PRINTER'S NO. 98
No. 91 Session of 1989
INTRODUCED BY BOYES, TRELLO, J. L. WRIGHT, TIGUE, ANGSTADT,
FARMER, HALUSKA, WOGAN, LETTERMAN, ALLEN, RYBAK, CIVERA,
ROBINSON, DIETTERICK, DOMBROWSKI, LANGTRY, MILLER, MARKOSEK,
JOHNSON, HERMAN, LASHINGER, J. H. CLARK, THOMAS, BUNT,
GODSHALL, VEON, FARGO, E. Z. TAYLOR, MERRY AND LAUGHLIN,
JANUARY 24, 1989
REFERRED TO COMMITTEE ON HEALTH AND WELFARE, JANUARY 24, 1989
AN ACT
1 Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
2 act to consolidate, editorially revise, and codify the public
3 welfare laws of the Commonwealth," further providing for
4 reimbursement for certain dental services.
5 The General Assembly of the Commonwealth of Pennsylvania
6 hereby enacts as follows:
7 Section 1. Section 443.6(b) of the act of June 13, 1967
8 (P.L.31, No.21), known as the Public Welfare Code, added
9 September 26, 1978 (P.L.769, No.146), is amended to read:
10 Section 443.6. Reimbursement for Certain Medical Assistance
11 Items and Services.--* * *
12 (b) Payment for the following medical assistance items and
13 services shall be made only after prior authorization has been
14 secured:
15 (1) Prostheses and orthoses.
16 (2) Purchase of appliances or equipment if the appliance or
17 equipment costs more than one hundred dollars ($100).
1 (3) Rental of medical appliances or equipment for a period
2 in excess of three months.
3 (4) Oxygen and related equipment in the home unless a
4 physician states that the physical surroundings in the home are
5 suitable for the use of oxygen and that the recipient is
6 adequately prepared and able to use the equipment.
7 (5) Dental services as the department may provide, including
8 but not [necessarily] limited to, dental prostheses and
9 appliances, extractions related to dental prostheses and
10 appliances, [and] other extractions as may be provided by
11 department regulations, examinations and preventive dental care.
12 Fees for dental services shall be no less than seventy-five
13 percent of the Statewide average for usual and customary
14 charges. The fee shall be adjusted annually.
15 (6) Orthopedic shoes or other supportive devices for the
16 feet when such shoes or devices are prescribed by a physician
17 for the purpose of correcting or otherwise treating
18 abnormalities of the feet or legs which cause serious
19 detrimental medical effects.
20 * * *
21 Section 2. This act shall take effect in 60 days.
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