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. 21-1057

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Statewide Quality Care Assessment Program for Fiscal Years 2021-2022 and 2022-2023

[51 Pa.B. 3666]
[Saturday, July 3, 2021]

 This notice relates to the assessment percentage rates under the Statewide Quality Care Assessment Program (Program) for fiscal years (FY) 2021-2022 and FY 2022-2023.

Background

 Article VIII-G of the Human Services Code (code)1 (62 P.S. §§ 801-G—816-G) authorizes the Department of Human Services (Department) to implement the Program beginning July 1, 2010, and ending June 30, 2023. Under Article VIII-G, the Department will impose a monetary assessment on all licensed hospitals in this Commonwealth other than certain exempt hospitals.2 See 62 P.S. §§ 801-G—816-G. Assessment revenue is deposited in a restricted account. See 62 P.S. § 805-G(a).

Discussion

 As announced in the public notice issued at 50 Pa.B. 5335 (September 26, 2020), the assessment percentage rate for FY 2021-2022 and FY 2022-2023 will return to 3.32% of net inpatient revenue and 1.73% of net outpatient revenue for covered hospitals as established under the code. See 62 P.S. § 803-G(b)(5).3 Subject to conditions specified in 62 P.S. § 813-G, the Department intends to use the revenue derived from this assessment to make medical assistance payment to hospitals in accordance with 62 P.S. § 805-G.

Fiscal Impact

 The Department estimates the annual aggregate assessment fees for the nonexempt hospitals for FY 2021-2022 and FY 2022-2023 to total $1,000,336 million.

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 future assessment percentage rate.

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania Hamilton Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

MEG SNEAD, 
Acting Secretary

 Fiscal Note: 14-NOT-1448. (1) General Fund;

 (7) Medical Assistance—Fee-for-Service; (2) Implementing Year 2020-21 is $0; (3) 1st Succeeding Year 2021-22 is $184,011,000; 2nd Succeeding Year 2022-23 is $184,011,000; 3rd Succeeding Year 2023-24 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$334,085,000; 2018-19—Program—$342,544,000; 2017-18 Program—$477,690,000;

 (7) Medical Assistance—Capitation; (2) Implementing Year 2020-21 is $0; (3) 1st Succeeding Year 2021-22 through 2nd Succeeding Year 2022-23 are $764,933,000; 3rd Succeeding Year 2023-24 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$2,507,000,000; 2018-19—Program—$3,303,000,000; 2017-18 Program—$3,106,000,000;

 (7) Medical Assistance—Community HealthChoices; (2) Implementing Year 2020-21 is $0; (3) 1st Succeeding Year 2021-22 through 2nd Succeeding Year 2022-23 are $45,192,000; 3rd Succeeding Year 2023-24 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$2,328,000,000; 2018-19—Program—$693,766,000; 2017-18 Program—$0;

 (7) Medical Assistance—OB/NICU; (2) Implementing Year 2020-21 is $0; (3) 1st Succeeding Year 2021-22 through 2nd Succeeding Year 2022-23 are $3,000,000; 3rd Succeeding Year 2023-24 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$2,709,000; 2018-19—Program—$3,681,000; 2017-18 Program—$3,681,000;

 (7) Medical Assistance—Critical Access Hospitals; (2) Implementing Year 2020-21 is $0; (3) 1st Succeeding Year 2021-22 through 2nd Succeeding Year 2022-23 are $3,200,000; 3rd Succeeding Year 2023-24 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$8,850,000; 2018-19—Program—$10,400,000; 2017-18 Program—$6,997,000;

 (8) recommends adoption. Funds have been included in the proposed budget to cover this increase.

[Pa.B. Doc. No. 21-1057. Filed for public inspection July 2, 2021, 9:00 a.m.]

_______

1  Article VIII-G was added to the code by the act of July 9, 2010 (P.L. 336, No. 49), re-enacted by the act of July 9, 2013 (P.L. 369, No. 55), amended and extended by the act of December 28, 2015 (P.L. 500, No. 92), and re-enacted by the act of June 22, 2018 (P.L. 258, No. 40).

2  Under the code, the following hospitals are exempt from the assessment: (1) Federal veterans' affairs hospitals; (2) Hospitals that provide care, including inpatient hospital services, to all patients free of charge; (3) Private psychiatric hospitals; (4) State-owned psychiatric hospitals; (5) Critical access hospitals; (6) Long-term acute care hospitals; and (7) Free-standing acute care hospitals organized primarily for the treatment of and research on cancer in which at least 30% the inpatient admissions had cancer as the principal diagnosis based on Pennsylvania Health Care Cost Containment Council calendar year 2014 inpatient discharge data. 62 P.S. § 801-G.

3  The code also specifies that, for FY 2022-2023, the assessment percentage rate under the Program will be 3.32% of the net inpatient revenue of the covered hospital and 1.73% of net outpatient revenue for the covered hospital. The Secretary of Human Services may adjust the assessment percentages for all or part of a fiscal year. 62 P.S. § 803-G.


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.