NOTICES
DEPARTMENT OF
HUMAN SERVICES
Disproportionate Share Payments and Supplemental Hospital Payments to Qualifying Hospitals
[52 Pa.B. 2778]
[Saturday, May 7, 2022]The Department of Human Services (Department) is announcing its intent to allocate funds in Fiscal Year 2021-2022 for several classes of inpatient disproportionate share hospital (DSH) payments and supplemental payments to Medical Assistance (MA) enrolled, qualifying inpatient acute care general hospitals. The Department does not intend to otherwise change the qualifying criteria or payment methodology for these payments. The qualifying criteria and payment methodology for each payment are described in Pennsylvania's Medicaid State Plan.
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.
The allocation of the funds for DSH payments described as follows is contingent on the availability of Federal financial participation for these payments.
Allocation of Funds
The Department intends to allocate $9.510 million in total funds for DSH payments to qualifying acute care general hospitals that provide a high volume of services to the MA population to promote continued access to inpatient and ancillary outpatient services in this Commonwealth and to support academic medical programs that provide integrated patient-centered medical services upon approval by the Centers for Medicare & Medicaid Services (CMS).
The Department intends to allocate $5.917 million in total funds for DSH payments to qualifying acute care general hospitals to promote the availability of professional medical services to MA populations in less urbanized areas of this Commonwealth by supporting medical education and academic medical programs upon approval by CMS.
The Department intends to allocate $40.163 million in total funds for supplemental payments to qualifying acute care general hospitals that treat a high percentage of MA patients under 18 years of age upon approval by CMS.
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 SecretaryFiscal Note: 14-NOT-1507. (1) General Fund;
(7) MA—Fee-for-Service; (2) Implementing Year 2021-22 is $0; (3) 1st Succeeding Year 2022-23 is $9,113,000; 2nd Succeeding Year 2023-24 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) MA—Academic Medical Centers; (2) Implementing Year 2021-22 is $6,343,000; (3) 1st Succeeding Year 2022-23 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$21,479,000; 2019-20 Program—$21,092,000; 2018-19 Program—$24,681,000;
(8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 22-665. Filed for public inspection May 6, 2022, 9:00 a.m.]
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