Published October 27, 2026
About This Audit
The Tobacco Settlement Program requires the Department of Human Services (DHS) to provide payments to hospitals for uncompensated care. Hospitals can qualify through either an uncompensated care or extraordinary expense approach, both with specific eligibility criteria. The Western Pennsylvania Hospital underwent a procedure to verify claims for eligibility under these approaches, revealing that from five reported claims, only one met the extraordinary expense criteria. Additionally, the hospital’s submitted inpatient and Medical Assistance (MA) data required some corrections due to reporting errors. Hospitals can choose the method for calculating their Tobacco Settlement subsidy entitlement if eligible under both approaches. Facilities also have until October 31, 2026, to submit additional self-pay claims surpassing the specified charge threshold. Completing these processes ensures accurate records for potential payment entitlements under the 2027 Tobacco Settlement subsidy. This is an automated summary. Please rely on the contents included in the released audit report.
