WSR 15-12-035

[Filed May 27, 2015, 6:43 a.m.]

Title or Subject: Medicaid State Plan Amendment (SPA) 15-0029 Ambulatory Surgery Centers.

Effective Date: August 1, 2015.

Description: The health care authority intends to submit SPA 15-0029 to update the medicaid state plan to reflect the current policy and practice for paying ambulatory surgery centers (ASCs). These updates include, but may not be limited to, a change to the payment methodology which involves grouping ASCs into nine (a change from eight) payment groups, each with a set fee; describing a multiple-procedure discounting algorithm for two or more surgeries on the same claim; and including payment for implantable devices separately and in addition to the surgery payments.

This SPA will update the medicaid state plan so it reflects current practice and policy; no program changes are anticipated. This SPA is therefore anticipated to have little or no effect on annual aggregate expenditures.

The SPA is in the development process; therefore a copy is not yet available for review.

For additional information, contact Jean Bui, Office of Professional and Hospital Rates, 626 8th Avenue S.E., P.O. Box 45502, Olympia, WA 98504, phone (360) 725-1973, e-mail jean.bui@hca.wa.gov.