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Open for Public Comment: Appendices I and J for the Renewal of the Adult Autism Waiver

The DHS banner with a Keystone logo in blueThe 30-day public comment period for the proposed fee schedule rates and department-established fees for the renewal of the Adult Autism Waiver (AAW) is now open. The 30-day public comment period opened on May 22, 2021 and ends on June 21, 2021.

The Centers for Medicare and Medicaid Services (CMS) approves waivers for a five-year period. The current AAW expires on June 30, 2021, however, CMS has granted ODP a 90-day extension on the currently approved AAW through September 28, 2021. The renewal of the AAW, as well as the final rates, will be effective September 29, 2021.

Supporting Pennsylvanians with developmental disabilities and their families to achieve greater independence, choice, and opportunity in their lives.

The following substantive changes are proposed to Appendices I and J:

  • Homemaker/Chore, will be added as an AAW service, has been added to the services for which there will be a Medical Assistance Fee Schedule rate effective September 29, 2021.
  • The factors related to estimated annual average per capita Medicaid costs in Appendix J have been updated to reflect the most recent data available. These factors are Factor D’ Derivation, Factor G Derivation and Factor G’ Derivation.
  • The 5-year average cost per unit of service estimates in Appendix J have been updated to reflect the proposed Fee Schedule Rates contained in the public notice.

A full description of proposed changes, as well as instructions for submitting comments, can be found through the official ODP announcement ODPANN 21-040: