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PA Bulletin, Doc. No. 19-587

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Supplemental Payments to Qualifying Hospitals

[49 Pa.B. 1969]
[Saturday, April 20, 2019]

 The Department of Human Services (Department) is announcing its intent to allocate annualized funds for Fiscal Year (FY) 2018-2019 supplemental payments to qualifying acute care general hospitals and State-related university medical schools that provide medical services to Medical Assistance (MA) beneficiaries to ensure continued access to these related services.

Qualifying Criteria

 A hospital is eligible for these supplemental payments if the hospital meets the following criteria, and, unless otherwise stated, the source of the information is the FY 2015-2016 MA-336 Hospital Cost Report available to the Department as of October 2018:

 a) The hospital is enrolled in the MA Program as an acute care general hospital.

 b) The hospital is located in a city of the first class.

 c) The hospital has less than 160 beds.

 d) The hospital provided at least 600 days of MA Fee-for-Service acute inpatient care.

 e) The hospital does not have an inpatient psychiatric unit, as evidenced by no psychiatric unit inpatient beds being reported in its FY 2015-2016 MA-336 Hospital Cost Report.

 Payments will be divided proportionately among qualified hospitals based on each hospital's MA inpatient days to total MA inpatient days for all hospitals.

Fiscal Impact

 The FY 2018-2019 impact, as a result of the funding allocation for these payments, is $4.188 million ($2.000 million in State general funds and $2.188 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-1316. (1) General Fund; (2) Implementing Year 2018-19 is $2,000,000; (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. 19-587. Filed for public inspection April 19, 2019, 9:00 a.m.]


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