WSR 19-16-052

HEALTH CARE AUTHORITY

[Filed July 30, 2019, 10:17 a.m.]

Subject: Medicaid State Plan Amendment (SPA) 19-0025 Community Hospital Long-Term Inpatient Psychiatric Services Rates.

Effective Date: July 1, 2019.

Description: The health care authority (HCA) intends to submit medicaid SPA 19-0025 in order to comply with ESHB 1109. This bill sets rates for community hospitals serving medicaid clients in long-term inpatient care beds as defined in RCW 71.24.025 at $1171 per day or the hospital's current psychiatric per diem rate, whichever is higher, not to exceed one hundred percent of the hospital's eligible costs.

SPA 19-0025 is expected to increase the annual aggregate payments for inpatient psychiatric services for qualifying hospitals by $23,507,000 for state fiscal year 2020.

SPA 19-0025 is in the development process; therefore a copy is not yet available for review. HCA would appreciate any input or concerns regarding this SPA. To request a copy when it becomes available, you may contact the person named below. To submit comments, please contact the person named below (please note that all comments are subject to public review and disclosure, as are the names of those who comment).

The proposed rates, methodologies, and justifications are as follows:

Interested parties may submit comments and concerns about the rates or the effects the changes may have on beneficiary access to care or continued service access. Please submit comments and concerns to Abigail Cole by , 2019. Please note that all comments are subject to public review and disclosure, as are the names of those who comment.

Contact Abigail Cole, Section Manager, Hospital Finance and Drug Rebate Section, P.O. Box 45510, Olympia, WA 98504, phone 360-725-1835, TRS (TDD/TTY) 711, email Abigail.Cole@hca.wa.gov.