Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-502 - Administration of medical programs-Providers
PROVIDER TYPES
Section 182-502-0002 - Eligible provider types

Universal Citation: WA Admin Code 182-502-0002

Current through Register Vol. 24-18, September 15, 2024

The following health care professionals, health care entities, suppliers or contractors of service may request enrollment with the Washington state health care authority (medicaid agency) to provide covered health care services to eligible clients. For the purposes of this chapter, health care services include treatment, equipment, related supplies, and drugs.

(1) Professionals:

(a) Advanced registered nurse practitioners;

(b) Advanced social workers;

(c) Advanced social worker associates;

(d) Anesthesiologists;

(e) Applied behavior analysis (ABA) professionals, as provided in WAC 182-531A-0800:
(i) Licensed behavior analyst;

(ii) Licensed assistant behavior analyst; and

(iii) Certified behavior technician;

(f) Audiologists;

(g) Chiropractors;

(h) Dentists;

(i) Dental health aide therapists, as provided in chapter 70.350 RCW;

(j) Dental hygienists;

(k) Denturists;

(l) Dietitians or nutritionists;

(m) Hearing aid fitters/dispensers;

(n) Home health aide credentialed with DOH as nursing assistant certified or nursing assistant registered;

(o) Independent clinical social workers;

(p) Independent clinical social worker associates;

(q) Licensed practical nurse;

(r) Marriage and family therapists;

(s) Mental health counselors;

(t) Mental health counselor associates;

(u) Mental health care providers;

(v) Midwives;

(w) Naturopathic physicians;

(x) Nurse anesthetist;

(y) Ocularists;

(z) Occupational therapists;

(aa) Ophthalmologists;

(bb) Opticians;

(cc) Optometrists;

(dd) Orthodontists;

(ee) Orthotist;

(ff) Osteopathic physicians;

(gg) Osteopathic physician assistants;

(hh) Peer counselors;

(ii) Podiatric physicians;

(jj) Pharmacists;

(kk) Physicians;

(ll) Physician assistants;

(mm) Physical therapists;

(nn) Prosthetist;

(oo) Psychiatrists;

(pp) Psychologists;

(qq) Radiologists;

(rr) Registered nurse;

(ss) Registered nurse delegators;

(tt) Registered nurse first assistants;

(uu) Respiratory therapists;

(vv) Speech/language pathologists; and

(ww) Substance use disorder professionals:
(i) Mental health providers; and

(ii) Peer counselors.

(2) Agencies, centers and facilities:

(a) Adult day health centers;

(b) Ambulance services (ground and air);

(c) Ambulatory surgery centers (medicare-certified);

(d) Birthing centers (licensed by the department of health);

(e) Cardiac diagnostic centers;

(f) Case management agencies;

(g) Substance use disorder treatment facilities certified by the department of health (DOH);

(h) Withdrawal management treatment facilities certified by DOH;

(i) Community AIDS services alternative agencies;

(j) Community behavioral health support services provider facilities;

(k) Community mental health centers;

(l) Diagnostic centers;

(m) Early and periodic screening, diagnosis, and treatment (EPSDT) clinics;

(n) Family planning clinics;

(o) Federally qualified health centers (designated by the federal department of health and human services);

(p) Genetic counseling agencies;

(q) Health departments;

(r) Health maintenance organization (HMO)/managed care organization (MCO);

(s) HIV/AIDS case management;

(t) Home health agencies;

(u) Hospice agencies;

(v) Hospitals;

(w) Indian health service facilities/tribal 638 facilities;

(x) Tribal or urban Indian clinics;

(y) Inpatient psychiatric facilities;

(z) Intermediate care facilities for individuals with intellectual disabilities (ICF-IID);

(aa) Kidney centers;

(bb) Laboratories (CLIA certified);

(cc) Maternity support services agencies; maternity case managers; infant case management, first steps providers;

(dd) Neuromuscular and neurodevelopmental centers;

(ee) Nurse services/delegation;

(ff) Nursing facilities (approved by the DSHS aging and long-term support administration);

(gg) Pathology laboratories;

(hh) Pharmacies;

(ii) Private duty nursing agencies;

(jj) Radiology - Stand-alone clinics;

(kk) Rural health clinics (medicare-certified);

(ll) School districts and educational service districts; and

(mm) Sleep study centers.

(3) Suppliers of:

(a) Blood, blood products, and related services;

(b) Durable and nondurable medical equipment and supplies;

(c) Complex rehabilitation technologies;

(d) Infusion therapy equipment and supplies;

(e) Prosthetics/orthotics;

(f) Hearing aids; and

(g) Respiratory care, equipment, and supplies.

(4) Contractors:

(a) Transportation brokers;

(b) Spoken language interpreter services agencies;

(c) Independent sign language interpreters; and

(d) Eyeglass and contact lens providers.

11-14-075, recodified as §182-502-0002, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.080, and 74.09.290. 11-11-017, § 388-502-0002, filed 5/9/11, effective 6/9/11.

Disclaimer: These regulations may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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