Section 296-19A-260. What are the possible consequences for a provider that does not comply with the RCWs, WACs, or department policies?  


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  • The department may order corrective action(s) when it determines that a provider is not in compliance with department statute, rule, or written department policy. Possible corrective actions include, but are not limited to:
    (1) Submission and implementation of a written corrective action by the provider showing how the provider will come into compliance;
    (2) Recoupment of payments, plus interest, made to the provider;
    (3) Requirement that the provider satisfactorily complete remedial education courses and/or other educational or training programs;
    (4) Suspension or termination of a provider's provider number and ability to receive payment for vocational rehabilitation services rendered to industrially injured or ill workers under the Industrial Insurance Act;
    (5) Rejection of a provider's application to provide vocational rehabilitation services to industrially injured or ill workers under the Industrial Insurance Act;
    (6) Denial or rejection of a request for payment submitted by or on behalf of the provider;
    (7) Placement of the provider on prepayment review status requiring the submission of supporting documents prior to payment;
    (8) Assessment of penalties.
    [Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, 51.36.110. WSR 03-11-009, § 296-19A-260, filed 5/12/03, effective 2/1/04; WSR 00-18-078, § 296-19A-260, filed 9/1/00, effective 6/1/01.]
RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, 51.36.110. WSR 03-11-009, § 296-19A-260, filed 5/12/03, effective 2/1/04; WSR 00-18-078, § 296-19A-260, filed 9/1/00, effective 6/1/01.