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PA Bulletin, Doc. No. 14-2397



Additional Class of Disproportionate Share Payments to Certain Acute Care Hospitals

[44 Pa.B. 7251]
[Saturday, November 15, 2014]

 The Department of Public Welfare (Department) is providing final notice of its creation of an additional class of disproportionate share hospital (DSH) payment for certain qualifying acute care general Medical Assistance (MA) hospitals to ensure their continued participation in the MA Program. This payment is intended to promote the availability of professional medical services to the MA population in less urbanized areas of this Commonwealth by supporting medical education and academic medical programs, which foster the supply of health care professionals to treat the MA population.

 To qualify for this payment, the hospital must meet all of the following criteria. Unless otherwise stated, the source of the information is the State Fiscal Year (FY) 2010-2011 MA cost report (MA-336).

 1. The hospital is enrolled in Pennsylvania's (PA) MA Program as an acute care general hospital.

 2. The hospital is located in a county of the third class with a population between 279,000 and 282,000 under the 2010 Federal decennial census.

 3. The hospital's PA MA Fee-for-Service Medical Education costs exceed $500,000.

 Payments to qualifying hospitals are divided equally among all qualifying hospitals. All payment limitations are applicable, including those limitations that the Commonwealth may not exceed its aggregate annual DSH allotment, and that no hospital may receive DSH payments in excess of its hospital-specific limit.

 The Department published notice of its intent to allocate funding for these DSH payments at 44 Pa.B. 2588 (April 26, 2014). The Department received no public comments during the 30-day comment period, and will implement the change as described in its notice of intent.

Fiscal Impact

 The FY 2013-2014 impact, as a result of the funding allocation for this payment is $1.076 million ($0.500 million in State general funds and $0.576 million in Federal funds).


Fiscal Note: 14-NOT-916. (1) General Fund; (2) Implementing Year 2013-14 is $500,000; (3) 1st Succeeding Year 2014-15 through 5th Succeeding Year 2018-19 are $0; (4) 2012-13 Program—$12,618,000; 2011-12 Program—$12,618,000; 2010-11 Program—$18,871,000; (7) MA—Academic Medical Centers; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 14-2397. Filed for public inspection November 14, 2014, 9:00 a.m.]

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