The Department of Human Services (DHS) is implementing temporary increases to the fee schedule rates for community participation support (CPS) and transportation trip services. These increases are being made due to impacts on service as a result of the COVID-19 pandemic. The temporary increases to existing fee schedule rates are retroactive to January 1, 2021. The temporary increases to the fee schedule rates will end on June 30, 2021.
These temporary increases to the rates 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 PS §§ 4101—4704); 55 Pa. Code Chapter 4300 (relating to county mental health). The temporary fee schedule rates will be loaded to PROMISeTM, and providers can begin billing the increased fee schedule rates on February 3, 2021.
The Home and Community Services Information System (HCSIS) will automatically be updated to include the new community participation support and transportation trip fee schedule rates, and critical revisions to individual support plans (ISPs) will not be necessary to implement the change to the fee schedule rates. Providers should review service authorizations to confirm that they are billing the increased fee schedule rate.
The Office of Development Programs (ODP) will be publishing a notice of temporary fee schedule rates in the Pennsylvania Bulletin that includes instructions for submitting public comments.
ODP Announcement 21-017 includes the new fee schedule rates.