Washington Administrative Code (Last Updated: November 23, 2016) |
Title 182. Health Care Authority |
Chapter 182-550. Hospital services. |
Section 182-550-2531. Requirements for becoming an acute PM&R provider.
Latest version.
- (1) Before August 1, 2007, only an in-state or bordering city hospital may apply to become a medicaid agency-approved acute PM&R hospital. After July 31, 2007 an instate, bordering city or critical border hospital may apply to become an agency-approved acute PM&R hospital. To apply, the agency requires the hospital provider to submit a letter of request to:Acute PM&R Program ManagerDivision of Health Care ServicesHealth and Recovery Services AdministrationP.O. Box 45506Olympia, WA 98504-5506(2) A hospital that applies to become an agency-approved acute PM&R facility must provide the agency with documentation that confirms the facility is all the following:(a) A medicare-certified hospital;(b) Accredited by the joint commission on accreditation of health care organizations (JCAHO);(c) Licensed by the department of health (DOH) as an acute care hospital as defined under WAC 246-310-010;(d) Commission on accreditation of rehabilitation facilities (CARF) accredited as a comprehensive integrated inpatient rehabilitation program or as a pediatric family centered rehabilitation program, unless subsection (3) of this section applies;(e) For dates of admission before July 1, 2007, contracted under the agency's selective contracting program, if in a selective contracting area, unless exempted from the requirements by the agency; and(f) Operating per the standards set by DOH (excluding the certified rehabilitation registered nurse (CRRN) requirement) in either:(i) WAC 246-976-800 Level I trauma rehabilitation designation; or(ii) WAC 246-976-800 Level II trauma rehabilitation designation.(3) A hospital not yet accredited by CARF:(a) May apply for or be awarded a twelve-month conditional written approval by the agency if the facility:(i) Provides the agency with documentation that it has started the process of obtaining full CARF accreditation; and(ii) Is actively operating under CARF standards.(b) Must obtain full CARF accreditation within twelve months of the agency's conditional approval date. If this requirement is not met, the agency sends a letter of notification to revoke the conditional approval.(4) A hospital qualifies as an agency-approved acute PM&R hospital when:(a) The hospital meets all the applicable requirements in this section;(b) The agency's clinical staff has conducted a facility site visit; and(c) The agency provides written notification that the hospital qualifies to be paid for providing acute PM&R services to eligible Washington apple health clients.(5) The agency-approved acute PM&R hospitals must meet the general requirements in chapter 182-502 WAC Administration of medical programs—Providers.[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-18-065, § 182-550-2531, filed 8/27/15, effective 9/27/15. WSR 11-14-075, recodified as § 182-550-2531, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.500. WSR 07-12-039, § 388-550-2531, filed 5/30/07, effective 8/1/07. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 482.56. WSR 03-06-047, § 388-550-2531, filed 2/28/03, effective 3/31/03. Statutory Authority: RCW 74.08.090 and 74.09.520. WSR 99-17-111, § 388-550-2531, filed 8/18/99, effective 9/18/99.]
RCW 41.05.021 and 41.05.160. WSR 15-18-065, § 182-550-2531, filed 8/27/15, effective 9/27/15. WSR 11-14-075, recodified as § 182-550-2531, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.500. WSR 07-12-039, § 388-550-2531, filed 5/30/07, effective 8/1/07. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 482.56. WSR 03-06-047, § 388-550-2531, filed 2/28/03, effective 3/31/03. Statutory Authority: RCW 74.08.090 and 74.09.520. WSR 99-17-111, § 388-550-2531, filed 8/18/99, effective 9/18/99.
Rules
246-310-010,246-976-800,246-976-800,182-502,