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. 19-335

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Supplemental Payments to Qualifying Hospitals with High Medical Assistance Graduate Medical Education and Changes to Disproportionate Share and Supplemental Payment Reconciliation Process

[49 Pa.B. 1079]
[Saturday, March 9, 2019]

 The Department of Human Services (Department) is providing final notice of its establishment of High Medical Assistance (MA) Graduate Medical Education (GME) supplemental payment for qualifying hospitals that the Department has determined provide a high volume of services to MA beneficiaries. The Department also is providing final notice of its modification of the payment reconciliation process used for certain MA hospital payments.

 The Department published notice of its intent to establish this new supplemental payment and modify the payment reconciliation process at 48 Pa.B. 5928 (September 22, 2018). The Department received no comments during the 30-day comment period and will implement the qualifying criteria, payment methodology and modifications as described in its notice of intent.

Fiscal Impact

 Beginning with Fiscal Year 2018-2019, the Department will allocate an annualized amount of $23.669 million for high MA GME payments adjusted to reflect the reconciliation factor described in Part VI of the Pennsylvania State Plan.

TERESA D. MILLER, 
Secretary

 Fiscal Note: 14-NOT-1311. (1) General Fund; (2) Implementing Year 2018-19 is $11,302,000; (3) 1st Succeeding Year 2019-20 through 5th Succeeding Year 2023-24 are $11,302,000; (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. 19-335. Filed for public inspection March 8, 2019, 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.