Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-553 - Home infusion therapy/parenteral nutrition program
Section 182-553-400 - Home infusion therapy and parenteral nutrition program - Provider requirements
Universal Citation: WA Admin Code 182-553-400
Current through Register Vol. 24-18, September 15, 2024
(1) Eligible providers of home infusion supplies and equipment and parenteral nutrition solutions must:
(a)Have a signed
core provider agreement with the medicaid agency; and
(b)Be one of the following provider types:
(i) Pharmacy provider;
(ii) Durable medical equipment (DME)
provider; or
(iii) Infusion therapy
provider.
(2) The agency pays eligible providers for home infusion supplies and equipment and parenteral nutrition solutions only when the providers:
(a) Are able to provide home infusion therapy
within their scope of practice;
(b)Have evaluated each client in
collaboration with the client's physician, pharmacist, or nurse to determine
whether home infusion therapy and parenteral nutrition is an appropriate course
of action;
(c)Have determined that
the therapies prescribed and the client's needs for care can be safely
met;
(d)Have assessed the client
and obtained a written physician order for all solutions and medications
administered to the client in the client's residence or in a dialysis center
through intravenous, epidural, subcutaneous, or intrathecal routes;
(e) Meet the requirements in WAC
182-502-0020, including keeping
legible, accurate, and complete client charts, and providing the following
documentation in the client's medical file:
(i) For a client receiving infusion therapy,
the file must contain:
(A)A copy of the
written prescription for the therapy;
(B)The client's age, height, and weight;
and
(C)The medical necessity for
the specific home infusion service.
(ii) For a client receiving parenteral
nutrition, the file must contain:
(A)All the
information listed in (e)(i) of this subsection;
(B)Oral or enteral feeding trials and
outcomes, if applicable;
(C)Duration of gastrointestinal impairment;
and
(D)The monitoring and reviewing
of the client's lab values:
(I)At the
initiation of therapy;
(II)At least
once per month; and
(III)When the
client, the client's lab results, or both, are unstable.
11-14-075, recodified as §182-553-400, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. 10-19-057, § 388-553-400, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.530. 04-11-007, § 388-553-400, filed 5/5/04, effective 6/5/04.
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