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Washington Administrative Code (Last Updated: November 23, 2016) |
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Title 182. Health Care Authority |
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Chapter 182-551. Alternatives to hospital services. |
Section 182-551-1850. Pediatric palliative care (PPC) case management/coordination services—Rates methodology.
Latest version.
- (1) The medicaid agency determines the reimbursement rate for a pediatric palliative care (PPC) contact described in WAC 182-551-1820 using the average of statewide metropolitan statistical area (MSA) home health care rates for skilled nursing, physical therapy, speech-language therapy and occupational therapy.(2) The medicaid agency makes adjustments to the reimbursement rate for PPC contacts when the legislature grants a vendor rate change. New rates become effective as directed by the legislature and are effective until the next rate change.(3) The reimbursement rate for authorized out-of-state PPC services is the same as the in-state non-MSA rate.[Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-03-035, § 182-551-1850, filed 1/12/16, effective 2/12/16. WSR 11-14-075, recodified as § 182-551-1850, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 05-18-033, § 388-551-1850, filed 8/30/05, effective 10/1/05.]
Rules
182-551-1820,