1. (1) Eligible providers of home infusion supplies and equipment and parenteral nutrition solutions must:

   1. (a) Have a signed core provider agreement with the medicaid agency; and

   2. (b) Be one of the following provider types:

      1. (i) Pharmacy provider;
      2. (ii) Durable medical equipment (DME) provider; or
      3. (iii) Infusion therapy provider.

2. (2) The agency pays eligible providers for home infusion supplies and equipment and parenteral nutrition solutions only when the providers:

   1. (a) Are able to provide home infusion therapy within their scope of practice;
   2. (b) Have evaluated each client in collaboration with the client's physician, pharmacist, or nurse to determine whether home infusion therapy and parenteral nutrition is an appropriate course of action;
   3. (c) Have determined that the therapies prescribed and the client's needs for care can be safely met;
   4. (d) Have assessed the client and obtained a written physician order for all solutions and medications administered to the client in the client's residence or in a dialysis center through intravenous, epidural, subcutaneous, or intrathecal routes;

   5. (e) Meet the requirements in WAC 182-502-0020, including keeping legible, accurate, and complete client charts, and providing the following documentation in the client's medical file:

      1. (i) For a client receiving infusion therapy, the file must contain:

         1. (A) A copy of the written prescription for the therapy;
         2. (B) The client's age, height, and weight; and
         3. (C) The medical necessity for the specific home infusion service.

      2. (ii) For a client receiving parenteral nutrition, the file must contain:

         1. (A) All the information listed in (e)(i) of this subsection;
         2. (B) Oral or enteral feeding trials and outcomes, if applicable;
         3. (C) Duration of gastrointestinal impairment; and

         4. (D) The monitoring and reviewing of the client's lab values:

            1. (I) At the initiation of therapy;
            2. (II) At least once per month; and
            3. (III) When the client, the client's lab results, or both, are unstable.

[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-15-152, § 182-553-400, filed 7/21/15, effective 8/21/15; WSR 15-08-103, § 182-553-400, filed 4/1/15, effective 5/2/15. WSR 11-14-075, recodified as § 182-553-400, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 10-19-057, § 388-553-400, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.530. WSR 04-11-007, § 388-553-400, filed 5/5/04, effective 6/5/04.]