WSR 12-15-051


[ Filed July 17, 2012, 6:45 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 plan to submit medicaid state plan amendment 12-022 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.

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