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PA Bulletin, Doc. No. 18-1944

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Disproportionate Share Payments to Qualifying Hospitals

[48 Pa.B. 7715]
[Saturday, December 15, 2018]

 The Department of Human Services (Department) is announcing its intent to allocate funding for Fiscal Year (FY) 2018-2019 disproportionate share hospital (DSH) payments made to qualifying Medical Assistance (MA) enrolled acute care general hospitals which provide a high volume of inpatient services to MA eligible and low-income populations. These payments are intended to promote access to medically necessary inpatient services for MA eligible and low-income persons. The Department does not intend to otherwise change the qualifying criteria or payment methodology for these payments.

 All payment limitations are still 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 2018-2019 impact, as a result of the funding allocation for these payments, is $0.730 million ($0.349 million in State general funds and $0.381 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-1294. (1) General Fund; (2) Implementing Year 2018-19 is $349,000; (3) 1st Succeeding Year 2019-20 through 5th Succeeding Year 2023-24 are $0; (4) 2017-18 Program—$477,690,000; 2016-17 Program—$450,970,000; 2015-16 Program—$392,918,000; (7) MA—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 18-1944. Filed for public inspection December 14, 2018, 9:00 a.m.]


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