​Hospital Assessment Initiative

Act 49 of 2010 authorized the Department of Human Services (DHS) to impose a statewide hospital assessment on the net inpatient revenue of all Pennsylvania licensed acute care hospitals (with some exclusions) as of July 1, 2010 through June 30, 2013. Act 55 of 2013 reauthorized the statewide hospital assessment for an additional three years, July 1, 2013 through June 30, 2016, and Act 92 of 2015 reauthorized the statewide hospital assessment from July 1, 2016 through June 30, 2018. Act 40 of 2018 reauthorized the statewide hospital assessment through June 30, 2023 and introduced the assessment on the net outpatient revenue in addition to net inpatient revenue of all Pennsylvania licensed acute care hospitals (with some exclusions). Act 15 of 2023 has now reauthorized the statewide hospital assessment through June 30, 2028. The assessment raises a significant amount of revenue that has enabled the commonwealth to maintain an updated inpatient payment system, to make changes to existing disproportionate share payments and supplemental payments, and to create new payments where applicable. DHS has worked in collaboration with the Hospital and Health System Association of Pennsylvania to develop the assessment model.

• CMCS Informational Bulletin — February 2023 Health Care-Related Taxes and Hold Harmless Arrangements Involving the Redistribution of Medicaid Payments

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PA Hospital Assessment Materials

Below are links to documents that facilitate the management of the statewide assessment process:

• Statewide Quality Care Assessment Reauthorization Presentation
  
• Statewide Hospital Quality Care Assessment Frequently Asked Questions
• Electronic Payment Instructions for the Statewide Hospital Quality Care Assessment

PA Hospital Quality Incentive Potentially Preventable Admission Payment

• FY 19-20 Hospital Quality Incentive Statewide Results
• FY 19-20 HQIP Narrative and Measures
• FY 18-19 Hospital Quality Incentive Statewide Results
• FY 17-18 Hospital Quality Incentive Statewide Results
• FY 17-18 Hospital Quality Incentive Q&A
• FY 17-18 Hospital Quality Incentive Performance Year Changes
• FY 16-17 Hospital Quality Incentive Statewide Results
  
• FY 16-17 Hospital Quality Incentive Q&A
  
• Hospital Quality Incentive Presentation
• 3M Hospital Quality Incentive Program Presentation
  
• Hospital Quality Incentive Program APR-DRG Listing

Potentially Avoidable Admissions

• Hospital Quality Incentive Program Webinar
• Hospital Quality Incentive Program (HQIP) Measurement - Potentially Avoidable Admission (PAA)

Hospital Quality Improvement Program Racial and Ethnic Health Disparities (REHD)

• HQIP_REHD Measures
  
• HQIP_REHD Attestation Form
  

Hospital Quality Improvement Program Emergency Department Opioid Use Disorder

• Hospital Quality Improvement Program Frequently Asked Questions
• Hospital Quality Improvement Program Follow-up treatment after ED visit for Opioid Use Disorder
• Opioid Use Disorder Emergency Department Initiative Performance Measure
  
• Hospital Quality Improvement Program Opioid Use Disorder Treatment Pathway Results
• FY 19-20 Hospital Quality Improvement Program Opioid Use Disorder Treatment Statewide Results
  

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Important Phone Numbers and Email Addresses

If you are having difficulty finding the information you need, please Contact DHS.