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will be admitted to these facilities. Of the amounts in this 1 subsection, sufficient amounts are provided in fiscal year 2024 and 2 fiscal year 2025 for the authority to reimburse community hospitals 3 and nonhospital residential treatment centers serving clients in 4 long-term inpatient care beds as defined in RCW 71.24.025 as follows: 5 (a) For a hospital licensed under chapter 70.41 RCW that requires 6 a hospital specific medicaid inpatient psychiatric per diem payment 7 rate for long-term civil commitment patients because the hospital has 8 completed a medicare cost report, the authority shall analyze the 9 most recent medicare cost report of the hospital after a minimum of 10 200 medicaid inpatient psychiatric days. The authority shall 11 establish the inpatient psychiatric per diem payment rate for long- 12 term civil commitment patients for the hospital at 100 percent of the 13 allowable cost of care, based on the most recent medicare cost report 14 of the hospital. 15 (b) For a hospital licensed under chapter 70.41 RCW that has not 16 completed a medicare cost report with more than 200 medicaid 17 inpatient psychiatric days, the authority shall establish the 18 medicaid inpatient psychiatric per diem payment rate for long-term 19 civil commitment patients for the hospital at the higher of the 20 hospital's current medicaid inpatient psychiatric rate; or the 21 annually updated statewide average of the medicaid inpatient 22 psychiatric per diem payment rate of all acute care hospitals 23 licensed under chapter 70.41 RCW providing long-term civil commitment 24 services. 25 (c) For a hospital licensed under chapter 71.12 RCW and currently 26 providing long-term civil commitment services, the authority shall 27 establish the medicaid inpatient psychiatric per diem payment rate at 28 $940 plus adjustments that may be needed to capture costs associated 29 with long-term psychiatric patients that are not allowable on the 30 medicare cost report or reimbursed separately. The hospital may 31 provide the authority with supplemental data to be considered and 32 used to make appropriate adjustments to the medicaid inpatient 33 psychiatric per diem payment rate of the hospital. Adjustment of 34 costs may include: 35 (i) Costs associated with professional services and fees not 36 accounted for in the hospital's medicare cost report or reimbursed 37 separately; 38 p. 268 ESSB 5187.SL