Pennsylvania Code
Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

• No statutes or acts will be found at this website.

The Pennsylvania Bulletin website includes the following: Rulemakings by State agencies; Proposed Rulemakings by State agencies; State agency notices; the Governor’s Proclamations and Executive Orders; Actions by the General Assembly; and Statewide and local court rules.

PA Bulletin, Doc. No. 13-2394

NOTICES

DEPARTMENT OF
PUBLIC WELFARE

Additional Class of Disproportionate Share Payments

[43 Pa.B. 7510]
[Saturday, December 21, 2013]

 The Department of Public Welfare (Department) is announcing its intent to establish a new class of disproportionate share hospital (DSH) payments to certain Medical Assistance (MA) acute care general hospitals (hospitals) which, in partnership with an independent facility listed as a Cleft and Craniofacial Team by the American Cleft Palate-Craniofacial Association, provide surgical services to patients with cleft palate and craniofacial abnormalities. This payment is intended to ensure access to inpatient hospital services for MA eligible and uninsured persons in this Commonwealth with cleft palate and craniofacial abnormalities. The Department intends to allocate funding for this additional class of DSH payments to qualifying hospitals for Fiscal Year (FY) 2013-2014.

 The Department determines a hospital eligible for this additional class of DSH payments if the hospital meets all of the criteria listed as follows. Unless otherwise stated, the source of the information is the State FY 2010-2011 MA cost report (MA-336).

 1. The hospital is enrolled in the MA Program as a general acute care hospital, and is licensed to provide obstetrical and neonatal services as reported by the Department of Health for the period July 1, 2010, through June 30, 2011.

 2. The hospital has a partnership with a facility listed as of January 2013 as both a cleft palate team and a craniofacial team by the American Cleft Palate-Craniofacial Association and Cleft Palate Foundation.

 3. The hospital is accredited as an Adult Level I Trauma Center and a Pediatric Level I Trauma Center according to the Pennsylvania Trauma System Foundation's 2012 Annual Report.

 4. The hospital provided more than 135,000 total acute inpatient days of care.

 5. The hospital ranked at or above the 92nd percentile of all acute care general hospitals enrolled in the Pennsylvania MA program based on the total number of MA inpatient days of care.

 6. The hospital's ratio of uncompensated care to net patient revenue is at least 3.30%, based on the Pennsylvania Health Care Cost Containment Council's Financial Analysis 2012, Volume One.

 The Department will divide the total payment proportionately among all qualifying hospitals based on each hospital's total MA inpatient days to total MA inpatient days for all qualified hospitals.

Fiscal Impact

 The FY 2013-2014 impact as a result of the funding allocation for this payment is $0.323 million ($0.150 million in State general funds and $0.173 million in Federal funds upon approval by the Centers for Medicare and Medicaid Services).

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. The Department will consider all comments received within 30 days of 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) 654-5984 (TDD users) or (800) 654-5988 (voice users).

BEVERLY D. MACKERETH, 
Secretary

 Fiscal Note: 14-NOT-852. (1) General Fund; (2) Implementing Year 2013-14 is $150,000; (3) 1st Succeeding Year 2014-15 is $0; 2nd Succeeding Year 2015-16 is $0; 3rd Succeeding Year 2016-17 is $0; 4th Succeeding Year 2017-18 is $0; 5th Succeeding Year 2018-19 is $0; (4) 2012-13 Program—$268,112; 2011-12 Program—$325,685; 2010-11 Program—$243,809; (7) MA—Inpatient; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 13-2394. Filed for public inspection December 20, 2013, 9:00 a.m.]


No part of the information on this site may be reproduced for profit or sold for profit.

This material has been drawn directly from the official Pennsylvania Bulletin full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.