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182-543-1000  <<  182-543-1100 >>   182-543-2000

WAC 182-543-1100

Agency filings affecting this section

DME and related supplies, prosthetics, orthotics, medical supplies and related services—Client eligibility.

(1) Durable medical equipment (DME) and related services, prosthetics and orthotics, medical supplies and related services are available to clients who are eligible for services under one of the following medical assistance programs:
(a) Categorically needy (CN);
(b) Children's health care as described in WAC 388-505-0210;
(c) Medically needy (MN);
(d) Disability lifeline (formerly GA U/ADATSA) (within Washington state or designated border cities); or
(e) Alien emergency medical (AEM) as described in WAC 388-438-0110, when the medical services are necessary to treat a qualifying emergency medical condition.
(2) Clients who are eligible for services under medicare and medicaid (medically needy program-qualified medicare beneficiaries) are eligible for DME and related services, prosthetics and orthotics, medical supplies and related services.
(3) Clients who are enrolled in a department contracted managed care organization (MCO) must arrange for DME and related services, prosthetics and orthotics, medical supplies and related services directly through his or her department-contracted MCO. The department does not pay for medical equipment and/or services provided to a client who is enrolled in a department-contracted MCO, but chose not to use one of the MCO's participating providers.
(4) For clients who reside in a skilled nursing facility, see WAC 388-543-5700.
[WSR 11-14-075, recodified as § 182-543-1100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. WSR 11-14-052, § 388-543-1100, filed 6/29/11, effective 8/1/11; WSR 07-17-062, § 388-543-1100, filed 8/13/07, effective 9/13/07. Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.530, and 74.09.700. WSR 06-24-036, § 388-543-1100, filed 11/30/06, effective 1/1/07. Statutory Authority: RCW 74.04.050, 74.04.57 [74.04.057], and 74.08.090. WSR 05-21-102, § 388-543-1100, filed 10/18/05, effective 11/18/05. Statutory Authority: RCW 74.08.090, 34.05.353. WSR 03-12-005, § 388-543-1100, filed 5/22/03, effective 6/22/03. Statutory Authority: RCW 74.08.090, 74.09.530. WSR 02-16-054, § 388-543-1100, filed 8/1/02, effective 9/1/02; WSR 01-01-078, § 388-543-1100, filed 12/13/00, effective 1/13/01.]