PERMANENT RULES
SOCIAL AND HEALTH SERVICES
(Health and Recovery Services Administration)
Effective Date of Rule: August 1, 2007.
Purpose: The department's new rules and amendments to existing rules ensure clear and consistent policies for hospital reimbursement and ensure compliance with federal and state guidelines. The rules add new sections to: Ensure all disproportionate share hospital (DSH) programs are identified in rule and ensure that sufficient program detail is provided; amend sections pertaining to DSH requirements to ensure consistency with federal guidelines; describe how hospitals qualify for DSH payments; add definitions that apply to DSH payments; amend sections pertaining to the certified public expenditure (CPE) payment program to clarify CPE payment program policies and ensure consistency with federal guidelines embodied in the state plan; and amend sections pertaining to supplemental distributions to approved trauma centers in response to hospital provider input to the department; and incorporate into rule that the department is terminating the upper payment limit (UPL) program.
Citation of Existing Rules Affected by this Order: Amending WAC 388-550-4925, 388-550-4935, 388-550-4670, 388-550-4900, 388-550-5000, 388-550-5125, 388-550-5130, 388-550-5150, 388-550-5200, 388-550-5210, 388-550-5220, 388-550-5400, 388-550-5410, 388-550-5425, and 388-550-5450.
Statutory Authority for Adoption: RCW 74.08.090, 74.09.500.
Adopted under notice filed as WSR 07-10-101, 07-10-102, and 07-10-103 on May 1, 2007.
Changes Other than Editing from Proposed to Adopted Version: See Reviser's Note below.
A final cost-benefit analysis is available by contacting Ayuni Wimpee, P.O. Box 45510, Olympia, WA 98504-5510, phone (360) 725-1835, fax (360) 753-9152, e-mail wimpeah@dshs.wa.gov.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 4, Amended 11, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 4, Amended 11, Repealed 0.
Date Adopted: June 29, 2007.
Blake D. Chard
for Robin Arnold Williams
Secretary
Reviser's note: The material contained in this filing exceeded the page-count limitations of WAC 1-21-040 for appearance in this issue of the Register. It will appear in the 07-15 issue of the Register.