PREPROPOSAL STATEMENT OF INQUIRY
SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
Subject of Possible Rule Making: Amending WAC 388-550-2800 Establishing inpatient payment rates, 388-550-3700 DRG outliers and administrative day rates, 388-550-4800 Hospital payment method -- State-only programs, and 388-550-6000 Payment -- Outpatient hospital services.
Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.08.090; 42 U.S.C. 1395x(v); 42 C.F.R. 447.271, .11303, and .2652.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: This rewrite is to ensure MAA's administrative code reflects current policy and practice. The amendments will add third party liability payment limit language, DRG exempt hospitals and DRG exempt services payment method information for Title XIX and state programs, and outpatient services record retention language. The amendments will also revise effective dates for high-cost and low-cost outlier thresholds.
Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None.
Process for Developing New Rule: The department invites the interested public to review and provide input on the draft language of the WAC. Draft material and information about how to participate are available by contacting the DSHS representative identified below.
Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Kathy Sayer [Sayre], Division of Program Support, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1342, fax (360) 586-9727, e-mail sayrek@dshs.wa.gov.
September 13, 2000
Marie Myerchin-Redifer, Manager
Rules and Policies Assistance Unit