In order to be paid by the department, a private RN under the supervision of a primary care provider or an LPN under the supervision of an RN, must:
(1) Be licensed and in good standing, as provided in RCW 18.79.030(1)(3);(2) Have a contract with the medicaid agency to provide PDN services;(3) Complete a background check which requires fingerprinting if the RN or LPN has lived in Washington state less than three years;(4) Have no conviction for a disqualifying crime, as provided in RCW 43.43.830 and 43.43.842 and WAC 388-71-0500 through 388-71-05640 series;(5) Have no finding of fact and conclusion of law (stipulated or otherwise), agreed order, or final order issued by a disciplining authority, a court of law, or entered into a state registry with a finding of abuse, neglect, abandonment or exploitation of a minor or vulnerable adult;(6) Provide services according to the care plan under the supervision/direction of the primary care provider;(7) Document all PDN services provided by the care plan as required by WAC 182-502-0020 and 246-840-700;(8) Meet provider requirements under WAC 388-71-0510, 388-71-0515, 388-71-0540, 388-71-0551, and 388-71-0556;(9) Complete time sheets on a monthly basis;(10) Complete the PDN seven-day look back skilled nursing task log and submit it to the CNC or NCC for review for initial eligibility determination, and for ongoing eligibility every six months; and(11) Submit timely and accurate invoices for payment.Wash. Admin. Code § 388-106-1040
Amended by WSR 15-03-038, Filed 1/12/2015, effective 2/12/2015Reviser's note: The typographical error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.
Statutory Authority: RCW 74.08.090, 74.09.520. 11-05-079, § 388-106-1040, filed 2/15/11, effective 3/18/11. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 440.80. 05-24-091, § 388-106-1040, filed 12/6/05, effective 1/6/06.