PDFWAC 388-825-375

When will the department deny payment for services of an individual or home care agency providing respite care, attendant care, or personal care services?

(1) The department will deny payment for the services of an individual or home care agency providing respite care, attendant care, or personal care who:
(a) Is the client's spouse, per 42 C.F.R. 441.360(g), except in the case of an individual provider for a chore services client. Note: For chore spousal providers, the department pays a rate not to exceed the amount of a one-person standard for a continuing general assistance grant;
(b) Is providing services under this chapter to his or her natural/step/adoptive minor client aged seventeen or younger;
(c) Has been convicted of, or has a pending charge that is a disqualifying crime, under chapter 388-113 WAC;
(d) Has been subject to a negative action described in WAC 388-825-0640;
(e) Does not successfully complete the training requirements within the time limits required in chapter 388-71 WAC; or
(f) Is terminated by the client (in the case of an individual provider) or by the home care agency (in the case of an agency provider).
(2) In addition, the department may deny payment to or terminate the contract of an individual provider as provided under WAC 388-825-380 and 388-825-385.
[Statutory Authority: RCW 71A.12.030, 71A.12.120, 43.43.842, 74.39A.056, 43.20A.710. WSR 14-14-029, § 388-825-375, filed 6/24/14, effective 7/25/14. Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 10-02-101, § 388-825-375, filed 1/6/10, effective 2/6/10. Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 07-23-062, § 388-825-375, filed 11/16/07, effective 12/17/07. Statutory Authority: RCW 71A.12.030, 71A.12.120. WSR 05-17-135, § 388-825-375, filed 8/19/05, effective 9/19/05.]