PDFWAC 296-23A-0210

How do self-insurers pay for hospital inpatient services?

Self-insurers will pay for hospital inpatient services using percent of allowed charges (POAC) factors, according to the following table:
Hospital Type or Location
Do percent of allowed charges (POAC) payment methods apply to hospital inpatient services?
Military, Veteran’s Administration, Health Maintenance Organizations, State Psychiatric Facilities, Children’s Hospitals
Yes, paid 100% of allowed charges
All other Washington hospitals
Yes, paid the hospital specific POAC factor
[Statutory Authority: RCW 51.04.020, 51.04.030, 51.36.080. WSR 00-06-027, § 296-23A-0210, filed 2/24/00, effective 3/26/00; WSR 97-06-066, § 296-23A-0210, filed 2/28/97, effective 4/1/97.]