Section 182-550-3381 - Payment method for acute PM&R services and administrative day servicesThis section describes the agency's payment method for acute physical medicine and rehabilitation (PM&R) services provided by acute PM&R hospitals.
(1) The agency pays an acute PM&R hospital for acute PM&R services based on a rehabilitation per diem rate. See chapter 182-550 WAC and WAC 182-550-3000.(2) Acute PM&R room and board includes, but is not limited to: (b) Social services (e.g., discharge planning);(c) Bed and standard room furnishings; and(d) Dietary and nursing services.(3) When the agency authorizes administrative day(s) for a client as described in WAC 182-550-2561(8), the agency pays the facility:(a) The administrative day rate;(b) For pharmaceuticals prescribed for the client's use during the administrative portion of the client's stay; and(c) Medically necessary ancillary services as determined by the agency.(4) The agency pays for transportation services provided to a client receiving acute PM&R services in an acute PM&R hospital according to chapter 182-546 WAC.Wash. Admin. Code § 182-550-3381
Amended by WSR 14-12-047, Filed 5/29/2014, effective 7/1/2014Amended by WSR 23-21-063, Filed 10/12/2023, effective 1/1/202411-14-075, recodified as §182-550-3381, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.500. 07-14-055, § 388-550-3381, filed 6/28/07, effective 8/1/07. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 482.56. 03-06-047, § 388-550-3381, filed 2/28/03, effective 3/31/03. Statutory Authority: RCW 74.08.090 and 74.09.520. 99-17-111, § 388-550-3381, filed 8/18/99, effective 9/18/99.