The department will pay for hospital outpatient services according to the following table:
| Hospital Type or Service Location | Does the Ambulatory Payment Classification System apply? | Do percent of allowed charges (POAC) payment methods apply? | Do the department's Medical Aid Rules and Fee Schedules apply to hospital outpatient radiology, laboratory, pathology, occupational therapy, and physical therapy services? |
| Children's hospitals | No | Yes, paid 100% of allowed charges | Yes |
| Chronic Pain Management Program | No | Exempt, paid per department agreement | Exempt, paid per department agreement |
| Health Maintenance Organizations | Yes, paid statewide average per APC rate | Yes, applies to certain hospital outpatient services excluded from OPPS except radiology, laboratory, pathology, occupational therapy, and physical therapy | Yes |
| Military | No | Yes, paid 100% of allowed charges | No, paid 100% of allowed charges |
| Veterans Administration | No | Yes, paid 100% of allowed charges | No, paid 100% of allowed charges |
| State psychiatric facility | No | Yes, paid 100% of allowed charges | Yes |
| Other psychiatric hospitals | No | Yes, applies to hospital outpatient services except radiology, laboratory, pathology, occupational therapy, and physical therapy | Yes |
| Rehabilitation hospitals | No | Yes, applies to hospital outpatient services except radiology, laboratory, pathology, occupational therapy, and physical therapy | Yes |
| Cancer hospitals | No | Yes, applies to hospital outpatient services except radiology, laboratory, pathology, occupational therapy, and physical therapy | Yes |
| Critical access hospitals | No | Yes, applies to hospital outpatient services except radiology, laboratory, pathology, occupational therapy, and physical therapy | Yes |
| All other Washington hospitals | Yes | Yes, applies to certain hospital outpatient services excluded from OPPS except radiology, laboratory, pathology, occupational therapy, and physical therapy | Yes |
Hospitals are reimbursed only for the technical component of rates listed in the fee schedules, for outpatient radiology, pathology and laboratory services.