHED FEE FOR INELIGIBLE PORTION OF RESIDENTIAL SERVICE
Section 6100.711 - Fee for the ineligible portion of residential service

(a) The Department will establish a fee for the ineligible portion of payment for residential services.

(b) The fee in subsection (a) will be based on the factors in subsection (c) using a market-based approach so that payments are consistent with efficiency, economy and quality of care and sufficient to enlist enough providers so that services are available to at least the extent that such services are available to the general population in the geographic area.

(c) In establishing the fee in subsection (a), the Department will examine and use data relating to the following factors:

(d) The Department will update the data used in subsection (c) at least every 3 years.

(e) The Department will publish a description of its fee setting methodology used in subsection (b) as a notice in the Pennsylvania Bulletin for public review and comment. The description will include a discussion of the use of the factors in subsection (c) to establish the fee; a discussion of the data and data sources used; and the fee.

(f) The Department will make available to the public a summary of the public comments received in response to the notice in subsection (e) and the Department's response to the public comments.