(Effective January 1, 2027)
PDFWAC 182-40-0500
Reimbursement using a payment methodology other than fee-for-service.
A contractor may reimburse a provider or hospital using a payment methodology other than fee-for-service as long as:
(1) The payments incentivize higher quality or improved outcomes including, but not limited to:
(a) Value-based payments;
(b) Capitation payments;
(c) Bundled payments;
(d) Integrated care payments consistent with the requirements in RCW 74.09.758; and
(e) Shared savings payments; and
(2) The contractor complies with the reimbursement requirements in WAC 182-40-0300 and 182-40-0400.