182-540-150  <<  182-540-160 >>   182-540-170

WAC 182-540-160

Items and services included in the composite rate.

(1) The following equipment, supplies, and services for in-facility and home dialysis are included in the composite rate:
(a) Medically necessary dialysis equipment;
(b) All dialysis services furnished by the facility's staff;
(c) Standard end-stage renal disease laboratory tests (refer to WAC 182-540-180);
(d) Home dialysis support services including delivery, installation, and maintenance of equipment;
(e) Purchase and delivery of all necessary dialysis supplies;
(f) Declotting of shunts and any supplies used to declot shunts;
(g) Oxygen and the administration of oxygen;
(h) Staff time used to administer blood and nonroutine parenteral items;
(i) Noninvasive vascular studies; and
(j) Training for self-dialysis and home dialysis helpers.
(2) The medicaid agency issues a composite rate payment only when all the items and services in subsection (1) of this section are furnished or available at each dialysis session.
(3) If the facility fails to furnish or have available any of the items in subsection (1) of this section, the agency does not pay for any part of the items and services that were furnished.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-14-040, § 182-540-160, filed 6/24/15, effective 7/25/15. WSR 11-14-075, recodified as § 182-540-160, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.510, 74.09.520, 74.09.522, and 42 C.F.R. 405.2101. WSR 03-21-039, § 388-540-160, filed 10/8/03, effective 11/8/03.]
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