Disproportionate Share Payments to Qualifying Hospitals

[49 Pa.B. 3022]
[Saturday, June 8, 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 made to qualifying Medical Assistance (MA) enrolled acute care general hospitals which provide a high volume of inpatient services to MA eligible and low-income populations. These payments are intended to promote access to medically necessary inpatient services for MA eligible and low-income persons. 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. 7715 (December 15, 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 funding allocation for these payments, is $0.730 million ($0.349 million in State general funds and $0.381 million in Federal funds).


Fiscal Note: 14-NOT-1333. (1) General Fund; (2) Implementing Year 2018-19 is $349,000; (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. 19-869. Filed for public inspection June 7, 2019, 9:00 a.m.]

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