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WAC 388-835-0785

Can DSHS increase prospective reimbursement rates?

(1) Except for the situations described in subsection (3) and (4) of this section, DSHS prospective reimbursement rates are the maximum provider payment rates for those periods to which they apply.
(2) DSHS does not grant rate adjustments for cost increases that are or were subject to management control or negotiations. Examples include, but are not limited to, all lease cost increases or any cost increases not expressly authorized in subsection (3) and (4).
(3) DSHS does adjust rates for any capitalized additions or replacements made as a condition for licensure or certification.
(4) DSHS does adjust rates for cost increases that must be incurred and cannot be met through the provider's prospective rate. Examples of such cost increases are:
(a) Program changes required by DSHS;
(b) Changes in staffing levels or consultants at a facility required by DSHS;
(c) Changes required by a survey; and
(d) Changes in revenue assessments required by the state legislature.
[Statutory Authority: RCW 71A.20.140. WSR 01-10-013, ยง 388-835-0785, filed 4/20/01, effective 5/21/01.]
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