PDFWAC 182-540-120

Provider requirements.

To receive reimbursement from the medicaid agency for providing care to agency clients, a kidney center must:
(1) Be a medicare-certified end-stage renal disease (ESRD) facility and have a signed core provider agreement with the agency (see chapter 182-502 WAC);
(2) Meet requirements found in chapter 182-502 WAC;
(3) Provide only those services within the scope of their provider's license; and
(4) Provide, either directly or through an affiliate, all physical facilities, professional consultation, personal instructions, medical treatment, care, and all supplies necessary for carrying out an medically sound ESRD treatment program, including:
(a) Dialysis for ESRD clients;
(b) Kidney transplant treatment, either directly or by referral, for ESRD clients when medically indicated;
(c) Treatment for conditions directly related to ESRD;
(d) Training and supervision of supporting personnel and clients for home dialysis, medical care, and treatment; and
(e) Supplies and equipment for home dialysis.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-14-040, § 182-540-120, filed 6/24/15, effective 7/25/15. WSR 11-14-075, recodified as § 182-540-120, 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, § 388-540-120, filed 10/8/03, effective 11/8/03.]