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Attention hospital providers:
Effective for dates of service on and after August 1, 2025, the only separately reimbursable ancillary services during a hospital administrative stay will be pharmaceuticals. Other ancillary services will not be separately reimbursable.
The Health Care Authority (HCA) filed emergency rules on July 21, 2025, under WSR 25-15-120 reflecting this policy change and is working through the permanent rulemaking process to comply with Substitute House Bill 2051, Chapter 367, Laws of 2025, specifically the removal of Sec 1, (13)(b), & (c).
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