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296-19A-250  <<  296-19A-260 >>   296-19A-270

What are the possible consequences for a provider that does not comply with the RCWs, WACs, or department policies?

The department may order corrective action(s) when it determines that a provider is not in compliance with department statute, rule, or written department policy. Possible corrective actions include, but are not limited to:
(1) Submission and implementation of a written corrective action by the provider showing how the provider will come into compliance;
(2) Recoupment of payments, plus interest, made to the provider;
(3) Requirement that the provider satisfactorily complete remedial education courses and/or other educational or training programs;
(4) Suspension or termination of a provider's provider number and ability to receive payment for vocational rehabilitation services rendered to industrially injured or ill workers under the Industrial Insurance Act;
(5) Rejection of a provider's application to provide vocational rehabilitation services to industrially injured or ill workers under the Industrial Insurance Act;
(6) Denial or rejection of a request for payment submitted by or on behalf of the provider;
(7) Placement of the provider on prepayment review status requiring the submission of supporting documents prior to payment;
(8) Assessment of penalties.
[Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, 51.36.110. WSR 03-11-009, § 296-19A-260, filed 5/12/03, effective 2/1/04; WSR 00-18-078, § 296-19A-260, filed 9/1/00, effective 6/1/01.]