WSR 12-14-047


[ Filed June 28, 2012, 8:08 a.m. ]


Document Title: Title XIX State Plan Amendment (SPA) 12-022.

Subject: Medicaid state plan changes related to hospital inpatient outlier payment methodology.

Effective Date: August 1, 2012.

Description: The medicaid agency proposes to update its hospital inpatient outlier payment methodology to reflect current agency policy. The agency will be updating the outlier threshold factor and the percent of outlier adjustment factor for both per diem and DRG methods, and also maintain the differentiation between children's and pediatric DRG from all other types of payments.

For additional information, contact Sandy Stith, Office of Hospital Finance, P.O. Box 45500, Olympia, WA 98504, phone (360) 725-1949, TDD/TTY 1-800-848-5429, fax (360) 753-9152, e-mail

Washington State Code Reviser's Office