Current through Register Vol. 24-18, September 15, 2024
(1) Purpose. The
purpose of childbirth education (CBE) classes is to help prepare the client and
the client's support person(s):
(a) For the
physiological, emotional, and psychological changes experienced during and
after pregnancy;
(b) To develop
self-advocacy skills;
(c) To
increase knowledge about and access to local community resources;
(d) To improve parenting skills;
and
(e) To improve the likelihood
of positive birth outcomes.
(2) Definitions. The definitions in chapter
182-500 WAC, medical assistance definitions, and WAC
182-533-0315, maternity support
services definitions, also apply to this section.
(3) Client eligibility. To be eligible for
CBE classes, a client must be:
(a) Pregnant;
and
(b) Covered under one of the
medical assistance programs described in WAC
182-533-0320 (1)(a)(i) and
(iv).
(4) Provider requirements. To be paid for
providing CBE classes to eligible clients, an approved instructor must:
(a) Have a core provider agreement on file
with the agency;
(b) Ensure that
individuals providing CBE classes or following up during or after the
completion of online classes have credentials and/or certification as outlined
in the agency's current published billing instructions;
(c) Deliver CBE classes:
(i) In a series of group sessions;
or
(ii) Through online classes
approved by the agency; and
(d) Provide curriculum containing topics
outlined in the agency's CBE curriculum checklist found in the agency's current
published billing instructions. Topics include, but are not limited to:
(i) Pregnancy;
(ii) Labor and birth;
(iii) Newborns; and
(iv) Family adjustment.
(5) Documentation. Providers must:
(a) Follow the health care record
requirements found in WAC
182-502-0020; and
(b) Maintain the following additional
documentation:
(i) An original or
electronically signed copy of each client's Freedom of Choice form and Consent
for Services form;
(ii) A client
sign-in sheet or log-in verification for each class; and
(iii) Names and ProviderOne Client ID numbers
of eligible clients attending CBE classes and the date(s) they participated in
each CBE class.
(6) Coverage.
(a) The agency covers one CBE class series
per client, per pregnancy. In order for the provider to be reimbursed:
(i) The client must attend at least one CBE
session or agency-approved online CBE class; and
(ii) The provider must follow up with clients
participating in online classes through a telemedicine, including audio-only,
visit or an in-person visit. If the client does not appear for the follow up
visit, the provider must attempt to connect with the client one more time
before billing the agency.
(b) CBE classes must include a minimum of six
hours of instruction and are subject to the restrictions and limitations in
this section and other applicable WAC.
(7) Payment. The agency pays for the CBE
classes described in subsection (6) of this section on a fee-for-service basis
subject to the following:
(a) CBE must:
(i) Include all classes, core materials,
publications, and educational materials provided throughout the class series.
Clients must receive the same materials as are offered to other attendees;
and
(ii) Be billed according to the
agency's current published billing instructions.
(b) The provider must accept the agency's fee
as payment in full for classes provided to a client in accordance with
42 C.F.R. §
447.15.
Statutory Authority:
RCW
41.05.021 and 2011 c 5. 12-01-097,
§182-533-0390, filed 12/20/11, effective 1/20/12. 11-14-075, recodified as
§182-533-0390, filed 6/30/11, effective 7/1/11. Statutory Authority:
RCW
74.08.090,
74.09.760 through
74.09.910. 04-13-049, §
388-533-0390, filed 6/10/04, effective
7/11/04.
