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PA Bulletin, Doc. No. 21-1483

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Disproportionate Share and Supplemental Hospital Payments

[51 Pa.B. 5762]
[Saturday, September 4, 2021]

 The Department of Human Services (Department) is announcing its intent to allocate funds for Fiscal Year (FY) 2021-2022 inpatient disproportionate share hospital (DSH) payments to qualifying inpatient acute care general, psychiatric and rehabilitation hospitals and qualifying psychiatric and rehabilitation units of acute care general hospitals, outpatient supplemental payments to qualifying inpatient acute care general hospitals, and direct medical education payments to qualifying inpatient acute care general hospitals.

 The Department is not otherwise changing the State Plan provisions addressing 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 2021-2022 impact, as a result of the funding allocation for these payments, is $255.556 million in total 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 Hamilton Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

MEG SNEAD, 
Acting Secretary

 Fiscal Note: 14-NOT-1461. (1) General Fund; (2) Implementing Year 2021-22 is $107,300,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$808,350,000; 2019-20 Program—$344,107,000; 2018-19 Program—$342,544,000; (7) Medical Assistance—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 21-1483. Filed for public inspection September 3, 2021, 9:00 a.m.]


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