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PA Bulletin, Doc. No. 20-1753



Disproportionate Share Payments to Qualifying Hospitals

[50 Pa.B. 7112]
[Saturday, December 12, 2020]

 The Department of Human Services (Department) is announcing its intent to allocate funds for Fiscal Year (FY) 2020-2021 disproportionate share hospital (DSH) payments for qualifying Medical Assistance (MA) enrolled acute care general hospitals that promote access to comprehensive inpatient services for MA eligible persons by providing an adequate supply of health care professionals who have been trained in high volume MA enrolled hospital settings. The Department does not intend to otherwise change 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 allocation of the funds for DSH payments described is contingent on the availability of Federal financial participation for these payments.

Fiscal Impact

 The FY 2020-2021 impact, as a result of the funding allocation for these payments, is $93.354 million in total funds upon approval by the Centers for Medicare & Medicaid Services.

Public Comment

 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 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-1412. (1) General Fund;

 (7) MA—Academic Medical Centers; (2) 2020-21 Implementing Year is $1,000,000; (3) 1st Succeeding Year 2021-22 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$21,092,000; 2018-19 Program—$24,681,000; 2017-18 Program—$24,681,000;

 (7) MA—Fee-for-Service; (2) 2020-21 Implementing Year is $42,123,000; (3) 1st Succeeding Year 2021-22 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$344,107,000; 2018-19 Program—$342,544,000; 2017-18 Program—$477,690,000;

 (7) MA—Physician Practice Plans; (2) 2020-21 Implementing Year is $1,500,000; (3) 1st Succeeding Year 2021-22 through 5th Succeeding Year 2025-26 are $0; (4) 2019-20 Program—$7,502,000; 2018-19 Program—$10,071,000; 2017-18 Program—$10,071,000;

 (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 20-1753. Filed for public inspection December 11, 2020, 9:00 a.m.]

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