Section 182-550-5500. Payment—Hospital-based RHCs.

(1) The medicaid agency will reimburse hospital-based rural health clinics under the prospective payment methods effective July 1, 1994. Under the prospective payment method, the agency will not make reconciliation payments to a hospital-based rural health clinic to cover its costs for a preceding period.

(2) The agency will shall pay an amount equal to the hospital-based rural health clinic's charge multiplied by the hospital's specific ratio of costs to charges (RCC), not to exceed one hundred percent of the charges.

(3) The agency will shall determine the hospital-based rural health clinic's RCC from the hospital's annual medicare cost report, according to WAC 182-550-4500(1).

[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-18-065, § 182-550-5500, filed 8/27/15, effective 9/27/15. WSR 11-14-075, recodified as § 182-550-5500, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.730, 74.04.050, 70.01.010, 74.09.200, [74.09.]500, [74.09.]530 and 43.20B.020. WSR 98-01-124, § 388-550-5500, filed 12/18/97, effective 1/18/98.]

RCW 41.05.021 and 41.05.160. WSR 15-18-065, § 182-550-5500, filed 8/27/15, effective 9/27/15. WSR 11-14-075, recodified as § 182-550-5500, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.730, 74.04.050, 70.01.010, 74.09.200, [74.09.]500, [74.09.]530 and 43.20B.020. WSR 98-01-124, § 388-550-5500, filed 12/18/97, effective 1/18/98.

Rules

182-550-4500,