NOTICES
DEPARTMENT OF
HUMAN SERVICES
Disproportionate Share Payments and Supplemental Payments to Qualifying Hospitals
[53 Pa.B. 3652]
[Saturday, July 8, 2023]The Department of Human Services (Department) is providing final notice of its funding allocation for Fiscal Year (FY) 2022-2023 for several classes of inpatient disproportionate share hospital (DSH) and supplemental payments to Medical Assistance (MA) enrolled, qualifying inpatient acute care general hospitals. The Department is not otherwise changing the qualifying criteria or payment methodology for these payments.
The Department published notice of its intent to allocate funding for these payments at 52 Pa.B. 7979 (December 24, 2022). The Department increased the funding allocation for three payments that were announced in its notice of intent:
DSH payments to qualifying acute care general hospitals that, in partnership with an independent facility listed as a cleft and craniofacial team by the American Cleft Palate-Craniofacial Association, provide surgical services to patients with cleft palate and craniofacial abnormalities were increased to $1.188 million in total funds.Supplemental payments to qualifying acute care general hospitals that provide medical and surgical ocular services to MA beneficiaries to ensure continued access to these critical eye related services were increased to an allocation of $7.932 million in total funds.Supplemental payments to qualifying acute care general hospitals that provide a substantial portion of their inpatient services to MA beneficiaries were increased to $2.665 million in total funds.These revised funding allocations did appear on the State Plan pages submitted to the Centers for Medicare & Medicaid Services and approved on March 1, 2023.
The Department received no comments during the 30-day comment period. The Department will implement the total payment set forth in the notice of intent and as previously noted.
Fiscal Impact
The FY 2022-2023 impact, as a result of the funding allocation for these payments, is $469.697 million in total funds.
VALERIE A. ARKOOSH,
SecretaryFiscal Note: 14-NOT-1581. Under section 612 of The Administrative Code of 1929 (71 P.S. § 232), (1) General Fund;
(7) MA—Fee-for-Service; (2) Implementing Year 2022-23 is $157,750,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $0; (4) 2021-22 Program—$644,059,000; 2020-21 Program—$808,350,000; 2019-20 Program—$344,107,000;
(7) MA—Academic Medical Centers; (2) Implementing Year 2022-23 is $22,111,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $0; (4) 2021-22 Program—$21,448,000; 2020-21 Program—$21,749,000; 2019-20 Program—$21,092,000;
(7) MA—Physician Practice Plans; (2) Implementing Year 2022-23 is $3,136,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $0; (4) 2021-22 Program—$9,613,000; 2020-21 Program—$9,618,000; 2019-20 Program—$7,502,000;
(7) MA—Autism Intervention; (2) Implementing Year 2022-23 is $538,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $0; (4) 2021-22 Program—$27,493,000; 2020-21 Program—$27,262,000; 2019-20 Program—$27,052,000;
(8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 23-898. Filed for public inspection July 7, 2023, 9:00 a.m.]
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