pa-56-24-839: Changes to supplemental payments to qualifying hospitals

Summary

The Department of Human Services (Department) is announcing its intent to distribute funds for Fiscal Year (FY) 2025-2026 to a certain class of supplemental payments to qualifying Medical Assistance (MA) enrolled acute care general hospitals that provide a high volume of services to MA eligible and low-income populations in nonrural medically underserved areas according to the Health Resources and Services Administration as of March 8, 2022. These payments will enable the continuation of quality medical services in these areas. The Department is amending the qualifying criteria for these payments as noted as follows but is not otherwise changing the remaining qualifying criteria or payment methodology for these payments. Qualifying Criteria A hospital is eligible for this additional class of supplemental payments if the hospital meets all the following criteria. Unless otherwise stated, the source of the information is the FY 2018-2019 MA-336 Hospital Cost Report, available to the Department on June 22, 2021. c) The hospital's main campus is located in a city of the third class with a population between 14,000 and 15,000 according to the 2020 Federal decennial census. d) The hospital's main campus is located in a county of the third class with a population between 350,000 and 360,000 under the 2020 Federal decennial census. Fiscal Impact For FY 2025-2026, the Department will distribute $4.587 million in total funds (Federal and State) for these supplemental payments upon...

The agency’s own summary, as published.