NOTICES
DEPARTMENT OF
PUBLIC WELFARE
Disproportionate Share Hospital Payments
[43 Pa.B. 2108]
[Saturday, April 13, 2013]The Department of Public Welfare (Department) is providing final notice of its allocation of funding for Fiscal Year (FY) 2012-2013 for several classes of disproportionate share hospital (DSH) payments made to qualifying Medical Assistance (MA) enrolled acute care general hospitals.
The Department published notice of its intent to allocate funding for these DSH payments at 42 Pa.B. 6045 (September 22, 2012). The Department received no public comments during the 30-day comment period, and is implementing the changes as described in its notice of intent for all payments other than the payments to certain Academic Medical Centers. For the payments to certain Academic Medical Centers, the Department is correcting the amount of funds allocated for these payments.
Funding Allocations
The Department is allocating funding for certain classes of DSH payments to qualifying acute care general hospitals for FY 2012-2013. Specifically, these classes of payment include DSH payments to Critical Access Hospitals (CAH) and Qualifying Rural Hospitals, DSH payments for Obstetrical and Neonatal Intensive Care services, Trauma DSH payments, DSH payments to certain Burn Centers, DSH payments to hospitals providing Enhanced Access to Care, DSH payments to hospitals providing a high volume of acute care and psychiatric services, DSH payments to hospitals providing a high volume of services to MA and low-income populations and DSH payments to certain Academic Medical Centers. There is no change in the current qualifying criteria or methodology for determining eligibility for these payments.
DSH Payments to CAHs and Qualifying Rural Hospitals
For FY 2012-2013, the Department is allocating $8.915 million ($4.076 million in State general funds and $4.839 million in Federal funds) for DSH payments to CAHs. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualifying Acute Care General Hospitals for Obstetrical and Neonatal Intensive Care Services
For FY 2012-2013, the Department is allocating $8.051 million ($3.681 million in State general funds and $4.370 million in Federal funds) for DSH payments to Qualifying Hospitals providing obstetrical and neonatal intensive care services. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
Trauma DSH Payments
For FY 2012-2013, the Department is allocating $18.933 million ($8.656 million in State general funds and $10.277 million in Federal funds) for Trauma DSH payments. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualified Acute Care General Hospital Burn Centers
For FY 2012-2013, the Department is allocating $8.272 million ($3.782 million in State general funds and $4.490 million in Federal funds) for this DSH payment to Qualified Burn Centers. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualifying Acute Care General Hospitals that Provide Enhanced Access to Multiple Types of Medical Care in Economically Distressed Areas of this Commonwealth
For FY 2012-2013, the Department is allocating $15.993 million ($7.312 million in State general funds and $8.681 million in Federal funds) for this DSH payment for qualified hospitals providing enhanced access in economically distressed areas. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualifying Acute Care General Hospitals that Provide a High Volume of MA Acute Care and Psychiatric Services and Incur Significant and Uncompensated Care Costs
For FY 2012-2013, the Department is allocating $1.640 million ($0.750 million in State general funds and $0.890 million in Federal funds) for this DSH payment to qualified hospitals providing a high volume of MA acute care and psychiatric services. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
DSH Payments to Qualifying Acute Care General Hospitals that Provide a High Volume of Services to MA Eligible and Low-Income Populations
For FY 2012-2013, the Department is allocating $1.733 million ($0.792 million in State general funds and $0.941 million in Federal funds) for this DSH payment to qualified hospitals providing a high volume of services to MA and low-income populations. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
Payments to Certain Academic Medical Centers
In its intent notice, the Department inadvertently included funding not allocated for these payments to certain academic medical centers. For FY 2012-2013, the Department is allocating $21.129 million ($9.618 million in State general funds and $11.511 million in Federal funds) for this payment to qualifying Academic Medical Centers. The Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
Fiscal Impact
The FY 2012-2013 fiscal impact, as a result of these payments is $84.666 million ($38.667 million in State general funds and $45.999 million in Federal funds).
BEVERLY D. MACKERETH,
Acting SecretaryFiscal Note: 14-NOT-814. (1) General Fund;
(7) MA—Critical Access Hospitals; (2) Implementing Year 2012-13 is $4,076,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$3,218,000; 2010-11 Program—$4,677,000; 2009-10 Program—$4,378,000;
(7) MA—Obstetric and Neonatal Services; (2) Implementing Year 2012-13 is $3,681,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$3,313,000; 2010-11 Program—$4,815,000; 2009-10 Program—$4,500,000;
(7) Trauma Centers; (2) Implementing Year 2012-13 is $8,656,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$7,790,000; 2010-11 Program—$11,322,000; 2009-10 Program—$10,387,000;
(7) Hospital Based Burn Centers; (2) Implementing Year 2012-13 is $3,782,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$3,404,000; 2010-11 Program—$4,946,000; 2009-10 Program—$4,630,000;
(7) MA—State-Related Academic Medical Centers; (2) Implementing Year 2012-13 is $9,618,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$12,618,000; 2010-11 Program—$18,871,000; 2009-10 Program—$20,140,000;
(7) MA—Inpatient; (2) Implementing Year 2012-13 is $8,854,000; (3) 1st Succeeding Year 2013-14 through 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$325,685,000; 2010-11 Program—$243,809,000; 2009-10 Program—$371,515,000;
(8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 13-675. Filed for public inspection April 12, 2013, 9:00 a.m.]
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