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This SPA reflects the transition of the Drug Medi-Cal program functions from the Department of Alcohol and Drug programs to the Department of Health Care Services (DHCS).
This amendment continues a series of disproportionate share inpatient hospital payments to qualifying acute care general hospitals, freestanding rehabilitation hospitals, and certain DSH hospitals.
This amendment adds language that allows Pennsylvania to recover overpayments of disproportionate share (DSH) payments that exceed a hospital's specific DSH limit as defined by section 1923(g) of the Social Security Act.