NOTICES
DEPARTMENT OF
PUBLIC WELFARE
Disproportionate Share Hospital Payments
[42 Pa.B. 6045]
[Saturday, September 22, 2012]The Department of Public Welfare (Department) is announcing its intent to allocate funding for several classes of disproportionate share hospital (DSH) payments made to qualifying Medical Assistance (MA) enrolled acute care general hospitals.
Background
The Department intends to allocate funding for certain classes of DSH payments to qualifying acute care general hospitals for Fiscal Year (FY) 2012-2013. Specifically, these classes of payment include DSH payments to Critical Access and Qualifying Rural Hospitals, DSH payments for Obstetrical and Neonatal Intensive Care services, Trauma DSH payments, DSH payments to certain Burn Centers, DSH payments to hospitals providing Enhanced Access to Care, DSH payments to hospitals providing a high volume of acute care and psychiatric services, DSH payments to hospitals providing a high volume of services to MA and low income populations and DSH payments to certain Academic Medical Centers. The intended funding allocation for these classes of DSH payments will remain at the same levels as FY 2011-2012. There is no change in the current qualifying criteria or methodology for determining eligibility for these payments.
Funding Allocations
The funds for these DSH payments are allocated from the Commonwealth's FY 2012-2013 budget.
DSH Payments to Critical Access Hospitals and Qualifying Rural Hospitals
For FY 2012-2013, the Department intends to allocate $8.915 million ($4.076 million in State general funds and $4.839 million in Federal funds upon approval by the Centers for Medicare and Medicaid Services (CMS)) for DSH payments to Critical Access and Qualifying Rural Hospitals. The Department does not intend to change its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualifying Acute Care General Hospitals for Obstetrical and Neonatal Intensive Care Services
For FY 2012-2013, the Department intends to allocate $8.051 million ($3.681 million in State general funds and $4.370 million in Federal funds upon approval by the CMS) for DSH payments to Qualifying Hospitals providing obstetrical and neonatal intensive care services. The Department does not intend to change its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
Trauma DSH Payments
For FY 2012-2013, the Department intends to allocate $18.933 million ($8.656 million in State general funds and $10.277 million in Federal funds upon approval by the CMS) for Trauma DSH payments. The Department does not intend to change its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualified Acute Care General Hospital Burn Centers
For FY 2012-2013, the Department intends to allocate $8.272 million ($3.782 million in State general funds and $4.490 million in Federal funds upon approval by the CMS) for this DSH payment to Qualified Burn Centers. The Department does not intend to change its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualifying Acute Care General Hospitals that Provide Enhanced Access to Multiple Types of Medical Care in Economically Distressed Areas of this Commonwealth
For FY 2012-2013, the Department intends to allocate $15.993 million ($7.312 million in State general funds and $8.681 million in Federal funds upon approval by the CMS) for this DSH payment for qualified hospitals providing enhanced access in economically distressed areas. The Department does not intend to change its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualifying Acute Care General Hospitals that Provide a High Volume of MA Acute Care and Psychiatric Services and Incur Significant and Uncompensated Care Costs
For FY 2012-2013, the Department intends to allocate $1.640 million ($0.750 million in State general funds and $0.890 million in Federal funds upon approval by the CMS) for this DSH payment to qualified hospitals providing a high volume of MA acute care and psychiatric services.
The Department does not intend to change its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualifying Acute Care General Hospitals that Provide a High Volume of Services to MA Eligible and Low-Income Populations
For FY 2012-2013, the Department intends to allocate $1.733 million ($0.792 million in State general funds and $0.941 million in Federal funds upon approval by the CMS) for this DSH payment to qualified hospitals providing a high volume of services to MA and low income populations. The Department does not intend to change its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
Payments to Certain Academic Medical Centers
For FY 2012-2013, the Department intends to allocate $27.718 million ($12.618 million in State general funds and $15.100 million in Federal funds upon approval by the CMS) for this payment to Academic Medical Centers. The Department does not intend to change its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
Fiscal Impact
The FY 2012-2013 fiscal impact, as a result of these payments, is $91.256 million ($41.667 million in State general funds and $49.588 million in Federal funds upon approval by the CMS).
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 to this notice.
Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5988 (voice users).
GARY D. ALEXANDER,
SecretaryFiscal Note: 14-NOT-794. (1) General Fund;
(7) MA—Critical Access Hospitals; (2) Implementing Year 2012-13 is $4,076,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$3,218,000; 2010-11 Program—$4,677,000; 2009-10 Program—$4,378,000;
(7) MA—Obstetric and Neonatal Services; (2) Implementing Year 2012-13 is $3,681,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$3,313,000; 2010-11 Program—$4,815,000; 2009-10 Program—$4,500,000;
(7) Trauma Centers; (2) Implementing Year 2012-13 is $8,656,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$7,790,000; 2010-11 Program—$11,322,000; 2009-10 Program—$10,387,000;
(7) Hospital Based Burn Centers; (2) Implementing Year 2012-13 is $3,782,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$3,404,000; 2010-11 Program—$4,946,000; 2009-10 Program—$4,630,000;
(7) MA—State-Related Academic Medical Centers; (2) Implementing Year 2012-13 is $12,618,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$12,618,000; 2010-11 Program—$18,871,000; 2009-10 Program—$20,140,000;
(7) MA—Inpatient; (2) Implementing Year 2012-13 is $8,854,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$325,685,000; 2010-11 Program—$243,809,000; 2009-10 Program—$371,515,000;
(8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 12-1870. Filed for public inspection September 21, 2012, 9:00 a.m.]
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