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PA Bulletin, Doc. No. 20-1325



Disproportionate Share and Supplemental Hospital Payments

[50 Pa.B. 5328]
[Saturday, September 26, 2020]

 The Department of Human Services (Department) is announcing its intent to allocate funds for Fiscal Year (FY) 2020-2021 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.

 The Department is not otherwise changing the State Plan provisions addressing the qualifying criteria or payment methodology for these payments. All payment limitations are applicable, including those limitations that the Commonwealth may not exceed its aggregate annual DSH allotment, and that no hospital may receive DSH payments in excess of its hospital-specific limit.

Fiscal Impact

 The amount of funding available for this program is dependent upon the funds appropriated by the General Assembly for the entire FY 2020-2021 and is expected to be $258.729 million ($110.730 million in State funds and $147.999 million in Federal funds). Therefore, the fiscal impact stated in this notice is reflective of funding for the full 12 months.

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 AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).


Fiscal Note: 14-NOT-1409. (1) General Fund; (2) Implementing Year 2020-21 is $110,730,000; (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) Medical Assistance—Fee-for-Service; (8) recommends adoption. The fiscal impact reflects costs associated with the program for 12 months. Thus, funds will need to be appropriated in the final budget to cover the total estimated.

[Pa.B. Doc. No. 20-1325. Filed for public inspection September 25, 2020, 9:00 a.m.]

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