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PA Bulletin, Doc. No. 06-1774



Supplemental Payments to Certain Academic Medical Centers

[36 Pa.B. 5746]
[Saturday, September 9, 2006]

   The purpose of this notice is to provide notice of the Department of Public Welfare's (Department) intent to revise its payment method for a class of Disproportionate Share (DSH) payments made to qualifying academic medical centers.

   On an annual basis, as authorized by the General Assembly through the budget process, the Department proposes to apply an inflationary increase to the payment rate and to the total amount of funds available for DSH payments to certain academic medical centers, provided that the Centers for Medicare and Medicaid Services approves the Medicaid State Plan Amendment for this change. This proposed annual inflationary factor will not exceed 6.5%. For the current fiscal year, the proposed annualized inflationary increase will be 3%. There will be no change in the current qualifying criteria or methodology for determining eligibility for these payments.

Fiscal Impact

   For Fiscal Year 2006-2007, the fiscal impact as a result of this 3% increase for this additional class of disproportionate share payments will be $1.365 million in total funds ($0.708 million in State funds).

Public Comment

   Interested persons are invited to submit written comments regarding this notice at the Department of Public Welfare, Office of Medical Assistance Programs, c/o Deputy Secretary's Office, Attn: Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. 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 AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).


   Fiscal Note: 14-NOT-485. (1) General Fund; (2) Implementing Year 2006-07 is $708,000; (3) 1st Succeeding Year 2007-08 is $708,000; 2nd Succeeding Year 2008-09 is $708,000; 3rd Succeeding Year 2009-10 is $708,000; 4th Succeeding Year 2010-11 is $708,000; 5th Succeeding Year 2011-12 is $708,000; (4) 2005-06 Program--$20,591,000; 2004-05 Program--$0; 2003-04 Program--$0; (7) Medical Assistance--Academic Medical Centers; (8) recommends adoption. Funds have been included in the current budget to cover this increase.

[Pa.B. Doc. No. 06-1774. Filed for public inspection September 8, 2006, 9:00 a.m.]

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