182-537-0300  <<  182-537-0350 >>   182-537-0400

Provider qualifications.

(1) School-based health care services (SBHS) must be delivered by qualified health care providers who are enrolled with the medicaid agency and who meet state licensure and certification requirements. The following people may provide SBHS:
(a) Audiologists who meet requirements of chapters 246-828 WAC and 18.35 RCW;
(b) Licensed advanced social workers (LiACSW) who meet requirements of chapters 246-809 WAC and 18.225 RCW;
(c) Licensed independent clinical social workers (LiCSW);
(d) Licensed mental health counselors (LMHC) who meet requirements of chapters 246-809 WAC and 18.225 RCW;
(e) Licensed mental health counselor associates (LMHCA) who meet requirements of chapters 246-809 WAC and 18.225 RCW and are under the direction and supervision of a qualified LiACSW, LiCSW, or LMHC;
(f) Licensed registered nurses (RN) who meet requirements of chapters 246-840 WAC and 18.79 RCW;
(g) Licensed practical nurses (LPN) who meet requirements of chapters 246-840 WAC and 18.79 RCW and are under the direction and supervision of a qualified RN;
(h) Noncredentialed school employees who are delegated certain limited health care tasks by an RN and are supervised according to professional practice standards in RCW 18.79.260;
(i) Licensed occupational therapists (OT) who meet requirements of chapters 246-847 WAC and 18.59 RCW;
(j) Licensed occupational therapist assistants (OTA) who meet requirements of chapters 246-847 WAC and 18.59 RCW and are under the direction and supervision of a qualified OT;
(k) Licensed physical therapists (PT) who meet requirements of chapters 246-924 WAC and 18.83 RCW;
(l) Licensed physical therapist assistants (PTA) who meet requirements of chapters 246-915 WAC and 18.74 RCW and are under the direction and supervision of a licensed PT;
(m) Licensed psychologists who meet requirements of chapters 246-924 WAC and 18.83 RCW;
(n) Licensed speech-language pathologists (SLP) who meet requirements of chapters 246-828 WAC and 18.35 RCW; and
(o) Speech-language pathology assistants (SLPA) who meet requirements of chapters 246-828 WAC and 18.35 RCW.
(2) For services provided under the supervision of a PT, OT, SLP, nurse, counselor, or social worker, the supervising provider must:
(a) Ensure the child receives quality therapy services by providing supervision in accordance with professional practice standards;
(b) See the child face-to-face when services begin and at least once more during the school year;
(c) Approve and cosign all treatment notes written by the supervisee before submitting claims for payment; and
(d) Record supervisory activities and provide the documents to the agency or its designee upon request.
(3) The school district must ensure providers meet the professional licensing and certification requirements.
(4) The licensing exemptions found in the following regulations do not apply to federal medicaid reimbursement:
(a) Counseling under RCW 18.225.030;
(b) Psychology under RCW 18.83.200;
(c) Social work under RCW 18.320.010; and
(d) Speech therapy under RCW 18.35.195.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 16-07-141, § 182-537-0350, filed 3/23/16, effective 4/23/16. Statutory Authority: RCW 41.05.021, 34 C.F.R. 300.154(d), and chapter 182-502 WAC. WSR 13-21-079, § 182-537-0350, filed 10/17/13, effective 11/17/13. Statutory Authority: RCW 41.05.021. WSR 13-05-017, § 182-537-0350, filed 2/7/13, effective 3/10/13. WSR 11-14-075, recodified as § 182-537-0350, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, and 42 C.F.R. 440.110. WSR 09-07-004, § 388-537-0350, filed 3/4/09, effective 4/4/09.]