WAC 296-31-040   Can the department purchase or authorize a special service or treatment that does not appear in its fee schedule?  (1) We may purchase and/or authorize agreements for service or treatment not covered in the fee schedule.

     (2) The service or treatment must be provided by registered providers authorized to bill the department.

     (3) We must establish payment rates for special agreements for service or treatment that we purchase or authorize.

     (4) We may establish criteria to ensure each claimant receives quality and effective service or treatment that is provided at the least cost and is consistent with necessary services. Examples include, but are not limited to, outcome criteria, measures of effectiveness, minimum staffing levels, certification requirements, and special reporting requirements.

     (5) We may terminate a special agreement by giving the provider thirty days written notice.

     (6) Any request for a special agreement must be made in writing to the crime victims' compensation program.



[Statutory Authority: RCW 7.68.030. 99-07-004, § 296-31-040, filed 3/4/99, effective 4/4/99. Statutory Authority: RCW 43.22.050. 92-23-033, § 296-31-040, filed 11/13/92, effective 12/14/92.]