(1) To ensure quality of care, the medicaid agency may conduct post-pay or on-site reviews of any agency-approved LTAC hospital. See chapter
182-502A WAC for additional information on audits conducted by agency staff.
(2) A provider of LTAC services must act on any reports of substandard care or violations of the hospital's medical staff bylaws. The provider must have and follow written procedures that provide a resolution to either a complaint or grievance or both.
(3) A complaint or grievance regarding substandard conditions or care may be investigated by any one or more of the following:
(a) The department of health (DOH);
(b) The joint commission on accreditation of health care organizations (JCAHO);
(c) The agency; or
(d) Other agencies with review authority for the agency's programs.
[Statutory Authority: RCW
41.05.021 and
41.05.160. WSR 15-18-065, § 182-550-2585, filed 8/27/15, effective 9/27/15. WSR 11-14-075, recodified as § 182-550-2585, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW
74.08.090,
74.09.500. WSR 07-11-129, § 388-550-2585, filed 5/22/07, effective 8/1/07. Statutory Authority: RCW
74.08.090. WSR 02-14-162, § 388-550-2585, filed 7/3/02, effective 8/3/02.]