Hospital Assessment Initiative

The assessment raises a significant amount of revenue that has enabled the commonwealth to maintain an updated inpatient payment system, to make changes to existing disproportionate share payments and supplemental payments, and to create new payments where applicable. DHS has worked in collaboration with the Hospital and Health System Association of Pennsylvania to develop the assessment model.

Act 49 of 2010 authorized the Department of Human Services (DHS) to impose a statewide hospital assessment on the net inpatient revenue of all Pennsylvania licensed acute care hospitals (with some exclusions) as of July 1, 2010 through June 30, 2013. Act 55 of 2013 reauthorized the statewide hospital assessment for an additional three years, July 1, 2013 through June 30, 2016, and Act 92 of 2015 reauthorized the statewide hospital assessment from July 1, 2016 through June 30, 2018. Act 40 of 2018 has now reauthorized the statewide hospital assessment through June 30, 2023.

  • CMCS Informational Bulletin February 2023 Health Care-Related Taxes and Hold Harmless Arrangements Involving the Redistribution of Medicaid Payments

PA Hospital Assessment Materials

Below are links to documents that facilitate the management of the statewide assessment process:

PA Hospital Quality Incentive Potentially Preventable Admission Payment

Potentially Avoidable Admissions

Hospital Quality Improvement Program Racial and Ethnic Health Disparities (REHD)

Hospital Quality Improvement Program Emergency Department Opioid Use Disorder

Important Phone Numbers and Email Addresses

Information AreaContact Information

Hospital Assessment Questions
(Database Access, Notices/Letters, Calculation of Revenue, Submitted Assessment Payments, Disputes)

PROMISe™ Questions
(Mass Adjustments, Fee Schedules, Billing Guides)

(Hours Monday-Friday 8 a.m.-4:30 p.m.

APR-DRG Grouper Questions
(3M HIS Support)


Disproportionate Share Payments/Supplemental Payment Questions

Hospital Quality Improvement Questions and Attestations

If you are having difficulty finding the information you need, please Contact DHS.