WSR 19-18-038
[Filed August 29, 2019, 1:57 p.m.]
Title or Subject: Medicaid State Plan Amendment (SPA) 19-0028 – Update References to Per Case Rate Payment Methodology.
Effective Date: October 1, 2019.
Description: The health care authority (HCA) intends to submit medicaid SPA 19-0028 to update references to a former inpatient hospital payment methodology known as the "per case rate." HCA eliminated this payment methodology in favor of the diagnosis-related group methodology, effective October 1, 2018. In order to ensure clarity regarding when this methodology was effective, SPA 19-0028 adds the effective dates to each reference to the per case rate. The Centers for Medicare and Medicaid Services approved eliminating the per case rate methodology in SPA 18-0029, approved in December 2018.
SPA 19-0028 is expected to have no effect on annual aggregate expenditures/payments.
HCA would appreciate any input or concerns regarding this SPA. To request a copy of the SPA or submit comments, please contact the person named below (please note that all comments are subject to public review and disclosure, as are the names of those who comment).
Contact Abigail Cole, Hospital Finance, P.O. Box 5510, Olympia, WA 98504, phone 360-725-1835, TRS 711, fax 360-753-9152, email