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PA Bulletin, Doc. No. 09-1812

NOTICES

DEPARTMENT OF
PUBLIC WELFARE

Disproportionate Share and Supplemental Hospital Payments

[39 Pa.B. 5669]
[Saturday, September 26, 2009]

Purpose of Notice

 The Department of Public Welfare (Department) is announcing its intent to reduce funding for inpatient disproportionate share hospital (DSH), outpatient DSH, and direct medical education payments distributed during Fiscal Year (FY) 2009-2010, as a result of anticipated reductions in funding allocations proposed during the ongoing 2009-2010 Commonwealth budget negotiations. The Department believes this action is necessary to ensure that the Medical Assistance (MA) Program is able to operate within the funding allocated for the Program under the 2009-2010 Commonwealth budget. Upon enactment of the final FY 2009-2010 Commonwealth budget, the Department will issue notice detailing the actual funds to be distributed for the payments with reduced funding allocations.

 The Department proposes to reduce DSH funding distributed in FY 2009-2010 for inpatient DSH payments. The Department also proposes to reduce funding for outpatient DSH and direct medical education which are classes of payments separate from and in addition to the payments made to hospitals for inpatient hospital services provided to MA recipients and are not otherwise required to be made under State or Federal law.

Fiscal Impact

 The FY 2009-2010 fiscal impact, as a result of the changes to these payments is up to $158.219 million ($55.608 million in State Funds).

Public Comment

 Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o 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 or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

ESTELLE B. RICHMAN, 
Secretary

 Fiscal Note: 14-NOT-624. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 09-1812. Filed for public inspection September 25, 2009, 9:00 a.m.]


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