The department shall determine the eligibility of qualified medical and nonmedical providers to receive payment out of DX/TX funds. A service may not be authorized for out-of-state providers if an equivalent service is available within the state of Washington. The department may authorize the use of resources in bordering states when appropriate. Providers of services paid for with DX/TX funds shall meet the following minimum qualifications:

1. (1) Physicians, advanced registered nurse practitioners (ARNPs), and physician's assistants (PAs) must:

   1. (a) Hold an active license in the jurisdiction where they practice;
   2. (b) Be licensed, certified, or registered with the appropriate state authority and in good standing in the jurisdiction where they practice;
   3. (c) Have no record of disciplinary action taken on his or her license in the previous five years; and
   4. (d) Not be listed in the federal exclusions database.

2. (2) All other health providers not listed in subsection (1) of this section must:

   1. (a) Where state or territorial licensing or certification exists for the person's profession, be:

      1. (i) Licensed, certified, or registered with the appropriate state authority and in good standing in the jurisdiction where they practice; and
      2. (ii) Have no record of disciplinary action taken on his or her license or certification in the previous five years; or

   2. (b) Where state or territorial licensing or certification does not exist for the person's profession, be:

      1. (i) Accredited by the appropriate national professional organization; and
      2. (ii) Have no record of discipline or misconduct related to that accreditation within the previous five years.

[Statutory Authority: RCW 43.70.040, 43.70.080, and 43.70.120. WSR 20-16-108, § 246-710-060, filed 7/31/20, effective 8/31/20. Statutory Authority: RCW 43.20.140. WSR 99-01-100, § 246-710-060, filed 12/17/98, effective 1/17/99. Statutory Authority: RCW 43.20.050. WSR 91-02-051 (Order 124B), recodified as § 246-710-060, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 43.20.140 and 43.20.050. WSR 83-01-002 (Order 247), § 248-105-070, filed 12/2/82.]