Hospital Assessment Initiative

Act 49 of 2010 authorized the Department of Human Services 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. Act 92 of 2015 has now reauthorized the statewide hospital assessment through June 30, 2018. 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. The Department of Human Services has worked in collaboration with the Hospital and Health System Association of Pennsylvania to develop the assessment model.

PA Hospital Assessment Materials:

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

PA Hospital Quality Incentive Payment

Important Phone Numbers and Email Addresses

Hospital Assessment Questions
(Database Access, Notices/Letters, Calculation of Revenue, Submitted Assessment Payments, Disputes)
ra-pwhai@pa.gov
PROMISe™ Questions
(Mass Adjustments, Fee Schedules, Billing Guides)
1-800-537-8862
(Hours M-F 8 a.m. - 4:30 p.m.
APR-DRG Grouper Questions
(3M HIS Support)
1-800-435-7776
Disproportionate Share Payments/Supplemental Payment Questions ra-pwdshpymt@pa.gov

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