WSR 14-06-075

PREPROPOSAL STATEMENT OF INQUIRY

[Filed March 3, 2014, 11:01 a.m.]

Subject of Possible Rule Making: WAC 182-550-7000 Outpatient prospective payment system (OPPS)—General, 182-550-7100 OPPS—Exempt hospitals, 182-550-7200 OPPS—Billing requirements and payment method, 182-550-7300 OPPS—Payment limitations, 182-550-7400 OPPS APC relative weights, 182-550-7450 OPPS budget target adjustor, 182-550-7500 OPPS rate, 182-550-7600 OPPS payment calculation, and other rules as appropriate.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (HCA) is rebasing OPPS. HCA will move from the ambulatory patient classification (APC) to the enhanced ambulatory payment group (EAPG) system, and update the pricing methods and rates associated with outpatient services.

During the course of this review, HCA may identify additional changes that are required in order to improve clarity or update policy.

Process for Developing New Rule: HCA welcomes the public to take part in developing this rule. If interested, contact the person identified below to receive an early rule draft to review. After the early review, HCA will send a notice of proposed rule making (CR-102) to everyone receiving this notice and anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Jason Crabbe, P.O. Box 42716, Olympia, WA 98504-2716, phone (360) 725-1346, fax (360) 586-9727, TTY 1-800-848-5429, e-mail jason.crabbe@hca.wa.gov.

March 3, 2014

Kevin M. Sullivan

Rules Coordinator