Disproportionate Share Payments to Qualifying Hospitals

[49 Pa.B. 2412]
[Saturday, May 11, 2019]

 The Department of Human Services (Department) is providing final notice of its funding allocation for Fiscal Year (FY) 2018-2019 disproportionate share hospital payments for qualifying Medical Assistance (MA) enrolled acute care general hospitals that have a low commercial-payer ratio, a negative trend in their net patient revenue and are located in an area of this Commonwealth with a disproportionate need for MA services. The payment is intended to promote continued access to care for the MA population. The Department is not otherwise changing the qualifying criteria or payment methodology for these payments.

 The Department published notice of its intent to allocate funding for these payments at 48 Pa.B. 7833 (December 22, 2018). The Department received no comments during the 30-day comment period and will implement the change as described in the notice of intent.

Fiscal Impact

 The FY 2018-2019 impact, as a result of the fund- ing allocation for these payments, is $0.628 million ($0.300 million in State general funds and $0.328 million in Federal funds).


Fiscal Note: 14-NOT-1324. (1) General Fund; (2) Implementing Year 2018-19 is $300,000; (3) 1st Succeeding Year 2019-20 through 5th Succeeding Year 2023-24 are $0; (3) 2017-18 Program—$477,690,000; 2016-17 Program—$450,970,000; 2015-16 Program—$392,918,000; (7) MA—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 19-708. Filed for public inspection May 10, 2019, 9:00 a.m.]

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