_______________________________________________
HOUSE
BILL 2314
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Passed
Legislature - 1992 Regular Session
State of Washington 52nd
Legislature 1992 Regular Session
Read first time 01/14/92.
Referred to Committee on Health Care.Revising
provisions for providing medical services.
AN ACT
Relating to provision of medical services; and amending RCW 74.09.120.
BE IT ENACTED BY THE LEGISLATURE
OF THE STATE OF WASHINGTON:
Sec.
1. RCW
74.09.120 and 1989 c 372 s 15 are each amended to read as follows:
The department
shall purchase necessary physician and dentist services by contract or
"fee for service." ((The department shall purchase hospital care
by contract or by all inclusive day rate, or at a reasonable cost based on a
ratio of charges to cost. Any hospital when requested by the department shall
supply such information as necessary to justify its rate, charges or costs.
All additional services provided by the hospital shall be purchased at rates
established by the department after consultation with the hospital.)) The
department shall purchase nursing home care by contract. The department shall
establish regulations for reasonable nursing home accounting and reimbursement
systems which shall provide that no payment shall be made to a nursing home
which does not permit inspection by the department of social and health
services of every part of its premises and an examination of all records,
including financial records, methods of administration, general and special
dietary programs, the disbursement of drugs and methods of supply, and any
other records the department deems relevant to the establishment of such a
system.
((All
other services and supplies provided under the program shall be secured by
contract.))
The
department may purchase care in institutions for the mentally retarded, also
known as intermediate care facilities for the mentally retarded. The
department shall establish rules for reasonable accounting and reimbursement
systems for such care. Institutions for the mentally retarded include licensed
nursing homes, public institutions, licensed boarding homes with fifteen beds
or less, and hospital facilities certified as intermediate care facilities for
the mentally retarded under the federal medicaid program to provide health, habilitative,
or rehabilitative services and twenty-four hour supervision for mentally
retarded individuals or persons with related conditions and includes in the
program "active treatment" as federally defined.
The
department may purchase care in institutions for mental diseases by contract.
The department shall establish rules for reasonable accounting and
reimbursement systems for such care. Institutions for mental diseases are
certified under the federal medicaid program and primarily engaged in providing
diagnosis, treatment, or care to persons with mental diseases, including
medical attention, nursing care, and related services.
The
department may purchase all other services provided under this chapter by
contract or at rates established by the department.
