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PA Department of the Auditor General

Published March 6, 2026

About This Audit

An amended financial report for Penn State Health Lancaster Medical Center was conducted and evaluated the Medical Assistance (MA) program cost report for fiscal year July 1, 2023, to June 30, 2024. The procedures aimed to certify costs detailed in the facility’s MA-336 cost report to set the reimbursement rate by the Department of Human Services (DHS). Several adjustments were noted: the facility’s paid MA days, charges, and discharges needed revision based on DHS’s PROMISe™ Cost Settlement Report, and the beds and inpatient days for the nursery unit required correction. The data concerning MA charges were deemed reliable, but there were concerns about the reliability of MA days and discharges. Despite this, the report certifies the accuracy of costs for the hospital’s inpatient care under the Commonwealth’s Medical Assistance Program. This report is intended solely for DHS’s information to determine reimbursement rates. This is an automated summary. Please rely on the contents included in the released audit report.

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Pennsylvania Department
of the Auditor General