WSR 04-03-090



(Medical Assistance Administration)

[ Filed January 20, 2004, 3:45 p.m. ]

Subject of Possible Rule Making: WAC 388-550-4900 Disproportionate share payments, 388-550-5000 Payment method -- LIDSH, 388-550-5100 Payment method -- MIDSH, 388-550-5200 Payment method -- SRHAPDSH, and possible new sections in chapter 388-550 WAC.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.08.090, 74.04.050, 43.88.290.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Per legislative direction, the rule will incorporate two new sections for the small rural indigent DSH and nonrural indigent DSH programs and establish payment calculation methods for these programs. The rule will also clarify and update payment methods for other disproportionate share hospital (DHS) programs. In addition, MAA is proposing a new section that will establish an administrative appeal process for DSH program participants.

Process for Developing New Rule: The department invites the interested public to review and provide input on the draft language of this WAC. Draft material and information about how to participate are available by contacting the DSHS representative identified below.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Kathy Sayre, Rules Program Manager, Medical Assistance Administration, Olympia, WA 98504-5533, phone (360) 725-1342, fax (360) 586-9727, TTY 1-800-848-5429, e-mail

January 20, 2004

Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

Legislature Code Reviser 


Washington State Code Reviser's Office