2016-S AMH JINK CORN 208

SHB 2016 - H AMD 435

By Representative Jinkins

ADOPTED 04/16/2013

    On page 4, line 31, after "(((11)))(15)" insert the following:

    ""Outpatient" means services provided classified as ambulatory payment classification services or successor payment methodologies as defined in WAC 182-550-7050 or successor rule and applies to fee-for-service payments and managed care encounter data.

(16)"

    Renumber the remaining subsections consecutively and correct any internal references accordingly.

    On page 13, beginning on line 31, after "about" strike "the first day of" and insert "thirty days prior to the end of"

    On page 14, line 20, after "2010" strike ", or equivalent data collected by the authority"

    On page 27, beginning on line 2, after "section" strike "and hospitals identified in RCW 74.60.090(1)(c) and 74.60.100"

    On page 27, at the beginning of line 35, strike "first" and insert "last"

    On page 30, line 22, after "(b)" strike "Within thirty days after receipt" and insert "Before the end of the quarter in which funds are paid to them"

EFFECT:   Adds a definition of "outpatient."

Requires the Health Care Authority (HCA) to send assessment notices on or about 30 days prior to the end of each quarter instead of the first day of each quarter.

Removes the requirement that the Health Care Authority (HCA) must use equivalent data to calculate inpatient days for hospital assessments if cost report data from fiscal year 2010 is not available.

Removes references to certified public expenditure and critical access hospitals in the determination of fee-for-service inpatient supplemental payments.

Requires the HCA to make supplemental payments on or about the last day of the quarter instead of the first day.

Requires managed care organizations to expend increased capitation payments before the end of the quarter in which funds are paid to them instead of within thirty days of receipt.

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