Section 182-533-0720. Chemical-using pregnant (CUP) women program—Provider requirements.

(1) The medicaid agency pays only those providers who:

(a) Have been approved by the agency to provide chemical-using pregnant (CUP) women program services;

(b) Have been certified as chemical dependency service providers by the division of behavioral health and recovery (DBHR) under chapter 388-877 WAC;

(c) Meet the department of health hospital accreditation standards in chapter 246-320 WAC;

(d) Meet the general provider requirements in chapter 182-502 WAC; and

(e) Are not licensed as an institution for mental disease (IMD) under Centers for Medicare and Medicaid Services (CMS) criteria.

(2) Providers must:

(a) Report any changes in their certification, level of care, or program operations to the agency CUP women program manager;

(b) Have written policies and procedures that include a working statement describing the purpose and methods of treatment for chemical-using or chemical-dependent pregnant women;

(c) Provide guidelines and resources for current medical treatment methods by specific chemical type;

(d) Have linkages with state and community providers to ensure a working knowledge exists of current medical and substance abuse resources; and

(e) Ensure that a chemical dependency assessment of the client has been completed:

(i) By a chemical dependency professional under chapter 246-811 WAC;

(ii) Using the latest criteria of the American Society of Addiction Medicine (ASAM); and

(iii) No earlier than six months before, and no later than five days after, the client's admission to the CUP women program.

[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-14-038, § 182-533-0720, filed 6/24/15, effective 7/25/15. WSR 11-14-075, recodified as § 182-533-0720, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.800. WSR 05-08-061, § 388-533-0720, filed 3/31/05, effective 5/1/05; WSR 04-11-008, § 388-533-720 (codified as WAC 388-533-0720), filed 5/5/04, effective 6/5/04.]

RCW 41.05.021 and 41.05.160. WSR 15-14-038, § 182-533-0720, filed 6/24/15, effective 7/25/15. WSR 11-14-075, recodified as § 182-533-0720, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.800. WSR 05-08-061, § 388-533-0720, filed 3/31/05, effective 5/1/05; WSR 04-11-008, § 388-533-720 (codified as WAC 388-533-0720), filed 5/5/04, effective 6/5/04.

Rules

388-877,246-320,182-502,246-811,