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PA Bulletin, Doc. No. 13-1136



Changes to an Additional Class of Disproportionate Share Payments

[43 Pa.B. 3436]
[Saturday, June 22, 2013]

 The purpose of this notice is to announce the Department of Public Welfare's (Department) intent to increase the funding allotted for Fiscal Year (FY) 2012-2013 for disproportionate share hospital (DSH) payments to certain qualifying Medical Assistance (MA) 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 will be no change in the qualifying criteria or payment methodology for this additional class of DSH 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 is not exceeding its aggregate annual DSH allotment.

Fiscal Impact

 The FY 2013-2014 fiscal impact as a result of this increase in the allocation for the additional class of DSH payments is $15.000 million ($6.858 million in State general funds and $8.142 million in Federal funds).

Public Comment

 Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice.

 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).

Acting Secretary

Fiscal Note: 14-NOT-834. (1) General Fund; (2) Implementing Year 2012-13 is $0; (3) 1st Succeeding Year 2013-14 is $6,858,000; 2nd Succeeding Year 2014-15 is $0; 3rd Succeeding Year 2015-16 is $0; 4th Succeeding Year 2016-17 is $0; 5th Succeeding Year 2017-18 is $0; (4) 2011-12 Program—$325,685,000; 2010-11 Program—$243,809,000; 2009-10 Program—$371,515,000; (7) MA—Inpatient; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 13-1136. Filed for public inspection June 21, 2013, 9:00 a.m.]

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