NOTICES
DEPARTMENT OF
PUBLIC WELFARE
Additional Class of Disproportionate Share Payment
[44 Pa.B. 2341]
[Saturday, April 12, 2014]The Department of Public Welfare (Department) is announcing its intent to establish a new class of disproportionate share hospital (DSH) payments to certain qualifying hospitals that provide a high volume of services to the Medical Assistance (MA) population to ensure their participation in the MA Program. This payment is intended to improve access to inpatient and ancillary outpatient services in this Commonwealth; support a regional medical campus and academic medical programs that provide integrated patient centered medical services; and promote the supply of requisite medical professionals to treat the MA population. The Department intends to allocate funding for this additional class of DSH payment to qualifying hospitals for Fiscal Year (FY) 2013-2014.
The Department determines a hospital eligible for this additional class of DSH payment if the hospital meets all of the criteria listed as follows. Unless otherwise stated, the source of the information is the State FY 2010-2011 MA cost report (MA-336).
1. The hospital is enrolled in the MA Program as a general acute care hospital.
2. The hospital ranked at or above the 92nd percentile of all acute care hospitals on the total acute care inpatient days provided to MA beneficiaries.
3. The hospital ranked at or above the 94th percentile of all acute care hospitals on Net Pennsylvania (PA) MA Outpatient Revenues.
4. The hospital is accredited as an Adult Level I Trauma Center and a Pediatric Level I Trauma Center according to the Pennsylvania Trauma Systems Foundation's 2012 Annual Report.
5. The hospital is part of an academic medical center that includes a regional medical campus in a county of the fourth class.
The Department will divide the total payment proportionately among all qualifying hospitals based on each hospital's total MA acute care inpatient days to total MA acute care inpatient days for all qualified hospitals. In making these payments, the Department will ensure that no hospital will receive any DSH payment that is in excess of its hospital-specific DSH upper limit and the Commonwealth will not exceed its aggregate DSH allotment.
Fiscal Impact
The FY 2013-2014 impact, as a result of the funding allocation for this payment is $5.379 million ($2.5 million in State general funds and $2.879 million in Federal funds upon approval by the Centers for Medicare and Medicaid Services).
Public Comment
Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. The Department will consider all comments received within 30 days of this notice.
Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
BEVERLY D. MACKERETH,
SecretaryFiscal Note: 14-NOT-857. (1) General Fund; (2) Implementing Year 2013-14 is $2,500,000; (3) 1st Succeeding Year 2014-15 is $0; 2nd Succeeding Year 2015-16 is $0; 3rd Succeeding Year 2016-17 is $0; 4th Succeeding Year 2017-18 is $0; 5th Succeeding Year 2018-19 is $0; (4) 2012-13 Program—$12,618,000; 2011-12 Program—$12,618,000; 2010-11 Program—$18,871,000; (7) MA—Academic Medical Centers; (8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 14-793. Filed for public inspection April 11, 2014, 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.
