Pediatric palliative care (PPC) case management/coordination services—Rates methodology.
(1) The medicaid agency determines the reimbursement rate for a pediatric palliative care (PPC) contact described in WAC 182-551-1820
using the average of statewide metropolitan statistical area (MSA) home health care rates for skilled nursing, physical therapy, speech-language therapy and occupational therapy.
(2) The medicaid agency makes adjustments to the reimbursement rate for PPC contacts when the legislature grants a vendor rate change. New rates become effective as directed by the legislature and are effective until the next rate change.
(3) The reimbursement rate for authorized out-of-state PPC services is the same as the in-state non-MSA rate.
[Statutory Authority: RCW 41.05.021
. WSR 16-03-035, § 182-551-1850, filed 1/12/16, effective 2/12/16. WSR 11-14-075, recodified as § 182-551-1850, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090
. WSR 05-18-033, § 388-551-1850, filed 8/30/05, effective 10/1/05.]