Department of Human Services Notice

pa-56-24-845: Supplemental payments to qualifying hospitals

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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 Medical Assistance (MA) enrolled acute care general hospitals to improve access to readily available and coordinated trauma and burn care for MA eligible persons in this Commonwealth and to support the availability of health care professionals trained in these services to the MA population. Qualifying Criteria A hospital is eligible for this additional class of supplemental payments if the hospital meets all 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 city of the second class in a county of the second class. c) The hospital operates a level 1 trauma center, a comprehensive burn center and a nursing school. Payment Methodology Payments will be divided proportionally among qualifying hospitals based on the percentage of each qualifying hospital's fee-for-service (FFS) PA MA inpatient acute care days to the total FFS PA MA inpatient acute care days for all qualifying hospitals. The source of the information for FFS MA inpatient acute care days is the FY 2018-2019 MA-336 Hospital Cost Report available to the Department as of February 13, 2026. Fiscal Impact For FY 2025-2026, the Department will distribute $4.587 million in total funds (Federal and...

The agency’s own summary, as published.

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