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PA Bulletin, Doc. No. 21-646

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Disproportionate Share Payments and Supplemental Hospital Payments to Qualifying Hospitals

[51 Pa.B. 2360]
[Saturday, April 24, 2021]

 The Department of Human Services (Department) is announcing its intent to allocate funds in Fiscal Year 2020-2021 for a class of inpatient Disproportionate Share payments and a class of inpatient 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 are described in the Commonwealth's Medicaid State Plan.

 All payment limitations are applicable, including those limitations that the Commonwealth may not exceed its aggregate annual Disproportionate Share Hospital (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 $1.658 million in total funds for DSH payments to enrolled acute care general hospitals that provide a high volume of services to MA and low-income populations upon approval by the Centers for Medicare & Medicaid Services (CMS).

 The Department intends to allocate $5.168 million in total funds for 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 upon approval by CMS.

Public Comment

 Interested persons are invited to submit written comments regarding this notice to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. The Department will review and consider comments received within 30 days in determining the final payment methodology for these payments.

 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-1433. (1) General Fund; (2) Implementing Year 2020-21 is $1,929,000; (3) 1st Succeeding Year 2021-22 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$344,107,000; 2018-19 Program—$342,544,000; 2017-18 Program—$477,690,000; (7) MA—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 21-646. Filed for public inspection April 23, 2021, 9:00 a.m.]


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