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PA Bulletin, Doc. No. 00-1992

NOTICES

DEPARTMENT OF
PUBLIC WELFARE

Intention to Establish an Additional Class of Disproportionate Share Payments

[30 Pa.B. 6013]

   The purpose of this notice is to provide prior public notice of the Department of Public Welfare's (Department's) intent to establish an additional class of disproportionate share payments for certain qualifying hospitals.

   The Department intends to make this payment, in addition to the classes of disproportionate share payments already made under the Medical Assistance (MA) Program, to certain hospitals, which the Department has determined advance the Department's goal of enhanced access to multiple types of medical care in economically distressed areas of this Commonwealth.

   The Department intends to consider a hospital eligible if:

   (a)  The hospital is an acute care hospital (provider type 11) currently receiving inpatient disproportionate share payments; and

   (b)  The hospital reported in excess of 40,000 Pennsylvania MA inpatient days on their Fiscal Year 1996-97 Medical Assistance Cost Report (MA 336); and

   (c)  The hospital is part of a health system that is owned by a State-related university, which operates a school of medicine, children's hospital and school of dentistry; and

   (d)  The hospital operates an emergency room and has acute care beds, both of which are located in a Federal Empowerment Zone.

   The Department intends to allocate $5,861,504 from the State General Fund for this additional payment. Payments will be divided proportionally between qualifying hospitals based on the percentage of each qualifying hospital's MA inpatient days to the total MA inpatient days of all qualifying facilities. All payment limitations are still applicable, namely, the Commonwealth may not exceed its aggregate annual disproportionate share allotment, and no hospital may receive disproportionate share payments in excess of its hospital-specific limit.

Fiscal Impact

   For Fiscal Year 2000-2001, the fiscal impact as a result of this additional payment will be $12,637,999 in total funds ($5,861,504 in State General funds and $6,776,495 in Federal funds).

Contact Person

   A copy of this notice is available for review at local County Assistance Offices. Interested persons are invited to submit written comments to this notice within 30 days of this publication. These comments should be sent to the Department of Public Welfare, Office Of Medical Assistance Programs, Attention: Suzanne Love, Room 515 Health and Welfare Building, Harrisburg, PA 17105.

   Persons with a disability may use the AT&T Relay Service by calling (800) 654-5984 (TDD Users) or (800) 654-5988 (Voice Users). Persons who require an alternate format should contact Thomas Vracarich in the Office of Legal Counsel at (717) 783-2209.

FEATHER O. HOUSTOUN,   
Secretary

   Fiscal Note:  14-NOT-264. (1)  General Fund; (2)  Im- plementing Year 2000-01 is $5.862 Million; (3)  1st Succeeding Year 2001-02 is $5.862 Million; 2nd Succeeding Year 2002-03 is $5.862 Million; 3rd Succeeding Year is $5.862 Million; 4th Succeeding Year 2004-05 is $5.862 Million; 5th Succeeding Year 2005-06 is $5.862 Million; (4)  1999-00 Program--$392.528 Million; 1998-99 Program--$453.594 Million; 1997-98 Program--$428.079 Million; (7)  Medical Assistance--Inpatient; (8)  recommends adoption. Funds are available in the Department's current budget to cover the cost of the additional disproportionate share payment.

[Pa.B. Doc. No. 00-1992. Filed for public inspection November 17, 2000, 9:00 a.m.]


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