pa-56-24-842: Disproportionate share payments and supplemental payments to qualifying hospitals

Summary

The Department of Human Services (Department) is providing final notice of its funding allocation for Fiscal Year (FY) 2025-2026 for several classes of inpatient disproportionate share hospital, inpatient supplemental and outpatient supplemental payments to Medical Assistance (MA) enrolled, qualifying inpatient acute care general hospitals. The Department is not otherwise changing the qualifying criteria for these payments. The Department published notice of its intent to allocate funding for these payments at 55 Pa.B. 8826 (December 27, 2025) and received one comment during the 30-day comment period. The commenter encouraged the Department to explore alternative opportunities to invest in general medical education by supporting teaching health centers. The Department recognizes the importance of the centers that train practitioners who provide essential services, especially during a time where workforce shortages are a challenge. The Department is committed to consider all alternatives for funding, while operating a fiscally responsible program for the Commonwealth. There were changes to some of the payments that appeared in the notice of intent. The Department will implement the other payments as set forth in the notice of intent. Updates to Methodology The Department amended the payment methodology for supplemental payments to qualifying acute care general hospitals that provide inpatient services to MA beneficiaries. These amendments did appear on the Medicaid State...

The agency’s own summary, as published.