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PA Bulletin, Doc. No. 20-221



Disproportionate Share and Supplemental Hospital Payments

[50 Pa.B. 998]
[Saturday, February 15, 2020]

 The Department of Human Services (Department) is providing final notice of its funding allocation for inpatient disproportionate share hospital (DSH) payments to qualifying inpatient acute care general, psychiatric and rehabilitation hospitals and qualifying psychiatric and rehabilitation units of acute care general hospitals; outpatient supplemental payments to qualifying inpatient acute care general hospitals; direct medical education payments to qualifying inpatient acute care general hospitals; and certain DSH and supplemental payments to new hospitals for Fiscal Year (FY) 2019-2020. The Department is also providing final notice of clarification of the payment methodology for new hospitals eligible for Medical Assistance Dependency supplemental payments.

 The Department published notice of its intent to allocate funding for these payments at 49 Pa.B. 5525 (September 21, 2019). The Department received no public comments during the 30-day comment period and will implement the changes as described in its notice of intent.

Fiscal Impact

 The FY 2019-2020 impact, as a result of the funding allocation for these payments, is $258.953 million ($112.150 million in State general funds and $146.803 million in Federal funds).


Fiscal Note: 14-NOT-1381. (1) General Fund; (2) Implementing Year 2019-20 is $112,150,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$342,544,000; 2017-18 Program—$477,690,000; 2016-17 Program—$450,970,000; (7) Medical Assistance—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 20-221. Filed for public inspection February 14, 2020, 9:00 a.m.]

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