WSR 14-20-090 PERMANENT RULES HEALTH CARE AUTHORITY (Washington Apple Health) [Filed September 29, 2014, 2:17 p.m., effective October 30, 2014] Effective Date of Rule: Thirty-one days after filing.
Purpose: The purpose of this amendment is to clarify requirements related to how records may be signed. Electronic signatures are prohibited unless a physical disability makes it impossible for the provider to handwrite his or her signature.
Citation of Existing Rules Affected by this Order: Amending WAC 182-537-0700.
Statutory Authority for Adoption: RCW 41.05.021, 41.05.160.
Adopted under notice filed as WSR 14-15-147 on July 23, 2014.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: September 29, 2014.
Kevin M. Sullivan
Rules Coordinator
AMENDATORY SECTION (Amending WSR 13-05-017, filed 2/7/13, effective 3/10/13)
WAC 182-537-0700 School-based health care services for children in special education—School district documentation requirements.
(1) ((For the purposes of this chapter, providers must document all health care related services as specified in the medicaid agency's current, published school-based health care services for children in special education medicaid provider guide. Assistants, as defined in WAC 182-537-0350, who provide health care related services must have their supervisor cosign any documentation in accordance with the supervisory requirements for the provider type.
(2) Health care related documentation must include, at a minimum:)) Providers must document in writing all health care related services in the manner set out in this section, WAC 182-502-0020, and the medicaid agency's program-specific provider guide.
(2) The following documentation must be maintained for each client:
(a) Professional assessment reports;
(b) Evaluation and reevaluation reports;
(c) Individualized education program (IEP); and
(d) Treatment notes for each date of service ((the provider billed the agency.
Treatment notes must include the following information:
(i) Activity and intervention involved;
(ii) Child's name;
(iii) Child's ProviderOne client ID;
(iv) Date of birth;
(v) Date of service, actual time-in and time-out, and the number of billed units for the service;
(vi) Indication if the treatment note was for individual or group therapy; and
(vii) Original signature of the licensed provider, title, and National provider identifier (NPI) number.
(3) As described in WAC 182-502-0020, all records must be legible and easily and readily available to the agency upon request)) that give a clear, comprehensive picture of the care being provided, the response to each intervention, and that include the:
(i) Child's name;
(ii) Child's ProviderOne client ID;
(iii) Child's date of birth;
(iv) Activity and intervention performed;
(v) Date of service;
(vi) Time-in;
(vii) Time-out;
(viii) Number of units billed for the service; and
(ix) Whether the treatment described in the note was individual or group therapy.
(3) All required documentation must include the provider's handwritten signature, title, and National Provider Identifier (NPI) number.
(a) Signature by stamp or electronic means is acceptable only if the provider is unable to sign by hand due to a physical disability.
(b) Assistants practicing under WAC 182-537-0350 must have a supervisor cosign all documents in the manner required by subsection (3) of this section.
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