Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-550 - Hospital services
Section 182-550-5300 - Payment method - Children's health program disproportionate share hospital (CHPDSH)
Universal Citation: WA Admin Code 182-550-5300
Current through Register Vol. 24-18, September 15, 2024
(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. 12-20-029, §182-550-5300, filed 9/26/12, effective 10/27/12.
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.
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