Wash. Admin. Code § 182-550-2521 – Client eligibility requirements for acute PM&R services

(1) Only a client who is eligible for one of the Washington apple health programs may receive acute PM&R services, subject to the restrictions and limitations in this section and WAC 182-550-2501, 182-550-2511, 182-550-2531, 182-550-2541, 182-550-2551, 182-550-2561, 182-550-3381, and other rules:
1. (a) Categorically needy program (CNP);
2. (b) Children's health insurance program (CHIP);
3. (c) Medically needy program (LCP-MNP);
4. (d) Alien emergency medical (AEM)(CNP);
5. (e) Alien emergency medical (AEM)(LCP-MNP);
6. (f) Medical care services.
(2) If a client is enrolled in an agency managed care organization (MCO) plan at the time of acute care admission, that plan pays for and coordinates acute PM&R services as appropriate.

[Statutory Authority: RCW 41.05.021, 41.05.160, Public Law 111-148, 42 C.F.R. § 431, 435, and 457, and 45 C.F.R. § 155. WSR 14-16-019, § 182-550-2521, filed 7/24/14, effective 8/24/14. WSR 11-14-075, recodified as § 182-550-2521, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.500. WSR 07-12-039, § 388-550-2521, filed 5/30/07, effective 8/1/07. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 482.56. WSR 03-06-047, § 388-550-2521, filed 2/28/03, effective 3/31/03. Statutory Authority: RCW 74.08.090 and 74.09.520. WSR 99-17-111, § 388-550-2521, filed 8/18/99, effective 9/18/99.]