WSR 20-14-054
PERMANENT RULES
HEALTH CARE AUTHORITY
[Filed June 26, 2020, 8:48 a.m., effective July 27, 2020]
Effective Date of Rule: Thirty-one days after filing.
Purpose: The agency is establishing rules for the hospital safety net assessment program. The proposed rules:
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| • | Describe the payment due date and the notifications sent out by the agency. |
| • | Describe how and when the agency offsets amounts from scheduled payments to a hospital when that hospital has not timely paid its assessment. |
| • | Establish a process to appeal the agency's action to offset amounts from scheduled payments. |
Citation of Rules Affected by this Order: New WAC 182-550-8000 and 182-550-8100.
Adopted under notice filed as WSR 20-10-109 on May 6, 2020.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 2, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 2, Amended 0, Repealed 0.
Date Adopted: June 26, 2020.
Wendy Barcus
Rules Coordinator
NEW SECTION
WAC 182-550-8000Hospital safety net assessment (HSNA) program—Purpose.
Chapter
74.60 RCW establishes the hospital safety net assessment (HSNA) program. The HSNA program imposes an assessment on certain Washington state hospitals that is used solely to increase funding from all other sources and support additional payments to hospitals for authorized medicaid services. The medicaid agency has authority to issue rules associated with the HSNA program under RCW
41.05.021 (1)(m)(iv) and
74.60.050(1).
NEW SECTION
WAC 182-550-8100Assessment notices—Process and timelines.
(1)
Notification. The medicaid agency sends hospital safety net assessment (HSNA) notices on or about thirty calendar days prior to the end of each quarter as required by RCW
74.60.030 (1)(a).
(2) Payment due date. Each hospital must pay its assessment in full by the due date listed in the HSNA notice.
(3) First past-due notification. If a hospital does not pay its HSNA assessment in full by the due date, the agency sends the hospital a past-due notice. The past-due notice informs the hospital of the actions the agency may take if the hospital's assessment becomes ninety calendar days past due.
(4) Final past-due notification. If a hospital does not pay its assessment in full within ninety calendar days of its due date stated in the HSNA notice, the agency sends the hospital a final past-due notice.
(a) The final past-due notice informs the hospital of the actions the agency takes, as required by RCW
74.60.050(2), to offset funds from the agency's scheduled payments to the hospital.
(b) The agency does not offset funds from managed care capitation payments, as described in RCW
74.60.130.
(5) Appeal. A hospital may appeal the actions the agency takes to offset funds by following the process outlined in WAC 182-502-0050.