NOTICES
DEPARTMENT OF
PUBLIC WELFARE
Disproportionate Share and Supplemental Hospital Payments
[43 Pa.B. 1810]
[Saturday, March 30, 2013]The Department of Public Welfare (Department) is providing final notice of its allocation of funding for Fiscal Year (FY) 2012-2013 for several disproportionate share hospital (DSH) and supplemental hospital payments made to qualifying Medical Assistance (MA) enrolled hospitals.
The Department published notice of its intent to allocate funding for these DSH and supplemental hospital payments made to qualifying MA enrolled hospitals at 42 Pa.B. 6047 (September 22, 2012). The Department received no public comments during the 30-day comment period, and is implementing the changes as described in its notice of intent.
Background
During FY 2010-2011, the Department implemented modifications to certain existing DSH and supplemental payments and established several new DSH and supplemental payments to hospitals using revenues from the Quality Care Assessment Account. Specifically, the Department modified its payment methodologies for inpatient DSH and outpatient supplemental and Direct Medical Education (DME) payments. In addition, the Department implemented a new class of DSH payments for small and sole community hospitals and new classes of supplemental payments consisting of MA Dependency payments, MA Rehabilitation adjustment payments, MA Stability payments and Enhanced payments to certain DSHs. The Department is funding these DSH and supplemental payments for FY 2012-2013 as follows:
Funding Allocations
The funds for these DSH and supplemental payments are allocated from the Commonwealth's FY 2012-2013 budget and the anticipated revenues from the Quality Care Assessment.
Inpatient DSH
For FY 2012-2013, the Department is allocating $40.410 million in State general funds for inpatient DSH with the aggregate amount of inpatient DSH payments not to exceed $88.769 million in total funds. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for this DSH payment.
Outpatient Supplemental Payments
For FY 2012-2013, the Department is allocating $27.489 million in State general funds for outpatient supplemental payments with the aggregate amount of outpatient supplemental payments not to exceed $60.386 million in total funds. This allocation maintains funding for this payment at the same level of funding allocated to this payment for FYs 2010-2011 and 2011-2012. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for this supplemental payment.
DME Payments
For FY 2012-2013, the Department is allocating $55.348 million in State general funds for DME payments with the aggregate amount of the DME payments not to exceed $121.585 million in total funds. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for this supplemental payment.
MA Stability Payments
For FY 2012-2013, the Department is allocating $151.444 million ($69.240 million in State general funds) for this supplemental payment. This allocation maintains funding for this payment at the same level of funding allocated to the MA Stability payment for FYs 2010-2011 and 2011-2012. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for this supplemental payment.
MA Dependency Payments
For FY 2012-2013, the Department is allocating $11.564 million ($5.287 million in State general funds) for this supplemental payment. This allocation maintains funding for this payment at the same level of funding allocated to the MA Dependency payment for FYs 2010-2011 and 2011-2012. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for this supplemental payment.
MA Rehabilitation Adjustment Payments
For FY 2012-2013, the Department is allocating $18.619 million ($8.513 million in State general funds) for this supplemental payment. This allocation maintains funding for this payment at the same level of funding allocated to the MA Rehabilitation Adjustment payment for FYs 2010-2011 and 2011-2012. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for this supplemental payment.
DSH Payments to Small and Sole Community Hospitals
For FY 2012-2013, the Department is allocating $58.893 million ($26.926 million in State general funds) for this DSH payment. This allocation maintains funding for this payment at the same level of funding allocated to this DSH payment to Small and Sole Community Hospitals for FYs 2010-2011 and 2011-2012. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for this DSH payment.
Enhanced Payments to Certain DSHs
For FY 2012-2013, the Department is allocating $24.661 million ($11.275 million in State general funds) for this supplemental payment. This allocation maintains funding for this payment at the same level of funding allocated for this payment for FYs 2010-2011 and 2011-2012. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for this supplemental payment.
Fiscal Impact
The FY 2012-2013 fiscal impact, as a result of these payments is $535.922 million ($244.489 million in State general funds and $291.433 million in Federal funds).
BEVERLY D. MACKERETH,
Acting SecretaryFiscal Note: 14-NOT-811. (1) General Fund:
MA—Inpatient MA—Outpatient (2) Implementing Year 2012-13 is $216,999,000 $27,489,000 (3) 1st Succeeding Year 2013-14 is $0 $0 2nd Succeeding Year 2014-15 is $0 $0 3rd Succeeding Year 2015-16 is $0 $0 4th Succeeding Year 2016-17 is $0 $0 5th Succeeding Year 2017-18 is $0 $0 (4) 2011-12 Program— $325,685,000 $645,095,000 2010-11 Program— $243,809,000 $467,929,000 2009-10 Program— $371,515,000 $435,939,000 (7) MA—Inpatient and MA—Outpatient; (8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 13-578. Filed for public inspection March 29, 2013, 9:00 a.m.]
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