WAC 388-502-0020
General requirements for providers. (1) Enrolled providers must:
(a) Keep legible, accurate, and complete charts and
records to justify the services provided to each client,
including, but not limited to:
(i) Patient's name and date of birth;
(ii) Dates of services;
(iii) Name and title of person performing the service, if
other than the billing practitioner;
(iv) Chief complaint or reason for each visit;
(v) Pertinent medical history;
(vi) Pertinent findings on examination;
(vii) Medications, equipment, and/or supplies prescribed
or provided;
(viii) Description of treatment (when applicable);
(ix) Recommendations for additional treatments,
procedures, or consultations;
(x) X rays, tests, and results;
(xi) Dental photographs and teeth models;
(xii) Plan of treatment and/or care, and outcome; and
(xiii) Specific claims and payments received for
services.
(b) Assure charts are authenticated by the person who
gave the order, provided the care, or performed the
observation, examination, assessment, treatment or other
service to which the entry pertains;
(c) Make charts and records available to DSHS, its
contractors, and the US Department of Health and Human
Services upon request, for six years from the date of service
or longer if required specifically by federal or state law or
regulation;
(d) Bill the department according to department rules and
billing instructions;
(e) Accept the payment from the department as payment in
full;
(f) Follow the requirements in WAC 388-502-0160 and 388-538-095 about billing clients;
(g) Fully disclose ownership and control information
requested by the department;
(h) Provide all services without discriminating on the
grounds of race, creed, color, age, sex, religion, national
origin, marital status, or the presence of any sensory, mental
or physical handicap; and
(i) Provide all services according to federal and state
laws and rules, and billing instructions issued by the
department.
(2) A provider may contact MAA with questions regarding
its programs. However, MAA's response is based solely on the
information provided to MAA's representative at the time of
inquiry, and in no way exempts a provider from following the
laws and rules that govern the department's programs.
[Statutory Authority: RCW 74.08.090, 74.09.500, and 74.09.530. 01-07-076, § 388-502-0020, filed 3/20/01,
effective 4/20/01; 00-15-050, § 388-502-0020, filed 7/17/00,
effective 8/17/00.]