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PA Bulletin, Doc. No. 21-134

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Disproportionate Share Payments and Supplemental Hospital Payments to Qualifying Hospitals

[51 Pa.B. 507]
[Saturday, January 23, 2021]

 The Department of Human Services (Department) is providing final notice of its funding allocation for Fiscal Year (FY) 2019-2020 for several classes of inpatient disproportionate share hospital (DSH) and supplemental payments to Medical Assistance enrolled and qualifying inpatient acute care general hospitals. The Department is not otherwise changing the qualifying criteria or payment methodology for these payments.

 The Department published notice of its intent to allocate funding for these payments at 49 Pa.B. 7541 (December 21, 2019). The Department increased the funding allocation for one payment that was announced in its notice of intent. DSH payments to acute care general hospitals that, in partnership with an independent facility listed as a Cleft and Craniofacial Team by the American Cleft Palate-Craniofacial Association, provide surgical services to patients with cleft palate and craniofacial abnormalities were increased to an allocation of $0.691 million in total funds, and this corrected funding allocation did appear on the State Plan page submitted to the Centers for Medicare & Medicaid Services and approved on February 28, 2020.

 The Department received no comments during the 30-day comment period. The Department will imple- ment the total payment set forth in the notice of intent but because of a temporary increase in the Federal Medical Assistance Percentage available under section 6008 of the Families First Coronavirus Response Act of 2020 (Pub.L. No. 116-127), the breakdown of the State and Federal share is different than what was set forth in the notice of intent.

Fiscal Impact

 The updated FY 2019-2020 impact, as a result of the funding allocation for these payments, is $131.583 million in total funds.

TERESA D. MILLER, 
Secretary

Fiscal Note: 14-NOT-1416; (1) General Fund;

 (7) Medical Assistance—Fee-for-Service; (2) Implementing Year 2019-20 is $9,990,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$342,544,000; 2017-18 Program—$477,690,000; 2016-17 Program—$450,970,000;

 (7) Medical Assistance—Critical Access Hospitals; (2) Implementing Year 2019-20 is $12,269,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$10,400,000; 2017-18 Program—$6,997,000; 2016-17 Program—$6,997,000;

 (7) Medical Assistance—Hospital-Based Burn Centers; (2) Implementing Year 2019-20 is $3,861,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$3,782,000; 2017-18 Program—$3,782,000; 2016-17 Program—$3,782,000;

 (7) Medical Assistance—Obstetric and Neonatal Services; (2) Implementing Year 2019-20 is $5,814,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$3,681,000; 2017-18 Program—$3,681,000; 2016-17 Program—$3,681,000;

 (7) Medical Assistance—Academic Medical Centers; (2) Implementing Year 2019-20 is $20,607,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$24,681,000; 2017-18 Program—$24,681,000; 2016-17 Program—$21,181,000;

 (7) Medical Assistance—Physician Practice Plans; (2) Implementing Year 2019-20 is $1,741,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$10,071,000; 2017-18 Program—$10,071,000; 2016-17 Program—$10,071,000;

 (7) Autism Intervention; (2) Implementing Year 2019-20 is $391,000; (3) 1st Succeeding Year 2020-21 through 5th Succeeding Year 2024-25 are $0; (4) 2018-19 Program—$30,842,000; 2017-18 Program—$27,669,000; 2016-17 Program—$22,496,000;

 (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 21-134. Filed for public inspection January 22, 2021, 9:00 a.m.]



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