NOTICES
DEPARTMENT OF
HUMAN SERVICES
Disproportionate Share Payments and Supplemental Payments to Qualifying Hospitals
[54 Pa.B. 2428]
[Saturday, May 4, 2024]The Department of Human Services (Department) is providing final notice of its funding allocation for Fiscal Year (FY) 2023-2024 for several classes of inpatient disproportionate share hospital and supplemental payments to Medical Assistance (MA) enrolled, qualifying inpatient acute care general hospitals. The Department is not otherwise changing the qualifying criteria or payment methodology for these payments.
The Department published notice of its intent to allocate funding for these payments at 53 Pa.B. 8003 (December 23, 2023). The Department decreased the funding allocation for two payments that were announced in its notice of intent.
The allocation for supplemental payments to qualifying acute care general hospitals that provide medical and surgical ocular services to MA beneficiaries to ensure continued access to these critical eye related services was decreased to $7.846 million in total funds.
The allocation for supplemental payments to qualifying acute care general hospitals that treat a high percentage of MA patients under the age of 18 was decreased to $53.489 million in total funds.
The Department is not allocating funds for funds for supplemental payments to qualifying acute care general hospitals that provide a high volume of services to MA eligible and low-income populations in non-rural medically underserved areas.
The Department will implement the other payments as set forth in the notice of intent.
The Department received no comments during the 30-day comment period.
Fiscal Impact
The FY 2023-2024 impact, as a result of the funding allocation for these payments, is $450.493 million in total funds.
VALERIE A. ARKOOSH,
SecretaryFiscal Note: 14-NOT-1627. Under section 612 of The Administrative Code of 1929 (71 P.S. § 232), (1) General Fund;
(7) MA—Fee-for-Service; (2) Implementing Year 2023-24 is $111,364,000; (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) MA—Academic Medical Centers; (2) Implementing Year 2023-24 is $24,681,000; (3) 1st Succeeding Year 2024-25 through 5th Succeeding Year 2028-29 are $0; (4) 2022-23 Program—$22,111,000; 2021-22 Program—$21,448,000; 2020-21 Program—$21,749,000;
(7) MA—Physician Practice Plans; (2) Implementing Year 2023-24 is $3,500,000; (3) 1st Succeeding Year 2024-25 through 5th Succeeding Year 2028-29 are $0; (4) 2022-23 Program—$9,706,000; 2021-22 Program—$9,613,000; 2020-21 Program—$9,618,000;
(7) MA—Autism Intervention; (2) Implementing Year 2023-24 is $600,000; (3) 1st Succeeding Year 2024-25 through 5th Succeeding Year 2028-29 are $0; (4) 2022-23 Program—$27,610,000; 2021-22 Program—$27,493,000; 2020-21 Program—$27,262,000;
(7) MA—Hospital-Based Burn Centers; (2) Implementing Year 2023-24 is $4,437,000; (3) 1st Succeeding Year 2024-25 through 5th Succeeding Year 2028-29 are $0; (4) 2022-23 Program—$3,975,000; 2021-22 Program—$3,856,000; 2020-21 Program—$3,862,000;
(7) MA—Obstetric and Neonatal Services; (2) Implementing Year 2023-24 is $3,681,000; (3) 1st Succeeding Year 2024-25 through 5th Succeeding Year 2028-29 are $0; (4) 2022-23 Program—$2,986,000; 2021-22 Program—$2,806,000; 2020-21 Program—$2,814,000;
(7) MA—Critical Access Hospitals; (2) Implementing Year 2023-24 is $14,472,000; (3) 1st Succeeding Year 2024-25 through 5th Succeeding Year 2028-29 are $0; (4) 2022-23 Program—$11,364,000; 2021-22 Program—$10,927,000; 2020-21 Program—$9,777,000;
(7) MA—Trauma Centers; (2) Implementing Year 2023-24 is $8,656,000; (3) 1st Succeeding Year 2024-25 through 5th Succeeding Year 2028-29 are $0; (4) 2022-23 Program—$7,755,000; 2021-22 Program—$7,522,000; 2020-21 Program—$7,534,000;
(8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 24-621. Filed for public inspection May 3, 2024, 9:00 a.m.]
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