Section 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 182-550-2800 for 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.

[Statutory Authority: RCW 41.05.021. WSR 12-20-029, § 182-550-5300, filed 9/26/12, effective 10/27/12.]

RCW 41.05.021. WSR 12-20-029, § 182-550-5300, filed 9/26/12, effective 10/27/12.

Rules

182-550-4900,182-550-2800,182-550-7000,182-550-7600,182-550,