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PDFWAC 182-550-5700

Hospital reports and audits.

(1) In-state and border area hospitals will complete and submit a copy of their annual medicare cost reports (HCFA 2552) to the medicaid agency. These hospital providers will:
(a) Maintain adequate records for audit and review purposes, and assure the accuracy of their cost reports;
(b) Complete their annual medicare HCFA 2552 cost report according to the applicable medicare statutes, regulations, and instructions; and
(c) Submit a copy to the agency:
(i) Within 150 days from the end of the hospital's fiscal year; or
(ii) If the hospital provider's contract is terminated, within 150 days of effective termination date; or
(d) Request up to a 30-day extension of the time for submitting the cost report in writing at least 10 days before the due date of the report. Hospital providers will include in the extension request the completion date of the report, and the circumstances prohibiting compliance with the report due date;
(2) If a hospital provider improperly completes a cost report or the cost report is received after the due date or approved extension date, the agency may withhold all or part of the payments due the hospital until the agency receives the properly completed or late report.
(3) Hospitals will submit other financial information required by the agency to establish rates.
(4) The agency will periodically audit the financial and statistical records of participating providers as needed.
[Statutory Authority: RCW 41.05.021, 41.05.160, and 42 C.F.R. Part 447, Subpart C, § 447.253(g). WSR 24-06-036, § 182-550-5700, filed 2/29/24, effective 3/31/24. Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-18-065, § 182-550-5700, filed 8/27/15, effective 9/27/15. WSR 11-14-075, recodified as § 182-550-5700, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.730, 74.04.050, 70.01.010, 74.09.200, [74.09.]500, [74.09.]530 and 43.20B.020. WSR 98-01-124, § 388-550-5700, filed 12/18/97, effective 1/18/98.]
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