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PA Bulletin, Doc. No. 18-464

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Additional Class of Disproportionate Share Hospital Payments

[48 Pa.B. 1783]
[Saturday, March 24, 2018]

 The Department of Human Services (Department) is announcing its intent to allocate funds for Fiscal Year (FY) 2017-2018 disproportionate share hospital (DSH) payments for qualifying Medical Assistance (MA) enrolled acute care general hospitals that have a low commercial-payer ratio, a negative trend in their net patient revenue and are located in an area of this Commonwealth with a disproportionate need for MA services. The payment is intended to promote continued access to care for the MA population. The Department does not intend to otherwise change the qualifying criteria or payment methodology for these payments.

 All 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 2017-2018 impact, as a result of the funding allocation for these payments, is $0.623 million ($0.300 million in State general funds and $0.323 million in Federal funds) upon approval by the Centers for Medicare & Medicaid Services.

Public Comment

 Interested persons are invited to submit written comments regarding this notice to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. The Department will review and consider comments received within 30 days in determining the final payment methodology for these payments.

 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).

TERESA D. MILLER, 
Secretary

 Fiscal Note: 14-NOT-1222. (1) General Fund; (2) Implementing Year 2017-18 is $300,000; (3) 1st Succeeding Year 2018-19 through 5th Succeeding Year 2022-23 are $0; (4) 2016-17 Program—$450,970,000; 2015-16 Program—$392,918,000; 2014-15 Program—$564,772,000; (7) MA—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 18-464. Filed for public inspection March 3, 2018, 9:00 a.m.]


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