INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: Medicaid state plan amendment 04-013.
Effective Date: November 1, 2004.
Document Description: The Department of Social and Health Services, Medical Assistance Administration, is updating the Medicaid state plan through state plan amendment TN 04-013 to further describe policy and methods used to establish outpatient hospital payment rates explained in attachment 4.19-B.
This state plan amendment: (1) Implements the departments new outpatient prospective payment method; and (2) eliminates the short stay determination rule (twenty-four hour rule) previously described in the state plan and replaces that rule with a new clinical-based inpatient vs. outpatient stay determination rule.
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, Hospital and Managed Care Reimbursement 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.
To receive a copy of the interpretive or policy statement, contact Larry Linn, Department of Social and Health Services, Medical Assistance Administration, Division of Business and Finance, P.O. Box 45510, Olympia, WA 98504, phone (360) 725-1108, weblink http://maa.dshs.wa.gov, TDD (800) 848-5429, fax (360) 753-9152, e-mail Linnld@dshs.wa.gov.
September 24, 2004
Ann Myers