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PA Bulletin, Doc. No. 19-123



Disproportionate Share and Supplemental Hospital Payments

[49 Pa.B. 424]
[Saturday, January 26, 2019]

 The Department of Human Services (Department) is providing final notice of its funding allocation for inpatient disproportionate share hospital (DSH) payments to qualifying inpatient acute care general, psychiatric and rehabilitation hospitals and qualifying psychiatric and rehabilitation units of acute care general hospitals, outpatient supplemental payments to qualifying inpatient acute care general hospitals, direct medical education payments to qualifying inpatient acute care general hospitals and certain DSH and supplemental payments to new hospitals for Fiscal Year (FY) 2018-2019. The Department is also providing final notice of modifications to the eligibility criteria, payment methodology and funding allocation for new and existing hospitals that receive the Medical Assistance Dependency supplemental payment.

 The Department published notice of its intent to allocate funding for these payments at 48 Pa.B. 5926 (September 22, 2018). The Department received no public comments during the 30-day comment period and will implement the changes as described in its notice of intent.

Fiscal Impact

 The FY 2018-2019 impact, as a result of the funding allocation for these payments, is $296.190 million ($141.431 million in State general funds and $154.759 million in Federal funds).


Fiscal Note: 14-NOT-1306. (1) General Fund; (2) Implementing Year 2018-19 is $141,131,000; (3) 1st Succeeding Year 2019-20 through 5th Succeeding Year 2023-24 are $0; (4) 2017-18 Program—$477,690,000; 2016-17 Program—$450,970,000; 2015-16 Program—$392,918,000; (7) Medical Assistance—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 19-123. Filed for public inspection January 25, 2019, 9:00 a.m.]

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