WSR 24-06-036
PERMANENT RULES
HEALTH CARE AUTHORITY
[Filed February 29, 2024, 9:46 a.m., effective March 31, 2024]
Effective Date of Rule: Thirty-one days after filing.
Purpose: The health care authority revised this rule to remove subsection (4)(a) and (b) and revise the language to match 42 C.F.R. Part 447, Subpart C, Payment for Inpatient Hospital and Long-Term Care Facility Services, § 447.253(g) Other requirements.
Citation of Rules Affected by this Order: Amending WAC 182-550-5700.
Other Authority: 42 C.F.R. Part 447, Subpart C, §447.253(g).
Adopted under notice filed as WSR 24-03-100 on January 18, 2024.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 1, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: February 29, 2024.
Wendy Barcus
Rules Coordinator
OTS-5138.1
AMENDATORY SECTION(Amending WSR 15-18-065, filed 8/27/15, effective 9/27/15)
WAC 182-550-5700Hospital reports and audits.
(1) In-state and border area hospitals will complete and submit a copy of their annual medicare cost reports (HCFA 2552) to the medicaid agency. These hospital providers will:
(a) Maintain adequate records for audit and review purposes, and assure the accuracy of their cost reports;
(b) Complete their annual medicare HCFA 2552 cost report according to the applicable medicare statutes, regulations, and instructions; and
(c) Submit a copy to the agency:
(i) Within ((one hundred fifty))150 days from the end of the hospital's fiscal year; or
(ii) If the hospital provider's contract is terminated, within ((one hundred fifty))150 days of effective termination date; or
(d) Request up to a ((thirty))30-day extension of the time for submitting the cost report in writing at least ((ten))10 days before the due date of the report. Hospital providers will include in the extension request the completion date of the report, and the circumstances prohibiting compliance with the report due date;
(2) If a hospital provider improperly completes a cost report or the cost report is received after the due date or approved extension date, the agency may withhold all or part of the payments due the hospital until the agency receives the properly completed or late report.
(3) Hospitals will submit other financial information required by the agency to establish rates.
(4) The agency will periodically audit((:
(a) Cost report data used for rate setting;
(b) Hospital billings; and
(c) Other))the financial and statistical records of participating providers as needed.