Section 182-540-045. Kidney disease program (KDP) contractor requirements.

(1) The kidney disease program (KDP) contractor must:

(a) Be a medicare-certified end-stage renal disease (ESRD) facility; and

(b) Have a valid KDP client services contract with the agency.

(2) The KDP contractor must provide, directly or through an affiliate:

(a) Professional consultation, personal instructions, medical treatment and care, drug products and all supplies necessary for carrying out a medically sound end-stage renal disease (ESRD) treatment program;

(b) Dialysis for clients with ESRD when medically indicated;

(c) Coordination of care with a kidney transplant center;

(d) Treatment for conditions directly related to ESRD such as anemia, vascular, or peritoneal access care; and

(e) Supplies and equipment for home dialysis.

(3) The provider must maintain adequate records for audit and review purposes, including:

(a) Medical charts and records that meet the requirements of WAC 182-502-0020; and

(b) Documentation of expenses and amounts paid by the KDP to assist clients in meeting a spenddown requirement as described in WAC 182-519-0100.

(4) The contractor must meet other obligations as required by its contract with the KDP program.

[Statutory Authority: RCW 41.05.021. WSR 13-23-065, § 182-540-045, filed 11/18/13, effective 1/1/14. WSR 11-14-075, recodified as § 182-540-045, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.510, 74.09.520, 74.09.522, and 42 C.F.R. 405.2101. WSR 03-21-039, § 388-540-045, filed 10/8/03, effective 11/8/03.]

RCW 41.05.021. WSR 13-23-065, § 182-540-045, filed 11/18/13, effective 1/1/14. WSR 11-14-075, recodified as § 182-540-045, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.510, 74.09.520, 74.09.522, and 42 C.F.R. 405.2101. WSR 03-21-039, § 388-540-045, filed 10/8/03, effective 11/8/03.

Rules

182-502-0020,182-519-0100,