Hospital reimbursement

Disproportionate Share Hospital (DSH) application

• Application and instructions (updated June 21, 2019)

Medicaid cost report

• Cost report form (updated July 8, 2015)
• Cost report instructions (updated June 27, 2014)

Washington Administrative Code (WAC) information

• Section 182-550-4650 - Payment program
• Section 182-550-4670 - Hold harmless
• Section 182-550-4700 - Authorization and utilization review
• Section 182-550-5410 - Medicaid cost reports

Interim rates

• January 1, 2019 - current (updated February 4, 2019)
• January 1, 2018 - December 31, 2018 (updated March 5, 2018)
• January 1, 2017 - December 31, 2017 (published December 28, 2016)
• January 1, 2016 - December 31, 2016 (updated June 10, 2016)
• January 1, 2015 - December 31, 2015 (updated March 5, 2015)
• January 1, 2014 - December 31, 2014 (published December 31, 2013)

Additional information

• HCA standard revenue code to cost center crosswalk (updated August 28, 2014)
• Department of Health - Critical Access Hospitals

Payments

• Low income DSH SFY2014 (updated March 17, 2015)
• Low income DSH SFY2013 (updated April 9, 2013)
• Low income DSH SFY2012 (updated July 1, 2012)
• Small rural DSH SFY2014 (published May 22, 2014)
• Small rural DSH SFY2013 (published July 14, 2012)
• Small rural DSH SFY2012 (updated July 1, 2012)

Calculations

• Low income DSH SFY2014 (updated March 17, 2015)
• Low income DSH SFY2013 (published April 9, 2013)
• Low income DSH SFY2012 (updated July 1, 2012)
• Small rural DSH SFY2014 (published June 9, 2014)
• Small rural DSH SFY2013 (updated June 9, 2014)
• Small rural DSH SFY2012 (updated July 1, 2012)

Utilization rates

• Low income DSH SFY2014 (published May 22, 2014)
• Low income DSH SFY2013 (updated April 9, 2013)
• Low income DSH SFY2012 (updated July 1, 2012)

Application and instructions (non-CPE)

• DSH application (updated June 21, 2019)
• DSH application troubleshooting (published July 1, 2012)

Reporting data file (DRDF)

• DRDF filing schedule (published July 10, 2014)
• DRDF preparation instructions (published July 1, 2012)
• DRDF certification review process (updated June 11, 2015)

Washington Administrative Code (WAC) information

• Section 182-550-4900 - General provisions

Fee-for-service (FFS) payments

• SFY2020 1st quarter (published September 23, 2019)
• SFY2019 4th quarter (published May 29, 2019)
• SFY2019 3rd quarter (published February 26, 2019)
• SFY2019 2nd quarter (published December 14, 2018)
• SFY2019 1st quarter (published September 19, 2018)
• SFY2018 4th quarter (published June 20, 2018)
• SFY2018 3rd quarter (published March 26, 2018)
• SFY2018 2nd quarter (published December 18, 2017)
• SFY2018 1st quarter (published October 2, 2017)
• SFY2017 4th quarter (published June 13, 2017)
• SFY2017 3rd quarter (published March 28, 2017)
• SFY2017 2nd quarter (published December 30, 2016)
• SFY2017 1st quarter (published September 30, 2016)
• SFY2016 4th quarter (published June 21, 2016)
• SFY2016 3rd quarter (published April 25, 2016)
• SFY2016 2nd quarter (published December 18, 2015)
• SFY2016 1st quarter (updated December 18, 2015)

• SFY2015 4th quarter (published June 29, 2015)
• SFY2015 3rd quarter (published June 29, 2015)

Critical Access Hospital (CAH) grant payments

• SFY2019 (published February 26, 2019)
• SFY2018 (published March 26, 2018)
• SFY2017 (updated June 14, 2017)
• SFY2016 (published June 21, 2016)
• SFY2015 (published June 29, 2015)

Revised Code of Washington (RCW) information

• Chapter 74.60 - Hospital Safety Net Assessment

Inpatient provider rates (includes outpatient ratio of cost to charges (RCC) rates)

• October 1, 2019 - current (updated October 10, 2019)
• August 1, 2019 - September 30, 2019 (updated August 14, 2019)
• July 1, 2019 - July 31, 2019 (published June 28, 2019)
• May 1, 2019 - June 30, 2019 (updated September 12, 2019)
• April 1, 2019 - April 30, 2019 (published September 12, 2019)
• February 1, 2019 - March 31, 2019 (updated May 6, 2019)
• January 1, 2019 - January 31, 2019 (published May 6, 2019)
• November 1, 2018 - December 31, 2018 (updated May 6, 2019)
• October 1, 2018 - October 31, 2018 (updated May 6, 2019)
• August 1, 2018 - September 30, 2018 (updated November 1, 2018)
• July 1, 2018 - July 31, 2018 (updated August 13, 2018)
• May 1, 2018 - June 30, 2018 (updated August 13, 2018)
• February 1, 2018 - April 30, 2018 (updated August 13, 2018)
• January 1, 2018 - January 31, 2018 (updated March 6, 2018)
• November 1, 2017 - December 31, 2017 (updated March 6, 2018)
• October 1, 2017 - October 31, 2017 (updated March 6, 2018)
• August 1, 2017 - September 30, 2017 (updated August 25, 2017)
• July 1, 2017 - July 31, 2017 (updated August 3, 2017)
• May 1, 2017 - June 30, 2017 (updated August 3, 2017)
• February 1, 2017 - April 30, 2017 (updated August 3, 2017)
• January 1, 2017 - January 31, 2017 (updated August 3, 2017)
• November 1, 2016 - December 31, 2016 (updated March 31, 2017)
• August 1, 2016 - October 31, 2016 (updated March 31, 2017)
• July 1, 2016 - July 31, 2016 (updated March 31, 2017)
• June 1, 2016 - June 30, 2016 (updated March 31, 2017)
• February 1, 2016 - May 31, 2016 (updated March 31, 2017)
• January 1, 2016 - January 31, 2016 (updated March 31, 2017)
• November 1, 2015 - December 31, 2015 (published October 30, 2015)
• August 1, 2015 - October 31, 2015 (updated September 8, 2015)
• May 1, 2015 - July 31, 2015 (updated September 16, 2015)
• February 1, 2015 - April 30, 2015 (updated July 22, 2015)
• January 1, 2015 - January 31, 2015 (published December 31, 2014)
• November 1, 2014 - December 31, 2014 (updated November 21, 2014)
• August 1, 2014 - October 31, 2014 (updated October 27, 2014)
• July 1, 2014 - July 31, 2014 (updated October 5, 2015)

Diagnosis-related group (DRG) grouper weights and utilization/length of stay information

• April 1, 2018 - current (updated May 15, 2018)
• July 1, 2014 - March 31, 2018 (updated July 16, 2014)

Outlier factors

• July 1, 2014 - current (published July 2, 2014)

Quality Incentive Payments (QIP) hospital scores

• July 1, 2019 - current (published June 26, 2019)
• July 1, 2018 - June 30, 2019 (published June 19, 2018)
• July 1, 2017 - June 30, 2018 (published June 12, 2017)
• July 1, 2016 - June 30, 2017 (published July 26, 2016)
• August 1, 2015 - June 30, 2016 (published July 20, 2015)
• July 1, 2014 - July 31, 2015 (updated March 6, 2015)

Additional information

• Billing guides
• HCA revenue code grids

Ratio of cost to charges (RCC) rates

• Inpatient rates (includes outpatient RCC)

Provider conversion factors

• October 1, 2019 - current (published September 30, 2019)
• July 1, 2019 - September 30, 2019 (published June 28, 2019)
• April 1, 2019 - June 30, 2019 (published May 6, 2019)
• January 1, 2019 - March 31, 2019 (published December 27, 2018)
• October 1, 2018 - December 31, 2018 (published October 2, 2018)
• July 1, 2018 - September 30, 2018 (updated August 14, 2018)
• April 1, 2018 - June 30, 2018 (updated November 6, 2018)
• February 1, 2018 - March 31, 2018 (published January 31, 2018)
• January 1, 2018 - January 31, 2018 (updated January 10, 2018)
• October 1, 2017 - December 31, 2017 (updated November 20, 2017)
• July 1, 2017 - September 30, 2017 (updated September 11, 2017)
• April 1, 2017 - June 30, 2017 (updated July 31, 2017)
• January 1, 2017 - March 31, 2017 (updated January 30, 2017)
• October 1, 2016 - December 31, 2016 (updated November 2, 2016)
• July 1, 2016 - September 30, 2016 (published June 30, 2016)
• February 1, 2016 - June 30, 2016 (updated March 31, 2016)
• November 1, 2015 - January 31, 2016 (published October 30, 2015)
• August 1, 2015 - October 31, 2015 (published July 31, 2015)
• July 1, 2015 - July 31, 2015 (published June 30, 2015)
• January 1, 2015 - June 30, 2015 (published December 15, 2014)
• July 1, 2014 - December 31, 2014 (updated December 8, 2014)

Relative weights

• April 1, 2017 - current (updated March 17, 2017)
• July 1, 2014 - March 31, 2017 (updated June 26, 2014)

Additional information

• Billing guides and fee schedules
• HCA revenue code grids

Payments

• SFY2019 3rd distribution (published August 1, 2019)
• SFY2019 2nd distribution (published May 6, 2019)
• SFY2019 1st distribution (published February 4, 2019)
• SFY2018 4th distribution (published November 7, 2018)
• SFY2018 3rd distribution (published September 6, 2018)
• SFY2018 2nd distribution (published May 1, 2018)
• SFY2018 1st distribution (published February 1, 2018)
• SFY2017 final distribution (published June 10, 2019)
• SFY2017 4th distribution (published November 2, 2017)
• SFY2017 3rd distribution (published August 3, 2017)
• SFY2017 2nd distribution (published May 3, 2017)
• SFY2017 1st distribution (published February 1, 2017)
• SFY2016 final distribution (published June 21, 2018)
• SFY2016 4th distribution (published November 2, 2016)
• SFY2016 3rd distribution (published August 11, 2016)
• SFY2016 2nd distribution (published May 2, 2016)
• SFY2016 1st distribution (published February 1, 2016)
• SFY2015 final distribution (published January 4, 2018)
• SFY2015 4th distribution (published November 3, 2015)
• SFY2015 3rd distribution (published August 3, 2015)
• SFY2015 2nd distribution (published May 4, 2015)
• SFY2015 1st distribution (published February 2, 2015)

Additional information

• Department of Health - Trauma System