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amounts are provided in fiscal year 2022 and fiscal year 2023 for the 1 authority to reimburse community hospitals and nonhospital 2 residential treatment centers serving clients in long-term inpatient 3 care beds as defined in RCW 71.24.025 as follows: 4 (a) For a hospital licensed under chapter 70.41 RCW that requires 5 a hospital specific medicaid inpatient psychiatric per diem payment 6 rate for long-term civil commitment patients because the hospital has 7 completed a medicare cost report, the authority shall analyze the 8 most recent medicare cost report of the hospital after a minimum of 9 200 medicaid inpatient psychiatric days. The authority shall 10 establish the inpatient psychiatric per diem payment rate for long- 11 term civil commitment patients for the hospital at 100 percent of the 12 allowable cost of care, based on the most recent medicare cost report 13 of the hospital. 14 (b) For a hospital licensed under chapter 70.41 RCW that has not 15 completed a medicare cost report with more than 200 medicaid 16 inpatient psychiatric days, the authority shall establish the 17 medicaid inpatient psychiatric per diem payment rate for long-term 18 civil commitment patients for the hospital at the higher of the 19 hospital's current medicaid inpatient psychiatric rate; or the 20 annually updated statewide average of the medicaid inpatient 21 psychiatric per diem payment rate of all acute care hospitals 22 licensed under chapter 70.41 RCW providing long-term civil commitment 23 services. 24 (c) For a hospital licensed under chapter 71.12 RCW and currently 25 providing long-term civil commitment services, the authority shall 26 establish the medicaid inpatient psychiatric per diem payment rate at 27 $940 plus adjustments that may be needed to capture costs associated 28 with long-term psychiatric patients that are not allowable on the 29 medicare cost report or reimbursed separately. The hospital may 30 provide the authority with supplemental data to be considered and 31 used to make appropriate adjustments to the medicaid inpatient 32 psychiatric per diem payment rate of the hospital. Adjustment of 33 costs may include: 34 (i) Costs associated with professional services and fees not 35 accounted for in the hospital's medicare cost report or reimbursed 36 separately; 37 (ii) Costs associated with the hospital providing the long-term 38 psychiatric patient access to involuntary treatment court services 39 that are not reimbursed separately; and 40 p. 1028 ESSB 5187.SL