Wash. Admin. Code § 182-550-2580

Current through Register Vol. 24-23, December 1, 2024

Section 182-550-2580 - Requirements for becoming an LTAC hospital

(1) To apply to become a medicaid agency-approved long-term acute care (LTAC) hospital, the agency requires a hospital to:

(a) Submit a letter of request to:

LTAC Program Manager

Division of Health Care Services

Health and Recovery Services Administration

P.O. Box 45506

Olympia WA 98504-5506; and

(b) Include in the letter required under (a) of this subsection, documentation that confirms the hospital is:

(i) Medicare-certified for LTAC;

(ii) Accredited by the joint commission on accreditation of health care organizations (JCAHO);

(iii) Licensed as an acute care hospital by the department of health (DOH) under chapter 246-320 WAC (if an in-state hospital), or by the state in which the hospital is located (if an out-of-state hospital); and

(iv) Enrolled with the agency as a medic-aid participating provider.

(2) A hospital qualifies as an agency-approved LTAC hospital when:

(a) The hospital meets all the requirements in this section;

(b) The agency's clinical staff has conducted an on-site visit and recommended approval of the hospital's request for LTAC designation; and

(c) The agency provides written notification to the hospital that it qualifies for payment when providing LTAC services to eligible Washington apple health clients.

(3) Agency-approved LTAC hospitals must meet the general requirements in chapter 182-502 WAC.

(4) The agency may, in its sole discretion, approve a hospital located in Idaho or Oregon that is not in a designated bordering city as an LTAC hospital if:

(a) The hospital meets the requirements of this section; and

(b) The hospital provider signs a contract with the agency agreeing to the payment rates established for LTAC services in accordance with WAC 182-550-2595.

(5) The agency does not have any legal obligation to approve any hospital or other entity as an LTAC hospital.

Wash. Admin. Code § 182-550-2580

Amended by WSR 15-18-065, Filed 8/27/2015, effective 9/27/2015

11-14-075, recodified as §182-550-2580, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.500. 08-21-039, § 388-550-2580, filed 10/8/08, effective 11/8/08; 07-11-129, § 388-550-2580, filed 5/22/07, effective 8/1/07. Statutory Authority: RCW 74.08.090. 02-14-162, § 388-550-2580, filed 7/3/02, effective 8/3/02.