(1) Only a client who is eligible for one of the following programs may receive acute PM&R services, subject to the restrictions and limitations in this section and WAC
388-550-2501,
388-550-2511,
388-550-2531,
388-550-2541,
388-550-2551,
388-550-2561,
388-550-3381, and other rules:
(a) Categorically needy program (CNP);
(b) State children's health insurance program (SCHIP);
(c) Limited casualty program - Medically needy program (LCP-MNP);
(d) Alien emergency medical (AEM)(CNP);
(e) Alien emergency medical (AEM)(LCP-MNP);
(f) General assistance unemployable (GA-U - No out-of-state care); or
(g) Alcoholism and drug addiction treatment and support act (ADATSA).
(2) If a client is enrolled in a department managed care organization (MCO) plan at the time of acute care admission, that plan pays for and coordinates acute PM&R services as appropriate.
[Statutory Authority: RCW 74.08.090 and 74.09.500. 07-12-039, § 388-550-2521, filed 5/30/07, effective 8/1/07. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 482.56. 03-06-047, § 388-550-2521, filed 2/28/03, effective 3/31/03. Statutory Authority: RCW 74.08.090 and 74.09.520. 99-17-111, § 388-550-2521, filed 8/18/99, effective 9/18/99.]