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PA Bulletin, Doc. No. 17-1097


New Class of Disproportionate Share Hospital Payments

[47 Pa.B. 3661]
[Saturday, July 1, 2017]

 The Department of Human Services (Department) is providing final notice of its establishment of a new class of disproportionate share hospital (DSH) 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 also is providing final notice of its Fiscal Year (FY) 2016-2017 funding allocation for this additional class of DSH payments.

 The Department published notice of its intent to establish this new class of DSH payments and to allocate funding for these payments at 47 Pa.B. 916 (February 11, 2017). The Department received no comments during the 30-day comment period and will implement the qualifying criteria and payment methodology for these payments as described in its notice of intent.

Fiscal Impact

 The FY 2016-2017 impact, as a result of the funding allocation for these payments, is $1.244 million ($0.600 million in State general funds and $0.644 million in Federal funds).


Fiscal Note: 14-NOT-1162. (1) General Fund; (2) Implementing Year 2016-17 is $600,000; (3) 1st Succeeding Year 2017-18 through 5th Succeeding Year 2021-22 are $0; (4) 2015-16 Program—$392,918,000; 2014-15 Program—$564,772,000; 2013-14 Program—$428,041,000; (7) MA—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 17-1097. Filed for public inspection June 30, 2017, 9:00 a.m.]

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