NOTICES
DEPARTMENT OF
HUMAN SERVICES
Payment for Nursing Facility Services Provided by Nonprofit Nursing Facilities Located in a City of the Second Class A in a County of the Third Class; Nonprofit Nursing Facility Supplementation Payment for Fiscal Year 2024-2025
[54 Pa.B. 6675]
[Saturday, October 19, 2024]This announcement provides advance notice that the Department of Human Services (Department) intends to make an additional payment to certain nonprofit nursingfacilities in a city of the second class A in a county of the third class in Fiscal Year (FY) 2024-2025 to ensure access to necessary nursing care in that county.
Proposed Payment
The Department intends to make a nonprofit nursing facility supplementation payment to each qualified nonprofit nursing facility. To qualify, a nonprofit nursing facility must be located in a city of the second class A in a county of the third class and have a Medicaid acuity of 1.11 as of February 1, 2023. The Medicaid acuity will be determined using the Case Mix Index Report for the February 1, 2023, picture date in accordance with 55 Pa. Code § 1187.33 (relating to resident data and picture date reporting requirements).
The Department will calculate the payment to qualifying facilities by multiplying the supplementation per diem by the number of paid Medical Assistance (MA) facility and therapeutic leave days for the prior fiscal year. The supplementation per diem will be calculated by dividing the total funds available by the total number of paid MA facility and therapeutic leave days for the prior fiscal year for qualifying facilities.
The Department will submit a State Plan Amendment (SPA) to the Centers for Medicare & Medicaid Services (CMS). If CMS approves the SPA, the total funds will consist of both Federal and State funding. The Department will use its best efforts to process this supplementation payment within 30 days of the date it receives notice from CMS.
Fiscal Impact
This change will result in an estimated total cost of $3.34 million ($1.50 million in State funds) for FY 2024-2025.
Public Comment
Interested persons are invited to submit written comments regarding the nonpublic nursing facility supplementation payment to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@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,
SecretaryFiscal Note: 14-NOT-1659. Under section 612 of The Administrative Code of 1929 (71 P.S. § 232), (1) General Fund; (2) Implementing Year 2024-25 is $1,500,000; (3) 1st Succeeding Year 2025-26 through 5th Succeeding Year 2029-30 are $0; (4) 2023-24 Program—$5,282,000,000; 2022-23 Program—$4,460,000,000; 2021-22 Program—$4,252,000,000; (7) Community HealthChoices; (8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 24-1503. Filed for public inspection October 18, 2024, 9:00 a.m.]
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