Published October 27, 2026
About This Audit
The Tobacco Settlement Act mandates the Department of Human Services (DHS) to compensate hospitals for uncompensated care through either an uncompensated care approach or extraordinary expense approach. Wellspan York Hospital was evaluated for eligibility in 2027. The evaluation included assessing the accuracy of claims data and inpatient days data submitted to the Pennsylvania Health Care Cost Containment Council (PHC4) and DHS. Of 43 reported claims, 33 met the criteria for an extraordinary expense method. DHS will use verified databases to determine payment eligibility, and the report suggests specific adjustments for claims and cost reports to maintain accuracy. Failure to make these adjustments will result in ineligibility for compensation under the extraordinary expense method. PHC4 will instruct on necessary adjustments, impacting the Tobacco Settlement subsidy eligibility for 2026 once all assessments are completed. This is an automated summary. Please rely on the contents included in the released audit report.
