Disproportionate Share Payments to Qualifying Hospitals

[49 Pa.B. 2413]
[Saturday, May 11, 2019]

 The Department of Human Services (Department) is providing final notice of its funding allocation, qualifying criteria and payment methodology changes for Fiscal Year (FY) 2018-2019 disproportionate share hospital payments to certain Medical Assistance (MA) acute care general hospitals which, in partnership with an independent facility listed as a Cleft and Craniofacial Team by the American Cleft Palate-Craniofacial Association, provide surgical services to patients with cleft palate and craniofacial abnormalities. These payments are intended to promote access to inpatient hospital services for MA eligible and uninsured persons in this Commonwealth with cleft palate and craniofacial abnormalities.

 The Department published notice of its intent to allocate funding for these payments and update the qualifying criteria and payment methodology for these payments at 48 Pa.B. 7463 (December 1, 2018). The Department received no comments during the 30-day comment period and will implement the changes as described in the notice of intent.

Fiscal Impact

 The FY 2018-2019 impact, as a result of the funding allocation for these payments, is $0.524 million ($0.250 million in State general funds and $0.274 million in Federal funds).


Fiscal Note: 14-NOT-1327. (1) General Fund; (2) Implementing Year 2018-19 is $250,000; (3) 1st Succeeding Year 2019-20 through 5th Succeeding Year 2023-24 are $0; (4) 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. 19-711. Filed for public inspection May 10, 2019, 9:00 a.m.]

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