WSR 04-01-085

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed December 16, 2003, 9:39 a.m. ]


DESCRIPTION OF INTERPRETIVE OR POLICY STATEMENT


Document Title: Public Notice.

Subject: Medicaid State Plan Amendments 03-027 and 03-028.

Effective Date: December 18, 2003.

Document Description: The Department of Social and Health Services, Medical Assistance Administration, is updating the Medicaid state plan through State Plan Amendments TN 03-027 and TN 03-028 to further describe policy and methods used in establishing hospital payment rates explained in Attachment 4.19-A, Part I of the plan. A notice was previously published under WSR 04-01-029, which listed this update as State Plan Amendment (SPA) 03-027. Subsequent to that publishing, the department separated the two types of payment methodology into two SPAs as explained below.

This update provides clarification on payment methodology for the following:

Clarification concerning payment for newborn screening tests (SPA 03-027); and
Clarification concerning disproportionate share hospital (DSH) payments for public hospitals. In this SPA the DSH payments for public hospitals that is now set at 100% of cost, will be augmented to indicate that the payments will not exceed 175% of costs for SFY2003 and SFY2004 only. (SPA 03-028)
Payment to hospitals is justified for newborn screening tests since newborn screening is an integral part of newborn health care and the federal EPSDT program. The change in public hospitals DSH payments is justified through regulatory guidance issued by CMS.

Written comments may be sent to: Doug Porter, Assistant Secretary, Medical Assistance Administration, Department of Social and Health Services, P.O. Box 45080, Olympia, WA 98504-5080.

For more information regarding this clarification of language, please write to Larry Linn, Rates Analysis Section, Medical Assistance Administration, Department of Social and Health Services, P.O. Box 45510, Olympia, WA 98504-5510.

To receive a copy of the interpretive or policy statement, contact Ann Myers, Department of Social and Health Services, Medical Assistance Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504, phone (360) 725-1345, weblink http://maa.dshs.wa.gov, TDD (800) 848-5429, fax (360) 586-9727, e-mail Myersea@dshs.wa.gov.

December 15, 2003

Ann Myers

Manager

Legislature Code Reviser 

Register

Washington State Code Reviser's Office