pa-56-24-844: Supplemental payments to qualifying hospitals

Summary

The Department of Human Services (Department) is announcing its intent to establish a new class of supplemental payments for Fiscal Year (FY) 2025-2026 to distribute funds to qualifying acute care general hospitals enrolled in the Medical Assistance (MA) Program that are impacted by the closure of a hospital in a county that declared an emergency due to hospital closures. Qualifying Criteria A hospital is eligible for this additional class of supplemental payments if the hospital meets all of the following criteria: a) The hospital is enrolled in Pennsylvania's (PA) MA Program as an acute care general hospital, licensed by the PA Department of Health. b) The hospital is located in a county of the second class A that declared an emergency due to hospital closures during FY 2024-2025. c) The hospital is located within 15 miles of a hospital that closed during FY 2024-2025. d) Fewer than five acute care general hospitals are enrolled in PA's MA Program in that county. Payment Methodology Payments will be divided among qualifying hospitals as follows: (a) Two-thirds shall be distributed to an eligible hospital located in a township of the second class, in the same county as the closed hospital. (b) One-third shall be distributed to an eligible hospital located in contiguous boroughs in the same county as the closed hospital. Supplemental payments are subject to the regulations at 42 CFR 447.272 (relating to inpatient services: application of upper payment limits) and the...

The agency’s own summary, as published.