Additional Disproportionate Share Hospital Payment
[46 Pa.B. 2740]
[Saturday, May 28, 2016]
The Department of Human Services (Department) is announcing its intent to allocate funds in Fiscal Year (FY) 2015-2016 for disproportionate share hospital (DSH) 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. This payment is 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 is not otherwise changing its State Plan provisions addressing the qualifying criteria or payment methodology for these payments.
All payment limitations are applicable, including those limitations that the Commonwealth may not exceed its aggregate annual DSH allotment, and that no hospital may receive DSH payments in excess of its hospital-specific limit.
The FY 2015-2016 impact as a result of the funding allocation for these payments is $0.313 million ($0.150 million in State general funds and $0.163 million in Federal funds) upon approval by the Centers for Medicare and Medicaid Services.
Interested persons are invited to submit written comments regarding this notice to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. The Department will review and consider comments received within 30 days in determining the final payment methodology for these DSH payments.
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).
Fiscal Note: 14-NOT-1024. (1) General Fund; (2) Implementing Year 2015-16 is $150,000; (3) 1st Succeeding Year 2016-17 through 5th Succeeding Year 2020-21 are $0; (4) 2014-15 Program—$564,772,000; 2013-14 Program—$428,041,000; 2012-13 Program—$718,947,000; (7) MA—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 16-924. Filed for public inspection May 27, 2016, 9:00 a.m.]
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