Wash. Admin. Code § 182-550-7000

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

Section 182-550-7000 - Outpatient prospective payment system (OPPS) - General

(1) The medic-aid agency pays for outpatient services using an outpatient prospective payment system (OPPS) for all hospitals that do not qualify as in-state critical access hospitals per WAC 182-550-2598.

(2) The agency uses the enhanced ambulatory payment group (EAPG) software provided by 3M^TM Health Information Systems to group OPPS claims based on services performed and resource intensity.

(3) The agency uses the group established in subsection (2) of this section to determine payment for OPPS claims.

Wash. Admin. Code § 182-550-7000

Amended by WSR 14-14-049, Filed 6/25/2014, effective 7/26/2014

11-14-075, recodified as §182-550-7000, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500. 07-13-100, § 388-550-7000, filed 6/20/07, effective 8/1/07; 04-20-061, § 388-550-7000, filed 10/1/04, effective 11/1/04.