Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-550 - Hospital services
- Section 182-550-1000 - Applicability
- Section 182-550-1050 - Hospital services definitions
- Section 182-550-1100 - Hospital care-General
- Section 182-550-1200 - Restrictions on hospital coverage
- Section 182-550-1300 - Revenue code categories and subcategories
- Section 182-550-1350 - Revenue code categories and subcategories - CPT and HCPCS reporting requirements for outpatient hospitals
- Section 182-550-1400 - Covered and noncovered revenue codes categories and subcategories for inpatient hospital services
- Section 182-550-1500 - Covered and noncovered revenue code categories and subcategories for outpatient hospital services
- Section 182-550-1600 - Specific items/services not covered
- Section 182-550-1650 - Adverse events, hospital-acquired conditions, and present on admission indicators
- Section 182-550-1700 - Authorization and utilization review (UR) of inpatient and outpatient hospital services
- Section 182-550-1800 - Hospital specialty services not requiring prior authorization
- Section 182-550-1900 - Transplant coverage
- Section 182-550-2100 - Requirements - Transplant hospitals
- Section 182-550-2200 - Transplant requirements-COE
- Section 182-550-2301 - Hospital and medical criteria requirements for bariatric surgery
- Section 182-550-2400 - Inpatient chronic pain management services
- Section 182-550-2431 - Hospice services-Inpatient payments
- Section 182-550-2500 - Inpatient hospice services
- Section 182-550-2501 - Acute physical medicine and rehabilitation (acute PM&R) program-General
- Section 182-550-2511
- Section 182-550-2521 - Client eligibility requirements for acute PM&R services
- Section 182-550-2531 - Requirements for becoming an acute PM&R provider
- Section 182-550-2541 - Quality of care-Agency-approved acute PM&R hospital
- Section 182-550-2551 - When the medicaid agency authorizes acute PM&R services
- Section 182-550-2561 - The agency's prior authorization requirements for acute PM&R services
- Section 182-550-2565 - The long-term acute care (LTAC) program-General
- Section 182-550-2570
- Section 182-550-2575 - Client eligibility requirements for LTAC services
- Section 182-550-2580 - Requirements for becoming an LTAC hospital
- Section 182-550-2585 - LTAC hospitals-Quality of care
- Section 182-550-2590 - Agency prior authorization requirements for Level 1 and Level 2 LTAC services
- Section 182-550-2595 - Identification of and payment methodology for services and equipment included in the LTAC fixed per diem rate
- Section 182-550-2596 - Services and equipment covered by the agency but not included in the LTAC fixed per diem rate
- Section 182-550-2598 - Critical access hospitals (CAHs)
- Section 182-550-2600 - Inpatient psychiatric services
- Section 182-550-2650 - Base community psychiatric hospitalization payment method for medicaid and CHIP clients and nonmedicaid and non-CHIP clients
- Section 182-550-2750 - Hospital discharge planning services
- Section 182-550-2800
- Section 182-550-2900 - Payment limits-Inpatient hospital services
- Section 182-550-2950 - Payment limits-Provider preventable fourteen-day readmissions
- Section 182-550-3000 - Payment method
- Section 182-550-3010
- Section 182-550-3020
- Section 182-550-3100
- Section 182-550-3150
- Section 182-550-3200
- Section 182-550-3250
- Section 182-550-3300
- Section 182-550-3350
- Section 182-550-3381 - Payment method for acute PM&R services and administrative day services
- Section 182-550-3400 - Case-mix index
- Section 182-550-3450
- Section 182-550-3460
- Section 182-550-3470 - Payment method-Bariatric surgery-Per case rate
- Section 182-550-3500
- Section 182-550-3600 - Diagnosis-related group (DRG) payment-Hospital transfers
- Section 182-550-3700 - DRG high outliers
- Section 182-550-3800 - Rebasing
- Section 182-550-3830 - Adjustments to inpatient rates
- Section 182-550-3830 - Adjustments to inpatient rates
- Section 182-550-3840
- Section 182-550-3850 - Budget neutrality adjustment and measurement
- Section 182-550-3900 - Payment method - Bordering city hospitals and critical border hospitals
- Section 182-550-4000 - Payment method-Out-of-state hospitals
- Section 182-550-4100 - Payment method-New hospitals
- Section 182-550-4200 - Change in hospital ownership
- Section 182-550-4300 - Hospitals and units exempt from the DRG payment method
- Section 182-550-4400 - Services-Exempt from DRG payment
- Section 182-550-4400 - Services-Exempt from DRG payment
- Section 182-550-4500 - Payment method-Ratio of costs-to-charges (RCC)
- Section 182-550-4550 - Administrative day rate and swing bed day rate
- Section 182-550-4600
- Section 182-550-4650 - "Full cost" public hospital certified public expenditure (CPE) payment program
- Section 182-550-4670 - CPE payment program-"Hold harmless" provision
- Section 182-550-4690 - Authorization requirements and utilization review for hospitals eligible for CPE payments
- Section 182-550-4700 - Payment-Non-SCA participating hospitals (Repealed)
- Section 182-550-4800 - Hospital payment methods- State-administered programs
- Section 182-550-4900 - Disproportionate share hospital (DSH) payments-General provisions
- Section 182-550-4925 - Eligibility for DSH programs-New hospital providers
- Section 182-550-4935 - DSH eligibility-Change in hospital ownership
- Section 182-550-4940 - Disproportionate share hospital independent audit findings and recoupment process
- Section 182-550-5000 - Payment method-Low income disproportionate share hospital (LIDSH)
- Section 182-550-5125
- Section 182-550-5130 - Payment method-Institution for mental diseases disproportionate share hospital (IMDDSH) and institution for mental diseases (IMD) state grants
- Section 182-550-5150 - Payment method - Medical care services disproportionate share hospital (MCSDSH)
- Section 182-550-5200 - Payment method-Small rural disproportionate share hospital (SRDSH)
- Section 182-550-5210 - Payment method-Small rural indigent assistance disproportionate share hospital (SRIADSH)
- Section 182-550-5220 - Payment method-Nonrural indigent assistance disproportionate share hospital (NRIADSH)
- Section 182-550-5300 - Payment method - Children's health program disproportionate share hospital (CHPDSH)
- Section 182-550-5380 - Payment method-Sole community disproportionate share hospital (SCDSH)
- Section 182-550-5400 - Payment method-Public hospital disproportionate share hospital (PHDSH)
- Section 182-550-5410 - CPE medicaid cost report and settlements
- Section 182-550-5425 - Upper payment limit (UPL) payments for inpatient hospital services (Repealed)
- Section 182-550-5450 - Supplemental distributions to approved trauma service centers
- Section 182-550-5500 - Payment-Hospital-based RHCs
- Section 182-550-5550 - Public notice for changes in medicaid payment rates for hospital services
- Section 182-550-5600 - Dispute resolution process for hospital rate reimbursement
- Section 182-550-5700 - Hospital reports and audits
- Section 182-550-5800 - Outpatient and emergency hospital services
- Section 182-550-6000 - Outpatient hospital services-Conditions of payment and payment methods
- Section 182-550-6100 - Outpatient hospital physical therapy
- Section 182-550-6150 - Outpatient hospital occupational therapy
- Section 182-550-6200 - Outpatient hospital speech therapy services
- Section 182-550-6250 - Pregnancy-Enhanced outpatient benefits
- Section 182-550-6300 - Outpatient nutritional counseling
- Section 182-550-6400 - Outpatient hospital diabetes education
- Section 182-550-6450 - Outpatient hospital weight loss program
- Section 182-550-6500 - Blood and blood components
- Section 182-550-6600 - Hospital-based physician services
- Section 182-550-6700 - Hospital services provided out-of-state
- Section 182-550-7000 - Outpatient prospective payment system (OPPS) - General
- Section 182-550-7050
- Section 182-550-7100
- Section 182-550-7200 - OPPS-Billing requirements and payment method
- Section 182-550-7300 - OPPS-Payment limitations
- Section 182-550-7400 - OPPS APC relative weights
- Section 182-550-7450 - OPPS budget target adjustor
- Section 182-550-7500 - OPPS rate
- Section 182-550-7550 - OPPS payment enhancements
- Section 182-550-7550 - OPPS payment enhancements
- Section 182-550-7600 - OPPS payment calculation
- Section 182-550-8000 - Hospital safety net program (HSNP)-Purpose
- Section 182-550-8100 - Assessment notices-Process and timelines
Disclaimer: These regulations may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
