(1) The medicaid agency pays a hospital only for:
(a) Blood bank service charges for processing and storage of blood and blood components; and
(b) Blood administration charges.
(2) The agency does not pay for blood and blood components.
(3) The agency does not pay a hospital separately for the services identified in subsection (1) when these services are included and paid using the diagnosis-related group (DRG), per diem, or per case rate payment rates.
(4) The agency pays a hospital no more than the hospital's cost, as determined by the agency, for the services identified in subsection (1) when the hospital is paid using the ratio of costs-to-charges (RCC) or weighted costs-to-charges WCC payment method.
[Statutory Authority: RCW
41.05.021 and
41.05.160. WSR 15-18-065, § 182-550-6500, filed 8/27/15, effective 9/27/15. WSR 11-14-075, recodified as § 182-550-6500, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW
74.08.090,
74.09.500. WSR 07-13-100, § 388-550-6500, filed 6/20/07, 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, § 388-550-6500, filed 12/18/97, effective 1/18/98.]