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PA Bulletin, Doc. No. 14-894

NOTICES

DEPARTMENT OF
PUBLIC WELFARE

Additional Class of Disproportionate Share Payments to Certain Acute Care Hospitals

[44 Pa.B. 2588]
[Saturday, April 26, 2014]

 The Department of Public Welfare (Department) is announcing its intent to establish an additional class of disproportionate share hospital (DSH) payment to certain qualifying acute care general Medical Assistance (MA) hospitals to ensure their continued participation in the MA Program. This payment is intended to promote the availability of professional medical services to the MA population in less urbanized areas of this Commonwealth. These funds will be used to support the medical education and operation of an academic medical program, which will foster the supply of health care professionals to treat the MA population. The Department intends to allocate funding for this additional class of DSH payment to qualifying hospitals for Fiscal Year (FY) 2013-2014.

 To qualify for this payment, the hospital must meet all of the following criteria. 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 Pennsylvania's (PA) MA Program as an acute care general hospital.

 2. The hospital is located in a county of the third class with a population between 279,000 and 282,000 under the 2010 Federal decennial census.

 3. The hospital's PA MA Fee-for-Service Medical Education costs exceed $500,000.

 Payments to qualifying hospitals will be divided equally among all qualifying hospitals. Payment limitations are applicable, including those limitations that the Commonwealth may not exceed its aggregate annual DSH allotment and that no hospital may receive DSH payments in excess of its hospital-specific limit.

Fiscal Impact

 The FY 2013-2014 impact, as a result of the funding allocation for this payment is $1.076 million ($0.500 million in State general funds and $0.576 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-860. (1) General Fund; (2) Implementing Year 2013-14 is $500,000; (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—$12,618,000; 2011-12 Program—$12,618,000; 2010-11 Program—$18,871,000; (7) MA—Academic Medical Centers; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 14-894. Filed for public inspection April 25, 2014, 9:00 a.m.]


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