Pennsylvania Code & Bulletin

• No statutes or acts will be found at this website.

The Pennsylvania Bulletin website includes the following: Rulemakings by State agencies; Proposed Rulemakings by State agencies; State agency notices; the Governor’s Proclamations and Executive Orders; Actions by the General Assembly; and Statewide and local court rules.

PA Bulletin, Doc. No. 22-797



Supplemental Payments to Qualifying Hospitals

[52 Pa.B. 3179]
[Saturday, May 28, 2022]

 The Department of Human Services (Department) is announcing its intent to allocate funds in Fiscal Year (FY) 2021-2022 to establish a new class of supplemental payments to promote the continuation of quality medical services to individuals enrolled in the Pennsylvania (PA) Medical Assistance (MA) Program and provide financial relief to hospitals during the novel coronavirus (COVID-19) pandemic.

Qualifying Criteria

 Acute care general, medical rehabilitation, and drug and alcohol rehabilitation hospitals enrolled in the PA MA Program that have submitted a FY 2016-2017 MA-336 Hospital Cost Report available to the Department as of October 29, 2019, are eligible for these payments.

Payment Methodology

 Payments will be divided proportionately among qualifying hospitals based on each qualifying hospital's day ratio multiplied by the total annualized amount of funding available for these payments. For purposes of these payments, each hospital's day ratio is as follows: the numerator is the hospital's PA MA fee-for-service (FFS) acute care inpatient days plus the hospital's PA MA FFS rehabilitation days (medical and drug and alcohol), and the denominator is the total PA MA FFS acute care inpatient days plus the total PA MA FFS rehabilitation days (medical and drug and alcohol) of all qualifying hospitals.

Fiscal Impact

 For FY 2021-2022, the Department will allocate an annualized amount of $70 million in total funds (State and Federal) for these supplemental payments 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 Hamilton Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

Acting Secretary

Fiscal Note: 14-NOT-1514. (1) General Fund; (2) Implementing Year 2021-22 is $0; (3) 1st Succeeding Year 2022-23 is $28,784,000; 2nd Succeeding Year 2023-24 through 5th Succeeding Year 2026-27 are $0; (4) 2020-21 Program—$808,350,000; 2019-20 Program—$344,107,000; 2018-19 Program—$342,544,000; (7) MA—FFS; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 22-797. Filed for public inspection May 27, 2022, 9:00 a.m.]

No part of the information on this site may be reproduced for profit or sold for profit.

This material has been drawn directly from the official Pennsylvania Bulletin full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.