WAC 388-550-5125
Payment method -- Psychiatric indigent
inpatient disproportionate share hospital (PIIDSH). (1)
Effective for dates of admission on and after July 1, 2003, a
hospital is eligible for the psychiatric indigent inpatient
disproportionate share hospital (PIIDSH) payment if the
hospital:
(a) Meets the criteria in WAC 388-550-4900(5);
(b) Is not designated an institution for mental diseases
(IMD);
(c) Provides services to clients eligible under the
psychiatric indigent inpatient (PII) program. See WAC 388-865-0217 for more information regarding the PII program;
and
(d) Is located within the state of Washington. A
hospital located out-of-state, including a hospital located in
a designated bordering city, is not eligible to receive PIIDSH
payments.
(2) PIIDSH is available only for emergency, voluntary
inpatient psychiatric care. PIIDSH is not available for
charges for nonhospital services associated with the inpatient
psychiatric care.
(3) The department makes PIIDSH payments to an eligible
hospital on a claim-specific basis.
[Statutory Authority: RCW 74.08.090, 74.09.500. 07-14-090, §
388-550-5125, filed 6/29/07, effective 8/1/07; 06-08-046, §
388-550-5125, filed 3/30/06, effective 4/30/06.]