WSR 16-15-076
[Filed July 19, 2016, 10:45 a.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 16-12-078.
Title of Rule and Other Identifying Information: WAC 296-23-245 Licensed nursing billing instructions.
Hearing Location(s): Department of Labor and Industries (L&I), 7273 Linderson Way S.W., Tumwater, WA 98501, on August 23, 2016, at 1:30 p.m.
Date of Intended Adoption: September 20, 2016.
Submit Written Comments to: David Schultz, L&I, Health Services Analysis, P.O. Box 44322, Olympia, WA 98504-4322, e-mail, fax (360) 902-4249, by 5 p.m., on August 23, 2016.
Assistance for Persons with Disabilities: Contact office of information and assistance by August 16, 2016, TTY (360) 902-5797 or (360) 902-6687.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: Rule changes are being proposed to eliminate the existing differential payment for advanced registered nurse practitioners (ARNP). ARNPs are able to practice independently as attending providers and we need greater access to ARNPs. The anticipated effect is a [to] maintenance [maintain] or increase in the number of ARNPs who could treat injured workers.
Reasons Supporting Proposal: L&I has a perpetual interest in maintaining or increasing access of care for injured workers so they can get quality and timely treatment from licensed and qualified providers.
Statutory Authority for Adoption: RCW 51.04.030, 51.04.020.
Statute Being Implemented: RCW 51.04.030.
Rule is not necessitated by federal law, federal or state court decision.
Agency Comments or Recommendations, if any, as to Statutory Language, Implementation, Enforcement, and Fiscal Matters: More qualified and licensed providers will continue to treat injured workers. Quality of care for injured workers will also not be affected by this proposed rule change. Also there will be no significant additional cost to the Medical Aid Fund.
Name of Proponent: L&I, governmental.
Name of Agency Personnel Responsible for Drafting: David Schultz, Tumwater, Washington, (360) 902-4244; Implementation and Enforcement: Vickie Kennedy, Assistant Director, Tumwater, Washington, (360) 902-4997.
No small business economic impact statement has been prepared under chapter 19.85 RCW. Per review of chapter 19.85 RCW, no small business economic impact statement is necessary because there are no associated compliance requirements or costs to small businesses created by the proposed rule updates.
A cost-benefit analysis is not required under RCW 34.05.328. The department has determined that the likely negligible costs of the proposed amendment, estimated at less than 1/4 of one percent of total medical aid expenditure for FY 2016, are outweighed by the benefit of having more qualified and licensed providers continue to treat injured workers.
July 19, 2016
Joel Sacks
AMENDATORY SECTION (Amending WSR 01-18-041, filed 8/29/01, effective 10/1/01)
WAC 296-23-245 Licensed nursing billing instructions.
(1) Registered nurses may be required to obtain provider account numbers from the department as outlined by department policy.
(2) Advanced registered nurse practitioners must obtain provider account numbers from the department.
(3) Refer to WAC 296-20-132 and 296-20-135 for information regarding the conversion factors.
(4) Refer to the department's billing instructions for additional information.
(5) Services performed by advanced registered nurse practitioners must be billed using the appropriate procedure code number listed in the fee schedules preceded by a Type of Service Code "N." ((The rate of reimbursement for the services billed by advanced registered nurse practitioners will be ninety percent of the value listed in the fee schedules.))
(6) Refer to WAC 296-20-303 for rules regarding home attendant services.