55 Pa. Code § 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:
(1)
Occupancy. Occupancy is the cost related to occupying a space,
including rent, taxes, insurance, depreciation and amortization
expenses.
(2) Meals for staff
persons.
(3) Custodial and
maintenance expenses.
(4)
Geographic costs based on the location where the service is
delivered.
(5) Other factors that
impact costs.
(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.
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