1. (1) Rural health clinic (RHC) services are defined under 42 C.F.R. 440.20(b).

2. (2) The medicaid agency pays for RHC services when they are:

   1. (a) Within the scope of an encounter-eligible client's benefit package. See WAC 182-501-0060; and
   2. (b) Medically necessary as defined in WAC 182-500-0070.

3. (3) RHC services may be provided by any of the following individuals in accordance with 42 C.F.R. 405.2401, 491.7, and 491.8:

   1. (a) Physicians;
   2. (b) Physician assistants (PA);
   3. (c) Nurse practitioners (NP);
   4. (d) Nurse midwives or other specialized nurse practitioners;
   5. (e) Certified nurse midwives;
   6. (f) Registered nurses (RN) or licensed practical nurses (LPN);
   7. (g) Psychologists or clinical social workers; and
   8. (h) Dental services specified in 42 C.F.R. Sec. 440.100.

[Statutory Authority: 42 U.S.C. 1396a(bb), 42 U.S.C. 1396d (2)(A), RCW 41.05.021, and 41.05.160. WSR 22-22-049, § 182-549-1300, filed 10/27/22, effective 1/1/23. Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 20-02-070, § 182-549-1300, filed 12/26/19, effective 1/26/20; WSR 15-11-008, § 182-549-1300, filed 5/7/15, effective 6/7/15. WSR 11-14-075, recodified as § 182-549-1300, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.510, 74.09.522, 42 C.F.R. 405.2472, 42 C.F.R. 491. WSR 08-05-011, § 388-549-1300, filed 2/7/08, effective 3/9/08.]