A compliance audit was conducted for District Court 20-3-04 in Huntingdon County, Pennsylvania, for January 1, 2020 to December 31, 2024, to ensure compliance with state laws and AOPC policies. The audit, mandated by The Fiscal Code, assessed the proper collection, assessment, reporting, and remittance of state moneys. However, due to restrictions on accessing certain […]
The Tobacco Settlement Act mandates the Department of Human Services (DHS) to provide payments to hospitals like Wellspan York Hospital for uncompensated care services. These payments can be granted through two approaches: uncompensated care, based on a hospital’s uncompensated care score calculated from fifteen data elements, and extraordinary expense, based on claims exceeding twice the […]
In November 2025, the UPMC Williamsport facility was evaluated for eligibility under the Tobacco Settlement Act, which provides funds for hospitals offering uncompensated care. The act allows payments through either an uncompensated care or extraordinary expense approach. UPMC Williamsport reported 11 potentially eligible extraordinary expense claims for fiscal year ending June 30, 2024, and all […]
The Tobacco Settlement Program provided an overview of its 2026 payment distribution framework for UPMC Presbyterian Shadyside. The Department of Human Services (DHS) allocates funds to hospitals under the Tobacco Settlement Act, either through an uncompensated care approach or an extraordinary expense approach, based on various criteria. An assessment was conducted to verify the claims […]
In November 2025, UPMC Northwest’s Chief Financial Officer, Bradley Dinger, received a detailed report regarding the facility’s eligibility for the 2026 Tobacco Settlement Payment under Pennsylvania’s Tobacco Settlement Act. The program provides payments to hospitals for uncompensated care services. Eligible claims typically exceed twice the facility’s average claim costs and must involve uninsured patients. Procedures […]
UPMC Greene was assessed for its eligibility for Tobacco Settlement funds based on the Tobacco Settlement Act, which provides payments to hospitals for uncompensated care. The evaluation determined the hospital’s eligibility using both the uncompensated care approach and the extraordinary expense approach. The extraordinary expense method requires claims that exceed twice the average cost of […]
St. Luke’s Hospital Upper Bucks operations surrounding the Tobacco Settlement Payment are detailed in an audit by the Department of Human Services (DHS). The 2001 Tobacco Settlement Act mandates DHS to compensate hospitals for uncompensated care through two methods: the uncompensated care approach or the extraordinary expense approach. The audit verified St. Luke’s claims data […]
The Tobacco Settlement Program mandated payments to hospitals for uncompensated care. St. Luke’s Hospital Monroe underwent procedures to verify eligibility for the 2026 settlement payment. Out of six reported claims, five qualified as extraordinary expense claims, potentially entitling the facility to payment. The claims and days data submitted to PHC4 and DHS were substantiated, with […]
St. Luke’s Hospital Miners was assessed under the Tobacco Settlement Act for eligibility for payment due to uncompensated care services. The assessment involved verifying claims data to determine whether the hospital had extraordinary expense claims for uninsured patients for the fiscal year ending June 30, 2024. It was found that the hospital did not have […]
The Pennsylvania Department of Human Services (DHS) is tasked with allocating funds from the Tobacco Settlement Act to hospitals for uncompensated care services. Hospitals can qualify through either an uncompensated care approach, using a care score based on five key data elements over three years, or an extraordinary expense approach, determining claims exceeding twice the […]