WAC 182-550-5150. Payment method — Medical care services disproportionate share hospital (MCSDSH)

(1) A hospital is eligible for the medical care services disproportionate share hospital (MCSDSH) payment if the hospital: (a) Meets the criteria in WAC 182-550-4900 ; (b) Is an in-state or designated bordering city hospital; (c) Provides services to clients eligible under the medical care services program; and (d) Has a medicaid inpatient utilization rate (MIUR) of one percent or more. (2) The medicaid agency determines the MCSDSH payment for each eligible hospital in accordance with WAC 182-550-4800 for inpatient hospital claims submitted for medical care services (MCS) clients. (3) The agency makes MCSDSH payments to a hospital on a claim-specific basis for inpatient services.