Statutes, codes, and regulations
Pennsylvania Code (Rules and Regulations)
Title 55 - HUMAN SERVICESPart III - MEDICAL ASSISTANCE MANUALChapter 1181 - NURSING FACILITY CARESubchapter A - NURSING FACILITY CARE
PAYMENT FOR NURSING FACILITY CARE
Appendix A - CEILINGS ON NET OPERATING COST REIMBURSEMENT FOR GENERAL AND COUNTY NURSING FACILITIES

Pa. Code tit. 55, pt. III, ch. 1181, subch. A, PAYMENT FOR NURSING FACILITY CARE, app A

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Current through Register Vol. 54, No.43, October 26, 2024
Appendix A - CEILINGS ON NET OPERATING COST REIMBURSEMENT FOR GENERAL AND COUNTY NURSING FACILITIES

Annex A

GENERAL NURSING FACILITIES

(Excluding Hospital-Based and Special Rehabilitation Facilities)

*Skilled Nursing Care Net Operating Ceilings Effective July 1, 1995 thru December 31, 1995*Intermediate Care Net Operating Ceilings Effective July 1, 1995 thru December 31, 1995
1. LEVEL A
Philadelphia
Bucks$133.39$110.54
Chester$133.39$110.54
Delaware$133.39$110.54
Montgomery$133.39$110.54
Philadelphia$133.39$110.54
Pittsburgh
Allegheny$133.39$110.54
Beaver$133.39$110.54
Butler$133.39$110.54
Fayette$133.39$110.54
Washington$133.39$110.54
Westmoreland$133.39$110.54
2. LEVEL B
Allentown-Bethlehem-Easton
Carbon$117.20$ 98.00
Lehigh$117.20$ 98.00
Northampton$117.20$ 98.00
Erie
Erie$117.20$ 98.00
Harrisburg-Lebanon-Carlisle
Cumberland$117.20$ 98.00
Dauphin$117.20$ 98.00
Lebanon$117.20$ 98.00
Perry$117.20$ 98.00
Lancaster
Lancaster$117.20$ 98.00
Newburgh
Pike$117.20$ 98.00
Reading
Berks$117.20$ 98.00
Scranton-Wilkes-Barre-Hazleton
Columbia$117.20$ 98.00
Lackawanna$117.20$ 98.00
Luzerne$117.20$ 98.00
Wyoming$117.20$ 98.00
York
York$117.20$ 98.00
3. LEVEL C
Altoona
Blair$115.67$ 91.37
Johnstown
Cambria$115.67$ 91.37
Somerset$115.67$ 91.37
Sharon
Mercer$115.67$ 91.37
State College
Centre$115.67$ 91.37
Williamsport
Lycoming$115.67$ 91.37
4. Non-MSA
Adams$105.51$ 86.15
Armstrong$105.51$ 86.15
Bedford$105.51$ 86.15
Bradford$105.51$ 86.15
Cameron$105.51$ 86.15
Clarion$105.51$ 86.15
Clearfield$105.51$ 86.15
Clinton$105.51$ 86.15
Crawford$105.51$ 86.15
Elk$105.51$ 86.15
Forest$105.51$ 86.15
Franklin$105.51$ 86.15
Fulton$105.51$ 86.15
Greene$105.51$ 86.15
Huntingdon$105.51$ 86.15
Indiana$105.51$ 86.15
Jefferson$105.51$ 86.15
Juniata$105.51$ 86.15
Lawrence$105.51$ 86.15
McKean$105.51$ 86.15
Mifflin$105.51$ 86.15
Monroe$105.51$ 86.15
Montour$105.51$ 86.15
Northumberland$105.51$ 86.15
Potter$105.51$ 86.15
Schuylkill$105.51$ 86.15
Snyder$105.51$ 86.15
Sullivan$105.51$ 86.15
Susquehanna$105.51$ 86.15
Tioga$105.51$ 86.15
Union$105.51$ 86.15
Venango$105.51$ 86.15
Warren$105.51$ 86.15
Wayne$105.51$ 86.15
*Does not include depreciation and interest.

HOSPITAL-BASED NURSING FACILITIES

*Skilled Nursing Care Net Operating Ceilings Effective July 1, 1995 thru December 31, 1995*Intermediate Care Net Operating Ceilings Effective July 1, 1995 thru December 31, 1995
Statewide perdiem ceilings$202.80$135.08
*Does not include depreciation and interest.

SPECIAL REHABILITATION FACILITIES

*Skilled Nursing Care Net Operating Ceilings Effective July 1, 1995 thru December 31, 1995*Intermediate Care Net Operating Ceilings Effective July 1, 1995 thru December 31, 1995
Statewide perdiem ceilings$310.29$231.97
*Does not include depreciation and interest.

COUNTY NURSING FACILITIES
*Skilled Nursing Care Net Operating Ceilings Effective July 1, 1995 thru December 31, 1995*Intermediate Care Net Operating Ceilings Effective July 1, 1995 thru December 31, 1995
1. LEVEL A and B
Philadelphia
Bucks$145.04$125.96
Chester$145.04$125.96
Delaware$145.04$125.96
Montgomery$145.04$125.96
Philadelphia$145.04$125.96
Pittsburgh
Allegheny$145.04$125.96
Beaver$145.04$125.96
Butler$145.04$125.96
Fayette--
Washington$145.04$125.96
Westmoreland$145.04$125.96
Allentown-Bethlehem-Easton
Carbon$145.04$125.96
Lehigh$145.04$125.96
Northampton$145.04$125.96
Erie
Erie$145.04$125.96
Harrisburg-Lebanon-Carlisle
Cumberland$145.04$125.96
Dauphin$145.04$125.96
Perry--
Lebanon$145.04$125.96
Lancaster
Lancaster$145.04$125.96
Newburgh
Pike--
Reading
Berks$145.04$125.96
Scranton-Wilkes-Barre-Hazleton
Columbia--
Lackawanna$145.04$125.96
Luzerne$145.04$125.96
Wyoming--
York
York$145.04$125.96
2. LEVEL C and Non-MSA
Altoona
Blair$125.90$103.12
Johnstown
Cambria$125.90$103.12
Somerset$125.90$103.12
Sharon
Mercer$125.90$103.12
State College
Centre$125.90$103.12
Williamsport
Lycoming--
All Non-MSA
Adams$125.90$103.12
Armstrong$125.90$103.12
Bedford--
Bradford$125.90$103.12
Cameron--
Clarion--
Clearfield--
Clinton$125.90$103.12
Crawford$125.90$103.12
Elk--
Forest--
Franklin$125.90$103.12
Fulton--
Greene$125.90$103.12
Huntingdon--
Indiana$125.90$103.12
Jefferson--
Juniata--
Lawrence$125.90$103.12
McKean$125.90$103.12
Mifflin--
Monroe$125.90$103.12
Montour--
Northumberland$125.90$103.12
Potter--
Schuylkill$125.90$103.12
Snyder--
Sullivan--
Susquehanna--
Tioga--
Union--
Venango$125.90$103.12
Warren$125.90$103.12
Wayne--

*Does not include depreciation and interest.

Pa. Code tit. 55, pt. III, ch. 1181, subch. A, PAYMENT FOR NURSING FACILITY CARE, app A

The provisions of these ceilings on net operating costs, amended September 5, 1986, effective 7/1/1985, 16 Pa.B. 3350; amended September 5, 1986, effective 10/1/1985, 16 Pa.B. 3354; amended October 17, 1986, effective 7/1/1986, 16 Pa.B. 3996; amended September 18, 1987, effective 7/1/1987, 17 Pa.B. 3784; amended October 14, 1988, effective 7/1/1988, 18 Pa.B. 4716; amended November 17, 1989, effective 7/1/1989, 19 Pa.B. 4974; amended September 21, 1990, effective 7/1/1990, 20 Pa.B. 4901; amended April 17, 1992, effective for services rendered from July 1, 1991 through June 30, 1992, 22 Pa.B. 1956; amended September 24, 1993, effective for services rendered from July 1, 1992 through June 30, 1993, 23 Pa.B. 4581; amended July 8, 1994, effective 7/1/1993, 24 Pa.B. 3406; amended April 7, 1995, effective for services rendered from July 1, 1994, through June 30, 1995, 25 Pa.B. 1348; amended January 19, 1996, effective for services rendered from July 1, 1995, through December 31, 1996, 26 Pa.B. 259.

The following document was published in the Pennsylvania Bulletin as a Notice and is codified under 1 Pa. Code §3.1(9) (relating to contents of Code) as a document which the Legislative Reference Bureau finds to be general and permanent in nature.