Additional Class of Disproportionate Share Hospital Payments [46 Pa.B. 1958]
[Saturday, April 16, 2016]The Department of Human Services (Department) is announcing its intent to allocate funding in Fiscal Year (FY) 2015-2016 for a class of disproportionate share hospital (DSH) payments made to qualifying Medical Assistance (MA) enrolled acute care general hospitals. These payments are intended to promote access to medically necessary inpatient services for MA eligible persons. The Department is not otherwise changing its approved 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 FY 2015-2016 impact as a result of the funding allocation for these payments is $0.726 million ($0.348 million in State general funds and $0.378 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 review and consider all comments received within 30 days in determining the final payment methodology for the additional class of DSH payment.
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).
THEODORE DALLAS,
SecretaryFiscal Note: 14-NOT-1011. (1) General Fund; (2) Imple-menting Year 2015-16 is $348,000; (3) 1st Succeeding Year 2016-17 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) MA—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 16-659. Filed for public inspection April 15, 2016, 9:00 a.m.]
