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PA Bulletin, Doc. No. 19-335



Supplemental Payments to Qualifying Hospitals with High Medical Assistance Graduate Medical Education and Changes to Disproportionate Share and Supplemental Payment Reconciliation Process

[49 Pa.B. 1079]
[Saturday, March 9, 2019]

 The Department of Human Services (Department) is providing final notice of its establishment of High Medical Assistance (MA) Graduate Medical Education (GME) supplemental payment for qualifying hospitals that the Department has determined provide a high volume of services to MA beneficiaries. The Department also is providing final notice of its modification of the payment reconciliation process used for certain MA hospital payments.

 The Department published notice of its intent to establish this new supplemental payment and modify the payment reconciliation process at 48 Pa.B. 5928 (September 22, 2018). The Department received no comments during the 30-day comment period and will implement the qualifying criteria, payment methodology and modifications as described in its notice of intent.

Fiscal Impact

 Beginning with Fiscal Year 2018-2019, the Department will allocate an annualized amount of $23.669 million for high MA GME payments adjusted to reflect the reconciliation factor described in Part VI of the Pennsylvania State Plan.


Fiscal Note: 14-NOT-1311. (1) General Fund; (2) Implementing Year 2018-19 is $11,302,000; (3) 1st Succeeding Year 2019-20 through 5th Succeeding Year 2023-24 are $11,302,000; (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. 19-335. Filed for public inspection March 8, 2019, 9:00 a.m.]

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