(1) Denial of application. The authority sends a notice of noncompliance that may result in the denial of an eligible organization's initial application or the denial of an endorsed team's renewal application if the eligible organization or endorsed team:
- (a) Fails to meet the applicable endorsement standards described in WAC 182-140-0080, 182-140-0090, and 182-140-0100;
- (b) Fails to cooperate or disrupts the authority's representatives during an on-site review or during a behavioral health administrative services organization's (BH-ASO) complaint investigation under its contract with the endorsed team;
- (c) Knowingly, or with reason to know, makes a false statement of fact or fails to submit required information;
- (d) Holds itself out as endorsed when the authority has denied or revoked the organization's endorsement, or the organization has surrendered its endorsement;
- (e) Fails to timely provide satisfactory application materials;
- (f) Fails to comply with any other requirement for endorsement described in this chapter; or
- (g) Fails to meet the terms of its contract with the BH-ASO.
(2) Endorsement suspension. The authority sends an endorsed team a notice of noncompliance that may result in an endorsement suspension if the endorsed team fails to:
- (a) Submit renewal materials prior to the closing of the application period;
- (b) Schedule or timely complete the on-site review;
- (c) Meet the endorsement standards outlined in WAC 182-140-0080, 182-140-0090, and 182-140-0100;
- (d) Provide the services for which the eligible organization is endorsed;
- (e) Follow the terms of their BH-ASO contract; or
- (f) Comply with all federal and state laws, including federal confidentiality laws under HIPAA and 42 C.F.R. Part 2, as well as state confidentiality laws under chapters 70.02, 71.05, and 71.34 RCW.
- (3) Exception for tribal organizations. Subsections (1) and (2) of this section and WAC 182-140-0130 do not apply to tribal eligible organizations or tribal endorsed organizations. Tribal organizations follow the process laid out in the organization's Sovereign Nation Agreement described in WAC 182-140-0060 regarding any noncompliance with the endorsement standards in this chapter.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 26-10-026, s 182-140-0120, filed 4/29/26, effective 6/1/26. Statutory Authority: RCW 41.05.021, 41.05.160, and 71.24.903. WSR 24-18-088, § 182-140-0120, filed 8/30/24, effective 9/30/24.]