242 Additional class of disproportionate share payments  

  • Additional Class of Disproportionate Share Payments

    [45 Pa.B. 732]
    [Saturday, February 7, 2015]

     The Department of Human Services (Department) is announcing its intent to allocate funding in Fiscal Year (FY) 2014-2015 for disproportionate share hospital (DSH) payments to certain Medical Assistance (MA) acute care general hospitals (hospital) which, 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. The Department does not plan to implement any other change to the qualifying criteria or payment methodology for this payment. This payment is intended to promote access to inpatient hospital services for MA eligible and uninsured persons in this Commonwealth with cleft palate and craniofacial abnormalities.

     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 FY 2014-2015 impact, as a result of the funding allocation for these payments is $0.311 million ($0.150 million in State general funds and $0.161 million in Federal funds upon approval by the Centers for Medicare and Medicaid Services).

    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 consider all comments received within 30 days of this notice.

     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).

    BEVERLY D. MACKERETH, 
    Secretary

    Fiscal Note: 14-NOT-934. (1) General Fund; (2) Implementing Year 2014-15 is $150,000; (3) 1st Succeeding Year 2015-16 through 5th Succeeding Year 2019-20 are $0; (4) 2013-14 Program—$163,862,000; 2012-13 Program—$268,112,000; 2011-12 Program—$325,685,000; (7) MA—Inpatient; (8) recommends adoption. Funds have been included in the budget to cover this increase.

    [Pa.B. Doc. No. 15-242. Filed for public inspection February 6, 2015, 9:00 a.m.]

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