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PA Bulletin, Doc. No. 22-706

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Disproportionate Share Payments and Supplemental Hospital Payments to Qualifying Hospitals

[52 Pa.B. 2925]
[Saturday, May 14, 2022]

 The Department of Human Services (Department) is providing final notice of its funding allocation for Fiscal Year (FY) 2021-2022 for several classes of inpatient disproportionate share hospital and supplemental payments to Medical Assistance (MA) enrolled and qualifying inpatient acute care general hospitals. The Department is not otherwise changing the qualifying criteria or payment methodology for these payments.

 The Department published notice of its intent to allocate funding for these payments at 51 Pa.B. 7951 (December 18, 2021). The Department increased the funding allocation for one payment that was announced in its notice of intent. Supplemental payments to acute care general hospitals that provide a substantial portion of their inpatient services to MA beneficiaries were increased to an allocation of $2.665 million in total funds, and this revised funding allocation did appear on the State Plan page submitted to the Centers for Medicare & Medicaid Services and approved on March 15, 2022.

 The Department received no comments during the 30-day comment period. The Department will implement the total payment set forth in the notice of intent and as previously noted.

Fiscal Impact

 The FY 2021-2022 impact, as a result of the funding allocation for these payments, is $235.935 million in total funds.

MEG SNEAD, 
Acting Secretary

Fiscal Note:  14-NOT-1510. (1) General Fund;

 (7) MA—Fee-for-Service; (2) Implementing Year 2021-22 is $53,871,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$808,350,000; 2019-20 Program—$344,107,000; 2018-19 Program—$342,544,000;

 (7) MA—Critical Access Hospitals; (2) Implementing Year 2021-22 is $13,057,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$9,777,000; 2019-20 Program—$8,850,000; 2018-19 Program—$10,400,000;

 (7) MA—Hospital-Based Burn Centers; (2) Implementing Year 2021-22 is $4,437,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$3,862,000; 2019-20 Program—$3,792,000; 2018-19 Program—$3,782,000;

 (7) MA—Obstetric and Neonatal Services; (2) Implementing Year 2021-22 is $3,681,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$2,814,000; 2019-20 Program—$2,709,000; 2018-19 Program—$3,681,000;

 (7) MA—Academic Medical Centers; (2) Implementing Year 2021-22 is $17,831,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$21,479,000; 2019-20 Program—$21,092,000; 2018-19 Program—$24,681,000;

 (7) MA—Physician Practice Plans; (2) Implementing Year 2021-22 is $2,000,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$9,618,000; 2019-20 Program—$7,502,000; 2018-19 Program—$10,071,000;

 (7) Autism Intervention; (2) Implementing Year 2021-22 is $450,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$27,262,000; 2019-20 Program—$27,052,000; 2018-19 Program—$30,842,000;

 (7) MA—Trauma Centers; (2) Implementing Year 2021-22 is $8,656,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$7,534,000; 2019-20 Program—$7,397,000; 2018-19 Program—$8,656,000;

 (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 22-706. Filed for public inspection May 13, 2022, 9:00 a.m.]



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