Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-548 - Federally qualified health centers
Section 182-548-1200 - Federally qualified health centers-Enrollment
Universal Citation: WA Admin Code 182-548-1200
Current through Register Vol. 24-18, September 15, 2024
(1) To enroll as a Washington apple health provider and receive payment for services, a federally qualified health center (FQHC) must:
(a)
Receive FQHC certification for participation in the Title XVIII (medicare)
program according to 42 C.F.R. 491;
(b) Sign a core provider agreement with the
medicaid agency; and
(c) Operate in
accordance with applicable federal, state, and local laws.
(2) The medicaid agency uses one of two timeliness standards for determining the effective date of a medicaid-certified FQHC.
(a) The agency uses medicare's effective
date if the FQHC returns a properly completed core provider agreement and a
properly completed FQHC enrollment packet within 60 calendar days from the date
of CMS's written notification to the FQHC of the medicare
certification.
(b) The agency uses
the date when both the properly completed FQHC enrollment packet and properly
completed core provider agreement have been received if either of the required
documentation is submitted 61 or more calendar days after the date of
medicare's letter notifying the clinic of the medicare certification.
11-14-075, recodified as §182-548-1200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, BIPA of 2000 Section 702, sections 201 and 209 of 2009-2011 budget bill, and 42 U.S.C. 1396 a(bb). 10-09-002, § 388-548-1200, filed 4/7/10, effective 5/8/10.
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