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PA Bulletin, Doc. No. 16-1876


Additional Disproportionate Share Hospital Payment

[46 Pa.B. 6938]
[Saturday, October 29, 2016]

 The Department of Human Services (Department) is providing final notice of its allocation and the increase to this funding allocation for Fiscal Year (FY) 2015-2016 disproportionate share hospital (DSH) payments to qualifying Medical Assistance enrolled acute care general hospitals that advance the Department's goal of enhancing access to multiple types of medical care in economically distressed areas of this Commonwealth. The Department is not otherwise changing the qualifying criteria or payment methodology for these payments.

 The Department initially published notice of its intent to allocate funding for these payments at 46 Pa.B. 1290 (March 5, 2016), and then published notice of its intent to increase funding for these DSH payments at 46 Pa.B. 3347 (June 25, 2016). The Department received no public comments during either 30-day comment period and will implement the changes as described in the notices.

Fiscal Impact

 The total impact as a result of the allocation for the DSH payments for these qualifying hospitals is $37.237 million ($17.870 million in State general funds and $19.367 million in Federal funds). Of this amount, $15.237 million ($7.312 million in State funds and $7.925 million in Federal funds) will be paid out of FY 2015-2016. The increase of $22.000 million ($10.558 million in State funds and $11.442 million in Federal funds) will be paid out of FY 2016-2017.


Fiscal Note: 14-NOT-1064. (1) General Fund; (2) Implementing Year 2015-16 is $7,312,000; (3) 1st Succeeding Year 2016-17 is $10,558,000; 2nd Succeeding Year 2017-18 through 5th Succeeding Year 2020-21 are $0; (4) 2014-15 Program—$564,772,000; 2013-14 Program—$428,041,000; 2012-13 Program—$718,947,000; (7) Medical Assistance—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 16-1876. Filed for public inspection October 28, 2016, 9:00 a.m.]

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