Department of Human Services Disproportionate Share and Supplemental Hospital Payments (request for public comment)

The Department of Human Services (Department) is announcing its intent to allocate funds for Fiscal Year (FY) 2026-2027 inpatient disproportionate share hospital (DSH) payments to qualifying inpatient acute care general, psychiatric and rehabilitation hospitals and qualifying psychiatric and rehabilitation units of acute care general hospitals, outpatient supplemental payments to qualifying inpatient acute care general hospitals, direct medical education payments to qualifying inpatient acute care general hospitals and certain DSH and supplemental payments to new hospitals.

The Department is not otherwise changing the Medicaid State Plan provisions addressing the qualifying criteria or payment methodology for these payments. Payment limitations are applicable, including those limitations that the Commonwealth may not exceed its aggregate annual DSH allotment, and that no hospital may receive DSH payments in excess of its hospital-specific limit.

Public Comment

Interested persons are invited to submit written comments regarding these DSH and supplemental payments to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, P.O. Box 2675, Harrisburg, PA 17120, RA-PWMAProgComments@pa.gov. The Department will review and consider comments received within 30 days in determining the final payment methodology for these payments.

This notice can be found in the September 26, 2026, edition of the Pennsylvania Bulletin.