WSR 25-04-099
HEALTH CARE AUTHORITY
[Filed February 4, 2025, 9:31 a.m.]
NOTICE
Title or Subject: Medicaid State Plan Amendment (SPA) 25-0012 Update Inpatient Hospital DRG Payment Methodology.
Effective Date: April 1, 2025.
Description: The health care authority (HCA) intends to submit SPA 25-0012 to update information regarding services that are exempt from the hospital inpatient diagnosis related group (DRG) payment methodology. SPA 25-0012 adds information to clarify that long-acting reversible contraception devices that are provided immediately postpartum at an acute care hospital are exempt from the DRG payment methodology and are reimbursed via the fee schedule. This SPA is being submitted to reflect current policy and practice; it does not change current payment methodology.
SPA 25-0012 is expected to have no effect on annual aggregate expenditures/reimbursement/payment for this service.
A draft of SPA 25-0012 is available for review. HCA would appreciate any input or concerns regarding this SPA. To request a copy or submit comments, please contact the person named below by March 7, 2025 (please note that all comments are subject to public review and disclosure, as are the names of those who comment).
Contact: Abby Cole, Section Manager, 628 8th Avenue S.E., Olympia, WA 98504, phone 360-643-1835, TRS 711, email abby.cole@hca.wa.gov.