1654 Disproportionate share and supplemental hospital payments

DEPARTMENT OF
HUMAN SERVICES

Disproportionate Share and Supplemental Hospital Payments

[46 Pa.B. 6086]
[Saturday, September 24, 2016]

 The Department of Human Services (Department) is announcing its intent to allocate $253.520 million ($123.693 million in State general funds) for 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 and direct medical education payments to qualifying inpatient acute care general hospitals for Fiscal Year (FY) 2016-2017. The Department also intends to allocate an annualized amount of $2.365 million ($1.141 million in State general funds) in FY 2016-2017 for certain DSH and supplemental payments to new hospitals. 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 2016-2017 impact as a result of the funding allocation for these payments is $258.885 million ($124.834 million in State general funds) upon approval by the Centers for Medicare & 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. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice.

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at [phone] (TDD users) or [phone] (voice users).

THEODORE DALLAS, 
Secretary

 Fiscal Note: 14-NOT-1057. (1) General Fund; (2) Implementing Year 2016-17 is $124,834,000; (3) 1st Succeeding Year 2017-18 through 5th Succeeding Year 2021-22 are $0; (4) 2015-16 Program—$392,918,000; 2014-15 Program—$564,772,000; 2013-14 Program—$428,041,000; (7) Medical Assistance—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 16-1654. Filed for public inspection September 23, 2016, 9:00 a.m.]