The medicaid agency pays for hospital services provided to eligible clients when:
(1) The eligible client is a patient in an acute care hospital and the hospital meets the definition of hospital or psychiatric hospital in RCW
70.41.020, chapter
182-500 or WAC
182-550-1050;
(2) The services are medically necessary as defined under WAC
182-500-0070; and
(3) The conditions, exceptions and limitations in this chapter are met.
[Statutory Authority: RCW
41.05.021 and
41.05.160. WSR 15-18-065, § 182-550-1000, filed 8/27/15, effective 9/27/15. WSR 11-14-075, recodified as § 182-550-1000, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW
74.08.090,
74.09.500. WSR 07-11-129, § 388-550-1000, filed 5/22/07, effective 8/1/07. Statutory Authority: RCW
74.08.090,
74.09.730,
74.04.050,
70.01.010,
74.09.200, [74.09.]500, [74.09.]530 and
43.20B.020. WSR 98-01-124, § 388-550-1000, filed 12/18/97, effective 1/18/98.]