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(iii) Other costs associated with caring for long-term 1 psychiatric patients that are not reimbursed separately. 2 (d) For a hospital licensed under chapter 71.12 RCW that requires 3 an initial medicaid inpatient psychiatric per diem payment rate for 4 long-term civil commitment services because it has not yet completed 5 a medicare cost report, the authority shall establish the medicaid 6 inpatient psychiatric per diem payment rate at the higher of: 7 (i) The hospital's current medicaid inpatient psychiatric rate; 8 or 9 (ii) The annually updated statewide average of the medicaid long- 10 term inpatient psychiatric per diem payment rate of all freestanding 11 psychiatric hospitals licensed under chapter 71.12 RCW providing 12 long-term civil commitment services. 13 (e) For nonhospital residential treatment centers certified to 14 provide long-term inpatient care beds as defined in RCW 71.24.025, 15 the authority shall increase the fiscal year 2021 rate by three 16 percent each year of the biennium. 17 (f) Beginning in fiscal year 2023, provider payments for vacant 18 bed days shall not exceed six percent of their annual contracted bed 19 days. 20 (g) The legislature intends to recognize the additional costs 21 associated with student teaching related to long-term civil 22 commitment patients to be provided in a new teaching hospital 23 expected to open during the 2023-2025 fiscal biennium. 24 (h) The authority, in coordination with the department of social 25 and health services, the office of the governor, the office of 26 financial management, and representatives from medicaid managed care 27 organizations, behavioral health administrative service 28 organizations, and community providers, must develop and implement a 29 plan to continue the expansion of civil community long-term inpatient 30 capacity. The plan shall identify gaps and barriers in the current 31 array of community long-term inpatient beds in serving higher need 32 individuals including those committed to a state hospital pursuant to 33 the dismissal of criminal charges and a civil evaluation ordered 34 under RCW 10.77.086 or 10.77.088. The plan shall identify strategies 35 to overcome these barriers including, but not limited to, potential 36 rate enhancements for high needs clients. The authority must submit 37 its implementation plan to the office of financial management and the 38 appropriate fiscal committees of the legislature by December 1, 2021, 39 p. 1029 ESSB 5187.SL