Subject of Possible Rule Making: WAC 182-550-4400 Services—Exempt from DRG (diagnosis-related group) payment, 182-550-4550 Administrative day rate and swing bed day rate, 182-550-4800 Hospital payment methods—State-administered programs, and other related rules as appropriate.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The agency is revising these rules to align with 2SSB 5103, 68th legislature, 2023 regular session. This legislation requires the agency to provide a hospital payment for apple health clients who meet the criteria for discharge from a hospital stay to one of several types of facilities but who cannot be discharged because placement is unavailable. This rule making will address the services to be included in the payment for the client's hospital stay, as well as the services to be billed by and paid to the hospital separately. During the course of this review, the agency may identify additional related changes that are required in order to improve clarity or update policy.

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 Melinda Froud, Rule-Making Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1408, fax 360-586-9727, telecommunication[s] relay service (TRS) 711, email melinda.froud@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking; or Abby Cole, Program Questions, P.O. Box 45510, Olympia, WA 98504-5510, phone 360-725-1835, fax 360-586-9727, TRS 711, email abby.cole@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking.