- (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.]