PERMANENT RULES
SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
Other Findings Required by Other Provisions of Law as Precondition to Adoption or Effectiveness of Rule: The earlier effective date is necessary because of imminent peril to the public health, safety, or welfare. The federal government will eliminate intergovernmental transfers (IGT) in the near future which will create an estimated budget gap of $160,000,000 for the state. This will lead to reductions in department programs, which will in turn have a direct negative impact on public health unless the rule is effective on July 1, 2005.
Purpose: The amended rules allow the department to reimburse certain public hospitals through the "full cost" public hospital certified public expenditure (CPE) payment program. The department is also updating, amending, and repealing other applicable sections. Clarifying language is being added to explain how high cost outliers are paid for state administered program claims. The verbiage, "medically indigent (MI) costs or charges" is being replaced with "charity costs or charges."
Citation of Existing Rules Affected by this Order: Repealing WAC 388-550-5100, 388-550-5250, 388-550-5300, 388-550-5350 and 388-550-6900; and amending WAC 388-550-330, 388-550-4300, 388-550-4600, 388-550-4650, 388-550-4800, 388-550-4900, 388-550-5210, 388-550-5220, 388-550-5400, and 388-550-6800.
Statutory Authority for Adoption: RCW 74.04.050, 74.08.090.
Adopted under notice filed as WSR 05-09-085 and 05-09-086 on April 19, 2005.
A final cost-benefit analysis is available by contacting Kathy Sayre, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1342, fax (360) 586-9727, e-mail sayrek@dshs.wa.gov. No changes were made to the preliminary analysis, which will be final.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 10, Repealed 5.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 10, Repealed 5.
Date Adopted: June 1, 2005.
Andy Fernando, 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 05-13 issue of the Register.