The Tobacco Settlement Act mandates payments for uncompensated care services provided by hospitals. These payments can be calculated using either the uncompensated care approach, based on a hospital’s care score derived from specific data elements, or the extraordinary expense approach, focusing on the costs of qualified claims which meet specific criteria. For the fiscal year […]
The John Heinz Institute of Rehabilitation Medicine was evaluated for eligibility under Pennsylvania’s Tobacco Settlement Act for payments related to uncompensated care services. Facilities can qualify for these payments through either an uncompensated care or extraordinary expense approach. The extraordinary expense approach requires claims for uninsured patients to exceed twice the average inpatient claim cost. […]
The Independence Health System Clarion Hospital was audited in relation to the Tobacco Settlement Act, which compensates hospitals for uncompensated care. The Department of Human Services (DHS) determined eligibility based on claims data and day counts submitted by the hospital. The review focused on whether the hospital had extraordinary expense claims for the fiscal year […]
The Good Shepherd Rehabilitation Hospital underwent a review to verify claims and data related to potential eligibility for the 2027 Tobacco Settlement Payment. However, the facility did not have any eligible extraordinary expense claims for the fiscal year ending June 30, 2025. Therefore, without additional valid claims, it is ineligible for the extraordinary expense method. […]
The Fulton County Medical Center’s (FCMC) eligibility for the Tobacco Settlement Payment in 2027 was evaluated based on claims for uncompensated care and extraordinary expenses. The Pennsylvania Department of Human Services (DHS) determined that FCMC did not have eligible extraordinary expense claims for the fiscal year ended June 30, 2025. However, FCMC can submit additional […]
The Tobacco Settlement Act requires the Department of Human Services (DHS) to compensate hospitals for uncompensated care services. Encompass Health Rehabilitation Hospital of York engaged in procedures to assess their eligibility for payments under two methods: uncompensated care and extraordinary expenses. For fiscal year ending June 2025, no eligible extraordinary expense claims were identified, making […]
The Encompass Health Rehabilitation Hospital of Nittany Valley was evaluated under the Tobacco Settlement Act for payments related to uncompensated care services. The act mandates hospitals receive payments for such services using either an uncompensated care or extraordinary expense approach. Procedures were conducted to verify the claims and days data reported by the hospital for […]
The report details the procedures performed to determine Encompass Health Rehabilitation Hospital of Harmarville’s eligibility for the 2027 Tobacco Settlement Payment. The Tobacco Settlement, originating from the 2001 Tobacco Settlement Act, aids hospitals offering uncompensated care. The report found Harmarville’s one extraordinary expense claim for the year ending June 30, 2025, did not meet criteria […]
The Encompass Health Rehabilitation Hospital of Erie underwent a review to determine its eligibility for payments under the 2027 Tobacco Settlement Program. The Tobacco Settlement Act allows hospitals to receive payments for uncompensated care or extraordinary expenses. The review aimed to verify if the hospital reported any qualifying extraordinary expense claims for the fiscal year […]
The Encompass Health Rehabilitation Hospital of Altoona participated in a review process related to the Tobacco Settlement Act, which provides payments for uncompensated care services. The engagement aimed to substantiate claims data and days reported to the Pennsylvania Health Care Cost Containment Council and the Department of Human Services. It was concluded that the facility […]