ODPANN 22-021 – Upcoming Rate Increase Preparation for the Upcoming Rate Increases for the Adult Autism Waiver

 Per the final public notice for Fee Schedule Rates and Department-established fees for services rendered through the Adult Autism Waiver which is scheduled to be published in the Pennsylvania Bulletin on February 26, 2022, the anticipated effective date for the Fee Schedule Rates and Department-established fees is July 1, 2021. 

Compensation beginning March 1, 2022 

The new rates will be implemented in the Home and Community Services Information System (HCSIS) on March 1, 2022. All Individual Support Plans (ISPs), including ISPs in draft, pending review, or pending approval status, will be updated with the new rates for each of the applicable services. 

An additional fiscal segment will automatically be added on each ISP for each service that is impacted by the rate change. Providers are strongly encouraged to review Service Authorization Notices or the Provider Service Detail report in HCSIS to confirm the new rates were loaded, authorized and that they are billing the increased Fee Schedule Rate before attempting to bill for any services rendered March 1, 2022 and after. 

For more information, please see the announcement: ODP-ANN 22-021

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