WAC 182-550-5300. Payment method — Children's health program disproportionate share hospital (CHPDSH)

(1) Effective July 1, 2011, a hospital is eligible for the children's health program disproportionate share hospital (CHPDSH) payment if funding is legislatively appropriated and if the hospital: (a) Meets the criteria in WAC 182-550-4900 ; (b) Is an in-state or designated bordering city hospital; or (c) Provides services to low-income, children's health program (CHP) clients who, because of their citizenship status, are not eligible for medicaid nonemergency health coverage and who are encountering a nonemergency medical condition. (2) Hospitals qualifying for CHPDSH payments will receive a per claim payment for inpatient and outpatient claims at the equivalent medicaid rate. (3) The agency determines the CHPDSH payment for each eligible hospital in accordance with: (a) WAC 182-550-2900 through 182-550-3000 and other sections in chapter 182-550 WAC that pertain to inpatient hospital claims submitted for CHP clients; and (b) WAC 182-550-7000 through 182-550-7600 and other sections in chapter 182-550 WAC that pertain to outpatient hospital claims submitted for CHP clients.