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PA Bulletin, Doc. No. 22-1903

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Disproportionate Share Hospital Payments for Trauma Services

[52 Pa.B. 7566]
[Saturday, December 10, 2022]

 The Department of Human Services (Department) is announcing its intent to allocate funds for Fiscal Year (FY) 2022-2023 disproportionate share hospital (DSH) payments to Medical Assistance (MA) enrolled acute care general hospitals that qualify as a trauma center for the purpose of improving access to readily available and coordinated trauma care. The Department is amending the qualifying criteria and payment methodology for these payments as outlined as follows.

 Payment limitations are still 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.

Qualifying Criteria

 The qualifying criteria for this DSH payment is being updated for newly accredited trauma centers and hospitals seeking trauma center accreditation. To determine eligibility for newly accredited trauma centers and hospitals seeking trauma center accreditation for which Pennsylvania Trauma Outcome Study (PTOS) data is not available, the Department will use Pennsylvania Health Care Cost Containment Council claims data from the same period as the PTOS report.

Payment Methodology

 The payment methodology for this DSH payment is being updated for newly accredited trauma centers and hospitals seeking trauma center accreditation. The Department will calculate partial year payments using the number of trauma cases and patient days reflecting the hospital's months of accreditation, or months in which it was seeking accreditation during the fiscal year.

Fiscal Impact

 The FY 2022-2023, the Department will allocate an annualized amount of $18.034 million in total funds (State and Federal) for these DSH payments upon approval by the Centers for Medicare & Medicaid Services.

Public Comment

 Interested persons are invited to submit written comments regarding these DSH payments and the updates related to newly accredited trauma centers and hospitals seeking trauma center accreditation to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, P.O. Box 2675, Harrisburg, PA 17120 or RA-PWMAProgComments@pa.gov. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice.

 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-1553. (1) General Fund; (2) Implementing Year 2022-23 is $8,656,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $0; (4) 2021-22 Program—$7,522,000; 2020-21 Program—$7,534,000; 2019-20 Program—$7,397,000; (7) MA—Trauma Centers; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 22-1903. Filed for public inspection December 9, 2022, 9:00 a.m.]


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