Disproportionate Share Hospital Payments [45 Pa.B. 4316]
[Saturday, August 1, 2015]The Department of Human Services (Department) is providing final notice of its funding allocations for several classes of disproportionate share hospital (DSH) payments made to qualifying Medical Assistance (MA) enrolled acute care general hospitals.
Background
The Department is allocating funding for certain classes of DSH payments to qualifying acute care general hospitals for Fiscal Year (FY) 2014-2015. Specifically, these classes of DSH payments and the final funding amounts are as follows:
Class of DSH payment recipient Total amount
allocated, in
millions of
dollarsState general
funds allotted,
in millions of
dollarsFederal funds
allocated, in
millions of
dollarsCritical access and rural hospitals $14.687 $7.076 $7.611 Hospitals for obstetrical and neonatal health care services $13.867 $6.681 $7.186 Trauma hospitals $17.966 $8.656 $9.310 Hospital burn centers $7.850 $3.782 $4.068 Hospitals providing a high volume of services to MA and low-income populations $1.645 $0.792 $0.853 Academic medical centers $23.518 $11.331 $12.187 Hospitals which participate in an academic medical program $4.151 $2.000 $2.151 Hospitals that provide enhanced access to multiple types of medical care in economically distressed areas $43.776 $21.091 $22.685
As proposed in its intent notice, the Department's funding allocations for all listed DSH payments other than that for critical access and rural hospitals remain at the same levels as the allocations for FY 2013-2014. In its notice of intent, the Department announced its intent to increase the funding allocation for its DSH payments to critical access and rural hospitals from the FY 2013-2014 allocation to $14.418 million. Since publication of the notice, the Department has identified additional available funding and will now allocate $14.687 million for this DSH payment. For all DSH payments encompassed within this notice, the Department is not changing its approved State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
The Department published notice of its intent to allocate funding for hospitals that provide enhanced access to multiple types of medical care in economically distressed areas at 45 Pa.B. 922 (February 21, 2015). The Department published notice of its intent to allocate funding for all other listed DSH payments at 44 Pa.B. 6637 (October 11, 2014). The Department received no public comments during the 30-day comment periods. Except as described for the critical access and rural hospital DSH payments, the Department will implement the changes as described in its notices of intent.
Fiscal Impact
The FY 2014-2015 fiscal impact as a result of these payments is $127.460 million ($61.409 million in State general funds and $66.051 million in Federal funds).
THEODORE DALLAS,
SecretaryFiscal Note: 14-NOT-968. (1) General Fund;
(7) MA—Critical Access Hospitals; (2) Implementing Year 2014-15 is $7,076,000; (3) 1st Succeeding Year 2015-16 through 5th Succeeding Year 2019-20 are $0; (4) 2013-14 Program—$6,776,000; 2012-13 Program—$4,076,000; 2011-12 Program—$3,218,000;
(7) MA—Obstetric and Neonatal Services; (2) Implementing Year 2014-15 is $6,681,000; (3) 1st Succeeding Year 2015-16 through 5th Succeeding Year 2019-20 are $0; (4) 2013-14 Program—$6,681,000; 2012-13 Program—$3,681,000; 2011-12 Program—$3,313,000;
(7) Trauma Centers; (2) Implementing Year 2014-15 is $8,656,000; (3) 1st Succeeding Year 2015-16 through 5th Succeeding Year 2019-20 are $0; (4) 2013-14 Program—$8,656,000; 2012-13 Program—$8,656,000; 2011-12 Program—$7,790,000;
(7) Hospital-Based Burn Centers; (2) Implementing Year 2014-15 is $3,782,000; (3) 1st Succeeding Year 2015-16 through 5th Succeeding Year 2019-20 are $0; (4) 2013-14 Program—$3,782,000; 2012-13 Program—$3,782,000; 2011-12 Program—$3,404,000;
(7) MA—Academic Medical Centers; (2) Implementing Year 2014-15 is $13,331,000; (3) 1st Succeeding Year 2015-16 through 5th Succeeding Year 2019-20 are $0; (4) 2013-14 Program—$16,831,000; 2012-13 Program—$12,618,000; 2011-12 Program—$12,618,000;
(7) MA—Inpatient; (2) Implementing Year 2014-15 is $21,883,000; (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;
(8) recommends adoption. Funds have been included in the budget to cover this increase.
This notice has a cost and it is budgeted.
[Pa.B. Doc. No. 15-1436. Filed for public inspection July 31, 2015, 9:00 a.m.]
