Section 388-106-1040. What requirements must an RN, or LPN under the supervision of an RN, meet in order to provide and get paid for my PDN services?  


Latest version.
  • In order to be paid by the department, a private RN under the supervision of a primary care provider or an LPN under the supervision of an RN, must:
    (1) Be licensed and in good standing, as provided in RCW 18.79.030 (1)(3);
    (2) Have a contract with the medicaid agency to provide PDN services;
    (3) Complete a background check which requires fingerprinting if the RN or LPN has lived in Washington state less than three years;
    (4) Have no conviction for a disqualifying crime, as provided in RCW 43.43.830 and 43.43.842 and WAC 388-71-0500 through 388-71-05640 series;
    (5) Have no finding of fact and conclusion of law (stipulated or otherwise), agreed order, or final order issued by a disciplining authority, a court of law, or entered into a state registry with a finding of abuse, neglect, abandonment or exploitation of a minor or vulnerable adult;
    (6) Provide services according to the care plan under the supervision/direction of the primary care provider;
    (7) Document all PDN services provided by the care plan as required by WAC 182-502-0020 and 246-840-700;
    (8) Meet provider requirements under WAC 388-71-0510, 388-71-0515, 388-71-0540, 388-71-0551, and 388-71-0556;
    (9) Complete time sheets on a monthly basis;
    (10) Complete the PDN seven-day look back skilled nursing task log and submit it to the CNC or NCC for review for initial eligibility determination, and for ongoing eligibility every six months; and
    (11) Submit timely and accurate invoices for payment.
    [Statutory Authority: RCW 74.08.090 and 74.09.520. WSR 15-03-038, § 388-106-1040, filed 1/12/15, effective 2/12/15; WSR 11-05-079, § 388-106-1040, filed 2/15/11, effective 3/18/11. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 440.80. WSR 05-24-091, § 388-106-1040, filed 12/6/05, effective 1/6/06.]
RCW 74.08.090 and 74.09.520. WSR 15-03-038, § 388-106-1040, filed 1/12/15, effective 2/12/15; WSR 11-05-079, § 388-106-1040, filed 2/15/11, effective 3/18/11. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 440.80. WSR 05-24-091, § 388-106-1040, filed 12/6/05, effective 1/6/06.

Rules

388-71-0500,388-71-05640,182-502-0020,246-840-700,388-71-0510,388-71-0515,388-71-0540,388-71-0551,388-71-0556,