SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
Date of Adoption: February 26, 1999.
Purpose: To rewrite these rules per the Governor's Executive Order 97-02 which mandates readability, clarity, foundation in law, etc.; and to describe new methods of paying hospital providers. One new method is to change the high and low outlier thresholds for DRG claims. The other new methods is to cap dual Medicare/Medicaid hospital payments at Medicaid's maximum.
Citation of Existing Rules Affected by this Order: Amending WAC 388-550-1050, 388-550-1200, 388-550-2800, 388-550-2900, 388-550-3000, 388-550-3100, 388-550-3500, 388-550-3700, 388-550-4500, 388-550-4700, 388-550-4800, and 388-550-6000.
Statutory Authority for Adoption: RCW 74.08.090, 42 USC 1395 x(v), 42 CFR 447.271, 447.11303, and 447.2652.
Adopted under notice filed as WSR 99-01-170 on December 23, 1998.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 12, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 12, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 12, Repealed 0. Effective Date of Rule: Thirty-one days after filing.
February 26, 1999
Marie Myerchin-Redifer, Manager
Rules and Policies Assistance Unit
Reviser's note: The material contained in this filing exceeded the page-count limitations of WAC 1-21-040 for appearance in this issue of the Register. It will appear in the 99-08 issue of the Register.