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PA Bulletin, Doc. No. 10-2283


Changes to an Additional Class of Disproportionate Share Payments

[40 Pa.B. 6846]
[Saturday, November 27, 2010]

 The Department of Public Welfare (Department) is providing final notice of an increase to the allocation of funding for Fiscal Year (FY) 2009-2010 for disproportionate share hospital (DSH) payments to certain qualifying Medical Assistance enrolled hospitals that advance the Department's goal of enhancing access to multiple types of medical care in economically distressed areas of this Commonwealth. There is no change in the current qualifying criteria or methodology for determining eligibility for these payments.

 In making these payments, the Department ensures that no acute care general hospital receives any DSH payment that is in excess of its hospital specific DSH upper payment limit and the Commonwealth does not exceed its aggregate annual DSH allotment.

 The Department published notice of its intent to increase the allocation of funding for DSH payments to certain qualifying Medical Assistance (MA) enrolled hospitals at 40 Pa.B. 2359 (May 1, 2010). The Department received no public comments during the 30-day comment period, and will implement the change described in its notice of intent.

Fiscal Impact

 The FY 2009-2010 fiscal impact, as a result of this increase in the allocation for the additional class of DSH payments is $21.491 million ($9.712 million in State funds).

Acting Secretary

Fiscal Note: 14-NOT-668. (1) General Fund; (2) Implementing Year 2009-10 is $9,712,000; (3) 1st Succeeding Year 2010-11 is $0; 2nd Succeeding Year 2011-12 is $0; 3rd Succeeding Year 2012-13 is $0; 4th Succeeding Year 2013-14 is $0; 5th Succeeding Year 2014-15 is $0; (4) 2009-10 Program—$373,515,000; 2008-09 Program—$426,822,000; 2007-08 Program—$468,589,000; (7) MA—Inpatient; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 10-2283. Filed for public inspection November 24, 2010, 9:00 a.m.]

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