NOTICES
DEPARTMENT OF
HUMAN SERVICES
Disproportionate Share Payments and Supplemental Payments to Qualifying Hospitals
[53 Pa.B. 1021]
[Saturday, February 18, 2023]The Department of Human Services (Department) is announcing its intent to allocate funds in Fiscal Year (FY) 2022-2023 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 is described in the Commonwealth'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 $9.244 million in total funds for DSH payments to qualifying acute care general hospital burn centers, upon approval by Centers for Medicare & Medicaid Services (CMS).
The Department intends to allocate $13.919 million in total funds for DSH payments to qualifying acute care general hospitals providing obstetrical and neonatal services, upon approval by CMS.
The Department intends to allocate $33.869 million in total funds for DSH payments to critical access and qualifying rural hospitals, upon approval by CMS.
The Department intends to allocate $50.623 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.
Fiscal Impact
The FY 2022-2023 impact, as a result of the funding allocation for these payments, is $107.655 million in total funds (State and Federal), upon approval by CMS.
Public Comment
Interested persons are invited to submit written comments regarding these DSH and supplemental payments to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, P.O. Box 2675, Harrisburg, PA 17120, 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).
VALERIE A. ARKOOSH,
Acting SecretaryFiscal Note: 14-NOT-1564. (1) General Fund;
(7) MA—Hospital-Based Burn Centers; (2) Implementing Year 2022-23 is $3,975,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $0; (4) 2021-22 Program—$3,856,000; 2020-21 Program—$3,862,000; 2019-20 Program—$3,792,000;
(7) MA—Obstetric and Neonatal Services; (2) Implementing Year 2022-23 is $2,985,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $0; (4) 2021-22 Program—$2,806,000; 2020-21 Program—$2,814,000; 2019-20 Program—$2,709,000;
(7) MA—Critical Access Hospitals; (2) Implementing Year 2022-23 is $11,364,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $0; (4) 2021-22 Program—$10,927,000; 2020-21 Program—$9,777,000; 2019-20 Program—$8,850,000;
(7) MA—Fee-for-Service; (2) Implementing Year 2022-23 is $13,005,000; (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;
(8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 23-229. Filed for public inspection February 17, 2023, 9:00 a.m.]
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.
