WSR 17-17-087
PREPROPOSAL STATEMENT OF INQUIRY
HEALTH CARE AUTHORITY
(Washington Apple Health)
[Filed August 17, 2017, 8:58 a.m.]
Subject of Possible Rule Making: WAC 182-550-3600 Diagnosis-related group (DRG) paymentHospital transfers, 182-550-3700 DRG high outliers, 182-550-3800 Rebasing, 182-550-3830 Adjustments to inpatient rates, 182-550-7300 OPPSPayment limitations, and other related rules, as appropriate.
Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021, 41.05.160.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The agency is amending these rules to align with medicare changes to outlier transfer pricing and to reflect changes to the rebasing process and inpatient and outpatient payment methodologies. During the course of this review, the agency may identify additional changes that are required in order to improve clarity or update policy.
Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: Centers for Medicare and Medicaid.
Process for Developing New Rule: The agency 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, the agency 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 Katie Pounds, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1346, fax 360-586-9727, TTY 1-800-848-5429, email katherine.pounds@hca.wa.gov, web site https://www.hca.wa.gov/about-hca/rulemaking.
August 17, 2017
Wendy Barcus
Rules Coordinator