1. (1) To receive payment for services rendered, a long-term services and supports provider must:

   1. (a) Enroll in a department-authorized payment system; and
   2. (b) Adhere to billing standards and guidelines established by the department.
2. (2) A long-term services and supports provider may claim up to the maximum rate for an approved service.
3. (3) The consumer-directed employer must claim at a set rate as established in its contract. For all other providers, the rate claimed for an approved service is determined and agreed upon by the eligible beneficiary and the provider.
4. (4) For the purposes of this section, "claim" means to request payment from the department for approved services provided to an eligible beneficiary.

[Statutory Authority: RCW 50B.04.020 (3)(k). WSR 25-20-048, s 388-116-4010, filed 9/25/25, effective 10/26/25.]