Community health workers must fulfill the documentation requirements in the medicaid agency's community health worker (CHW) services billing guide including, but not limited to, documenting in the client's health record:

1. (1) Advance client consent. Consent must be obtained by the licensed, qualified health care professional or CHW before rendering services and billing for CHW/CHR services. Consent may be verbal or in writing;
2. (2) The date and time/duration spent with the client and the nature of the activities;
3. (3) The location of services;

4. (4) The services performed, specifying the following:

   1. (a) Whether they were provided to an individual or a group; and
   2. (b) If they were provided to a group, the number of clients in the group;
5. (5) All identified needs of the client served including, but not limited to, health-related social needs that services are addressing (e.g., the client's diagnosis as defined by the current revision of the International Statistical Classification of Diseases and Related Health Problems); and
6. (6) The name of the CHW or CHR rendering the services.

[Statutory Authority: RCW 41.05.021, 41.05.160, and 2024 c 376 s 211(43). WSR 25-06-056, s 182-562-0500, filed 2/28/25, effective 7/1/25.]