Wash. Admin. Code § 296-23A-0450

Current through Register Vol. 25-01, January 1, 2025

Section 296-23A-0450 - What cases does the department exclude from base price calculations?

The department excludes the following types of cases from base price calculations:

	Transfers;
	Statistical outliers;
	Length of stay equal to zero;
	Psychiatric, substance abuse and rehabilitation DRGs;
	Out-of-state hospitals; and
	Other hospitals and services designated as exempt from DRG payment rates.

See WAC 296-23A-0470 and 296-23A-0480 for exclusions and exceptions to DRG payments for hospital services.

Wash. Admin. Code § 296-23A-0450

Statutory Authority: RCW 51.04.020, 51.04.030 and 51.36.080. 97-06-066, § 296-23A-0450, filed 2/28/97, effective 4/1/97.