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PA Bulletin, Doc. No. 23-1295



Disproportionate Share and Supplemental Hospital Payments

[53 Pa.B. 6011]
[Saturday, September 23, 2023]

 The Department of Human Services (Department) is announcing its intent to allocate $258.220 million for Fiscal Year (FY) 2023-2024 inpatient disproportionate share hospital (DSH) payments to qualifying inpatient acute care general, psychiatric and rehabilitation hospitals and qualifying psychiatric and rehabilitation units of acute care general hospitals, outpatient supplemental payments to qualifying inpatient acute care general hospitals, direct medical education payments to qualifying inpatient acute care general hospitals and certain DSH and supplemental payments to new hospitals.

 The Department is not otherwise changing the State Plan provisions addressing the qualifying criteria or payment methodology for these payments. 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.

Fiscal Impact

 The FY 2023-2024 fiscal impact is expected to be $258.220 million in total funds for the full 12 months, upon approval by the Centers for Medicare & Medicaid Services. The amount of the fiscal impact is, however, dependent upon the reauthorization of the Statewide Quality Care Assessment.

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, P.O. Box 2675, Harrisburg, PA 17120 or to Comments received within 30 days will be reviewed and considered 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).


Fiscal Note: 14-NOT-1590. Under section 612 of The Administrative Code of 1929 (71 P.S. § 232), (1) General Fund; (2) Implementing Year 2023-24 is $106,846,000; (3) 1st Succeeding Year 2024-25 through 5th Succeeding Year 2028-29 are $0; (4) 2022-23 Program—$589,137,000; 2021-22 Program—$644,059,000; 2020-21 Program—$808,350,000; (7) Medical Assistance—Fee-for-Service; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 23-1295. Filed for public inspection September 22, 2023, 9:00 a.m.]

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