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.]