Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1181 - NURSING FACILITY CARE › Subchapter A - NURSING FACILITY CARE › PAYMENT FOR NURSING FACILITY CARE › Appendix A - CEILINGS ON NET OPERATING COST REIMBURSEMENT FOR GENERAL AND COUNTY NURSING FACILITIES

Current through Register Vol. 54, No. 28, July 13, 2024
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.
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.