Washington · Regulations
Chapter 182-550 — HOSPITAL SERVICES
95 sections
95 sections
- WAC 182-550-1000WAC 182-550-1000. Applicability
- WAC 182-550-1050WAC 182-550-1050. Hospital services definitions
- WAC 182-550-1100WAC 182-550-1100. Hospital care — General
- WAC 182-550-1200WAC 182-550-1200. Restrictions on hospital coverage
- WAC 182-550-1300WAC 182-550-1300. Revenue code categories and subcategories
- WAC 182-550-1350WAC 182-550-1350. Revenue code categories and subcategories — CPT and HCPCS reporting requirements for outpatient hospitals
- WAC 182-550-1400WAC 182-550-1400. Covered and noncovered revenue code categories and subcategories for inpatient hospital services
- WAC 182-550-1500WAC 182-550-1500. Covered and noncovered revenue code categories and subcategories for outpatient hospital services
- WAC 182-550-1600WAC 182-550-1600. Specific items/services not covered
- WAC 182-550-1650WAC 182-550-1650. Adverse events, hospital-acquired conditions, and present on admission indicators
- WAC 182-550-1700WAC 182-550-1700. Authorization and utilization review (UR) of inpatient and outpatient hospital services
- WAC 182-550-1800WAC 182-550-1800. Hospital specialty services not requiring prior authorization
- WAC 182-550-1900WAC 182-550-1900. Transplant coverage
- WAC 182-550-2100WAC 182-550-2100. Requirements — Transplant facilities
- WAC 182-550-2301WAC 182-550-2301. Hospital and medical criteria requirements for bariatric surgery
- WAC 182-550-2400WAC 182-550-2400. Inpatient chronic pain management services
- WAC 182-550-2431WAC 182-550-2431. Hospice services — Inpatient payments
- WAC 182-550-2500WAC 182-550-2500. Inpatient hospice services
- WAC 182-550-2501WAC 182-550-2501. Acute physical medicine and rehabilitation (acute PM&R) program — General
- WAC 182-550-2521WAC 182-550-2521. Client eligibility requirements for acute PM&R services
- WAC 182-550-2531WAC 182-550-2531. Requirements for becoming an acute PM&R provider
- WAC 182-550-2541WAC 182-550-2541. Quality of care — Agency-approved acute PM&R hospital
- WAC 182-550-2551WAC 182-550-2551. When the medicaid agency authorizes acute PM&R services
- WAC 182-550-2561WAC 182-550-2561. The agency's prior authorization requirements for acute PM&R services
- WAC 182-550-2565WAC 182-550-2565. The long-term acute care (LTAC) program — General
- WAC 182-550-2575WAC 182-550-2575. Client eligibility requirements for LTAC services
- WAC 182-550-2580WAC 182-550-2580. Requirements for becoming an LTAC hospital
- WAC 182-550-2585WAC 182-550-2585. LTAC hospitals — Quality of care
- WAC 182-550-2590WAC 182-550-2590. Agency prior authorization requirements for Level 1 and Level 2 LTAC services
- WAC 182-550-2595WAC 182-550-2595. Identification of and payment methodology for services and equipment included in the LTAC fixed per diem rate
- WAC 182-550-2596WAC 182-550-2596. Services and equipment covered by the agency but not included in the LTAC fixed per diem rate
- WAC 182-550-2598WAC 182-550-2598. Critical access hospitals (CAHs)
- WAC 182-550-2600WAC 182-550-2600. Inpatient psychiatric services
- WAC 182-550-2650WAC 182-550-2650. Base community psychiatric hospitalization payment method for medicaid and CHIP clients and nonmedicaid and non-CHIP clients
- WAC 182-550-2750WAC 182-550-2750. Hospital discharge planning services
- WAC 182-550-2900WAC 182-550-2900. Payment limits — Inpatient hospital services
- WAC 182-550-2950WAC 182-550-2950. Payment limits — Provider preventable fourteen-day readmissions
- WAC 182-550-3000WAC 182-550-3000. Payment method
- WAC 182-550-3381WAC 182-550-3381. Payment method for acute PM&R services and administrative day services
- WAC 182-550-3400WAC 182-550-3400. Case-mix index
- WAC 182-550-3470WAC 182-550-3470. Payment method — Bariatric surgery — Per case rate
- WAC 182-550-3600WAC 182-550-3600. Diagnosis-related group (DRG) payment — Hospital transfers
- WAC 182-550-3700WAC 182-550-3700. DRG high outliers
- WAC 182-550-3800WAC 182-550-3800. Rebasing
- WAC 182-550-3830WAC 182-550-3830. Adjustments to inpatient rates
- WAC 182-550-3850WAC 182-550-3850. Budget neutrality adjustment and measurement
- WAC 182-550-3900WAC 182-550-3900. Payment method—Bordering city hospitals and critical border hospitals
- WAC 182-550-4000WAC 182-550-4000. Payment method — Out-of-state hospitals
- WAC 182-550-4100WAC 182-550-4100. Payment method — New hospitals
- WAC 182-550-4200WAC 182-550-4200. Change in hospital ownership
- WAC 182-550-4300WAC 182-550-4300. Hospitals and units exempt from the DRG payment method
- WAC 182-550-4400WAC 182-550-4400. Services — Exempt from DRG payment
- WAC 182-550-4500WAC 182-550-4500. Payment method — Ratio of costs-to-charges (RCC)
- WAC 182-550-4550WAC 182-550-4550. Administrative day rate and swing bed day rate
- WAC 182-550-4650WAC 182-550-4650. "Full cost" public hospital certified public expenditure (CPE) payment program
- WAC 182-550-4670WAC 182-550-4670. CPE payment program — "Hold harmless" provision
- WAC 182-550-4690WAC 182-550-4690. Authorization requirements and utilization review for hospitals eligible for CPE payments
- WAC 182-550-4800WAC 182-550-4800. Hospital payment methods — State-administered programs
- WAC 182-550-4900WAC 182-550-4900. Disproportionate share hospital (DSH) payments — General provisions
- WAC 182-550-4925WAC 182-550-4925. Eligibility for DSH programs — New hospital providers
- WAC 182-550-4935WAC 182-550-4935. DSH eligibility — Change in hospital ownership
- WAC 182-550-4940WAC 182-550-4940. Disproportionate share hospital independent audit findings and recoupment process
- WAC 182-550-5000WAC 182-550-5000. Payment method — Low income disproportionate share hospital (LIDSH)
- WAC 182-550-5130WAC 182-550-5130. Payment method — Institution for mental diseases disproportionate share hospital (IMDDSH) and institution for mental diseases (IMD) state grants
- WAC 182-550-5150WAC 182-550-5150. Payment method — Medical care services disproportionate share hospital (MCSDSH)
- WAC 182-550-5200WAC 182-550-5200. Payment method — Small rural disproportionate share hospital (SRDSH)
- WAC 182-550-5300WAC 182-550-5300. Payment method — Children's health program disproportionate share hospital (CHPDSH)
- WAC 182-550-5400WAC 182-550-5400. Payment method — Public hospital disproportionate share hospital (PHDSH)
- WAC 182-550-5410WAC 182-550-5410. CPE medicaid cost report and settlements
- WAC 182-550-5450WAC 182-550-5450. Supplemental distributions to approved trauma service centers
- WAC 182-550-5500WAC 182-550-5500. Payment — Hospital-based RHCs
- WAC 182-550-5550WAC 182-550-5550. Public notice for changes in medicaid payment rates for hospital services
- WAC 182-550-5600WAC 182-550-5600. Dispute resolution process for hospital rate reimbursement
- WAC 182-550-5700WAC 182-550-5700. Hospital reports and audits
- WAC 182-550-5800WAC 182-550-5800. Outpatient and emergency hospital services
- WAC 182-550-6000WAC 182-550-6000. Outpatient hospital services — Conditions of payment and payment methods
- WAC 182-550-6100WAC 182-550-6100. Outpatient hospital physical therapy
- WAC 182-550-6150WAC 182-550-6150. Outpatient hospital occupational therapy
- WAC 182-550-6200WAC 182-550-6200. Outpatient hospital speech therapy services
- WAC 182-550-6250WAC 182-550-6250. Pregnancy — Enhanced outpatient benefits
- WAC 182-550-6300WAC 182-550-6300. Outpatient nutritional counseling
- WAC 182-550-6450WAC 182-550-6450. Outpatient hospital weight loss program
- WAC 182-550-6500WAC 182-550-6500. Blood and blood components
- WAC 182-550-6600WAC 182-550-6600. Hospital-based physician services
- WAC 182-550-6700WAC 182-550-6700. Hospital services provided out-of-state
- WAC 182-550-7000WAC 182-550-7000. Outpatient prospective payment system (OPPS) — General
- WAC 182-550-7200WAC 182-550-7200. OPPS — Billing requirements and payment method
- WAC 182-550-7300WAC 182-550-7300. OPPS — Payment limitations
- WAC 182-550-7400WAC 182-550-7400. OPPS EAPG relative weights
- WAC 182-550-7450WAC 182-550-7450. OPPS budget target adjustor
- WAC 182-550-7500WAC 182-550-7500. OPPS rate
- WAC 182-550-7550WAC 182-550-7550. OPPS payment enhancements
- WAC 182-550-7600WAC 182-550-7600. OPPS payment calculation
- WAC 182-550-8000WAC 182-550-8000. Hospital safety net program (HSNP) — Purpose
- WAC 182-550-8100WAC 182-550-8100. Assessment notices — Process and timelines