The department will publish billing instructions, reimbursement limits, quality assurance standards, utilization review guidelines, admission criteria, outcome criteria, measures of effectiveness, minimum staffing levels, certification requirements, special reporting requirements, and other criteria that will ensure workers receive good quality services at cost-effective payment levels. Providers will be required to meet the department's requirements in order to qualify as a work hardening provider. The department may also establish a competitive or other appropriate selection process for work hardening providers. Providers should refer to WAC 296-20-12050 regarding special programs.
Billing codes, reimbursement levels, and supporting policies for work hardening services are listed in the fee schedules.
[Statutory Authority: RCW 51.04.020
and 1993 c 159. WSR 93-16-072, § 296-23-235, filed 8/1/93, effective 9/1/93.]