INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: Medicaid state plan amendment 05-006.
Effective Date: August 1, 2005.
Document Description: The Department of Social and Health Services (department), Medical Assistance Administration (MAA), is updating the Medicaid state plan through state plan amendment (SPA) 05-006 to further describe policy and methods for hospital payment explained in Attachment 4.19-A, Part I of the state plan. These changes to payment method are justified to clarify the payment methods described and comply with the state's current policy.
This update lists programs where changes to the plan are being made. Significant changes include:
Attachment 4.19-A, Part I:
| • | Establish a community psychiatric hospitalization base payment rate for payments for certain psychiatric services provided in some hospitals. |
| • | Update disproportionate share hospital (DSH) and upper payment limit (UPL) payment programs. |
| • | Clarify text for the full cost/certified public expenditure payment program. |
For more information regarding this clarification of language, please write to Larry Linn, Office of Hospital and Managed Care Rates, 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, web link http://maa.dshs.wa.gov, [T]DD (800) 848-5429, fax (360) 586-9727, e-mail Myersea@dshs.wa.gov.
Ann Myers