WSR 21-19-037

HEALTH CARE AUTHORITY

[Filed September 10, 2021, 8:46 a.m.]

Title or Subject: Medicaid State Plan Amendment (SPA) 21-0029 - Medicare Cost Reports.

Effective Date: October 1, 2021.

Description: The health care authority (HCA) intends to submit medicaid SPA 21-0029 regarding medicare cost reports. This SPA clarifies that HCA may, but is not required to, audit the cost report data used for rate setting. The SPA also clarifies that any HCA division with audit authority will audit hospital billings, as well as other financial and statistical records, and rebase the medicaid payment system on a periodic basis.

SPA 21-0029 is expected to have no effect on the annual aggregate expenditures, reimbursements, or payments for any programs or services; this SPA is for administrative purposes only.

A copy of SPA 21-0029 is available for review. HCA would appreciate any input or concerns regarding this SPA. To request a copy of the SPA or 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).

CONTACT: Abby Frazier-Cole, Financial Services, 626 Eighth Avenue S.E., Olympia, WA 98504, phone 360-725-1835, TRS 711, email abby.frazier-cole@hca.wa.gov.