NOTICES
DEPARTMENT OF
PUBLIC WELFARE
Additional Class of Payments to Qualifying Acute Care General Hospitals
[37 Pa.B. 3027]
[Saturday, June 30, 2007]The purpose of this notice is to announce the Department of Public Welfare's (Department) intent to establish a one-time additional class of disproportionate share hospital payment for certain qualifying hospitals.
The Department intends to make this one-time payment, in addition to the classes of disproportionate share hospital payments already made under the Medical Assistance (MA) Program, to certain qualifying acute care general hospitals to assure the hospitals' continued participation in the MA Program.
The Department intends to consider an acute care general hospital eligible for this additional class of disproportionate share hospital payment if the acute care general hospital meets all of the following criteria:
1. The hospital is ''state related'' as defined by the Institutions of Purely Public Charity Act (10 P. S. §§ 371--385).
2. The hospital's liabilities exceed assets on its filed cost report for Fiscal Year (FY) 2003-2004.
3. The hospital's ratio of MA days to total days is two standard deviations above the mean ratio of MA days to total days for hospitals receiving Medicaid payments in the State in FY 2003-2004.
A one-time allocation of $250,000 from the Department of Health is available for this additional class of payments. Payments will be made to all qualifying hospitals. Payment for each hospital will be determined by multiplying the total available funds by the hospital's percentage of inpatient MA days to the total inpatient MA days of all qualifying hospitals.
Fiscal Impact
The FY 2006-2007 fiscal impact, as a result of this additional class of disproportionate share payments, is $548,125 in total funds ($250,000 in State General funds and $298,125 in Federal funds). The State share of this payment is provided under the Department of Health-Health Research and Services appropriation, and the Federal share is provided under the Department of Public Welfare MA-Inpatient Programs.
Public Comment
Interested persons are invited to submit written comments regarding this notice to the Department at the following address Department of Public Welfare, Office of Medical Assistance Programs, c/o Deputy Secretary's Office, Attention: Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice.
Persons with a disability who require an auxiliary aid, service may submit comments using the AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
ESTELLE B. RICHMAN,
SecretaryFiscal Note: 14-NOT-513. (1) General Fund:
DOH, RS DPW, MA-Inpatient (2) Implementing Year 2006-07 is $250.000 0 (3) 1st succeeding Year 2007-08 is $0 0 2nd succeeding Year 2008-09 is $0 0 3rd succeeding Year 2009-10 is $0 0 4th succeeding Year 2010-11 is $0 0 5th succeeding Year 2011-12 is $0 0 (4) 2005-06 Program-- $14,131,000 $474,693,000 2004-05 Program-- $16,469,000 $531,785,000 2003-04 Program-- $7,350,000 $411,042,000 (7) Department of Health, Research and Services (DOH, RS); Department of Public Welfare, Medical Assistance-Inpatient (DPW, MA-Inpatient); (8) recommends adoption. Funds have been included in the budge to cover these increases. This payment is eligible for Federal matching funds and is included in the DPW MA--Inpatient budget.
[Pa.B. Doc. No. 07-1159. Filed for public inspection June 29, 2007, 9:00 a.m.]
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