Change to Disproportionate Share Payments for Access to Care

[47 Pa.B. 3297]
[Saturday, June 10, 2017]

 The Department of Human Services (Department) is announcing its intent to increase the funding for the Fiscal Year (FY) 2016-2017 disproportionate share hospital (DSH) payments made to qualifying acute care general hospitals that provide enhanced access to multiple types of medical care in economically distressed areas. The Department does not intend to otherwise change 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 total FY 2016-2017 impact as a result of this increase in the allocation for the DSH payments for these qualifying hospitals is $63.051 million ($30.403 million in State general funds and $32.648 million in Federal funds) upon approval by the Centers for Medicare & Medicaid Services.

Public Comment

 Interested persons are invited to submit written comments regarding these payments 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 comments received within 30 days in determining the final payment methodology for these payments.

 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).


Fiscal Note: 14-NOT-1152. (1) General Fund; (2) Implementing Year 2016-17 is $30,403,000; (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. 17-966. Filed for public inspection June 9, 2017, 9:00 a.m.]

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