WSR 22-03-009
PERMANENT RULES
HEALTH CARE AUTHORITY
[Filed January 6, 2022, 1:16 p.m., effective February 6, 2022]
Effective Date of Rule: Thirty-one days after filing.
Purpose: The agency amended this rule to include, as part of subsection (2), an exception to per diem rate calculations for psychiatric per diem rates to align with the agency's state plan.
Citation of Rules Affected by this Order: Amending WAC 182-550-4100.
Statutory Authority for Adoption: RCW 41.05.021, 41.05.160.
Adopted under notice filed as WSR 21-24-085 on November 30, 2021.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: January 6, 2022.
Wendy Barcus
Rules Coordinator
OTS-3312.2
AMENDATORY SECTION(Amending WSR 14-12-047, filed 5/29/14, effective 7/1/14)
WAC 182-550-4100Payment method—New hospitals.
(1) For rate-setting purposes, the agency considers as new:
(a) A hospital which began services after the most recent rebasing; or
(b) A hospital that has not been in operation for a complete fiscal year.
(2) With the exception of determining psychiatric per diem rates as directed by the Washington state legislature (see WAC 182-550-3800(6)), the agency determines a new hospital's conversion factor, per diem rate, or per case rate, to be the statewide average rate for the conversion factor, category of per diem rate, or per case rate adjusted by the geographically appropriate hospital specific medicare wage index.
(3) The agency determines a new hospital's ratio of costs-to-charges (RCC) by calculating and using the average RCC for all current Washington in-state hospitals.
(4) When a hospital changes ownership, the agency does not consider it a new hospital.