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WAC 296-23A-0450
What cases does the department exclude from base price calculations?
The department excludes the following types of cases from base price calculations:
•
Transfers;
•
Statistical outliers;
•
Length of stay equal to zero;
•
Psychiatric, substance abuse and rehabilitation DRGs;
•
Out-of-state hospitals; and
•
Other hospitals and services designated as exempt from DRG payment rates.
See WAC
296-23A-0470
and
296-23A-0480
for exclusions and exceptions to DRG payments for hospital services.
[Statutory Authority: RCW
51.04.020
,
51.04.030
and
51.36.080
. WSR 97-06-066, § 296-23A-0450, filed 2/28/97, effective 4/1/97.]