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PDFWAC 182-531-1625

Outpatient hemophilia treatment requirements—Center of excellence.

A hemophilia treatment center of excellence (COE) uses a comprehensive care model to provide care for persons with bleeding disorders. The comprehensive care model includes specialized prevention, diagnostic, and treatment programs designed to provide family-centered education, state-of-the-art treatment, research, and support services for individuals and families living with bleeding disorders.
(1) The agency pays for hemophilia and von Willebrand related products for administration in the home only when provided through a qualified hemophilia treatment COE.
(2) To become a qualified hemophilia treatment COE, a hemophilia center must meet all of the following:
(a) Have a current core provider agreement in accordance with WAC 182-502-0005;
(b) Be a federally approved hemophilia treatment center (HTC) as defined in WAC 182-531-0050 and meet or exceed all Medical and Scientific Advisory Council (MASAC) standards of care and delivery of services;
(c) Participate in the public health service 340B provider drug discount program and be listed in the medicaid exclusion files maintained by the federal Health Resources and Services Administration (HRSA) Office of Pharmacy Affairs (OPA);
(d) Submit a written request to the agency to be a qualified hemophilia treatment center of excellence and include proof of the following:
(i) U.S. Center for Disease Control (CDC) and prevention surveillance site identification number; and
(ii) Listing in the hemophilia treatment center (HTC) directory.
(e) Receive written approval including conditions of payment and billing procedures from the agency.
(3) To continue as a qualified hemophilia treatment COE, the HTC must annually submit to the agency:
(a) Copies of grant documents and reports submitted to the maternal and child health bureau/human resources and services administration/department of health and human services or to their designated subcontractors; and
(b) Proof of continued federal funding by the National Hemophilia Program and listing with the regional hemophilia network and the CDC.
(4) Services rendered by a hemophilia treatment COE may be subject to the agency's limitations and authorization requirements.
[Statutory Authority: RCW 41.05.021. WSR 12-16-061, § 182-531-1625, filed 7/30/12, effective 11/1/12.]
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