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WAC 182-531-1150

Physician care plan oversight services.

(1) The department covers physician care plan oversight services only when:
(a) A physician provides the service; and
(b) The client is served by a home health agency, a nursing facility, or a hospice.
(2) The department reimburses for physician care plan oversight services when both of the following apply:
(a) The facility/agency has established a plan of care; and
(b) The physician spends thirty or more minutes per calendar month providing oversight for the client's care.
(3) The department reimburses only one physician per client, per month, for physician care plan oversight services.
(4) The department reimburses for physician care plan oversight services during the global surgical reimbursement period only when the care plan oversight is unrelated to the surgery.
[WSR 11-14-075, recodified as § 182-531-1150, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 10-19-057, § 388-531-1150, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 01-01-012, § 388-531-1150, filed 12/6/00, effective 1/6/01.]
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