RCW 74.13.540 — Washington Code / Title 74 / Chapter 13 / Section 540
RCW 74.13.540: Independent living services.
Status: in_force

Independent living services include assistance in achieving basic educational requirements such as a high school equivalency certificate as provided in RCW 28B.50.536 , enrollment in vocational and technical training programs offered at the community and vocational colleges, and obtaining and maintaining employment; and accomplishing basic life skills such as money management, nutrition, preparing meals, and cleaning house. A baseline skill level in ability to function productively and independently shall be determined at entry. Performance shall be measured and must demonstrate improvement from involvement in the program. Each recipient shall have a plan for achieving independent living skills by the time the recipient reaches age twenty-one. The plan shall be written within the first thirty days of placement and reviewed every ninety days. A recipient who fails to consistently adhere to the elements of the plan shall be subject to reassessment by the professional staff of the program and may be declared ineligible to receive services.
RCW 74.60.900 — Washington Code / Title 74 / Chapter 60 / Section 900
RCW 74.60.900: Severability—2010 1st sp.s. c 30.
Status: in_force

(1) The provisions of RCW 74.60.090 is [are] severable from the remainder of this chapter, unless the condition stated in RCW 74.60.150 (3)(c) occurs. The other provisions of this chapter are not severable; if the conditions set forth in RCW 74.60.150 (1) cannot be satisfied or if the conditions set forth in RCW 74.60.150 (2) or (3) occur, this chapter, except for RCW 74.60.090 , shall have no effect from that point forward. (2) In the event that any portion of this chapter shall have been validly implemented and the entire chapter is later rendered ineffective under this section, prior assessments and payments under the validly implemented portions shall not be affected.
RCW 74.46.010 — Washington Code / Title 74 / Chapter 46 / Section 010
RCW 74.46.010: Short title—Purpose—Finding.
Status: in_force

(1) This chapter may be known and cited as the "nursing facility medicaid payment system." (2) The purposes of this chapter are to set forth principles to guide the nursing facility medicaid payment system and specify the manner by which legislative appropriations for medicaid nursing facility services are to be allocated as payment rates among nursing facilities. (3) The legislature finds that the medicaid nursing facility rates calculated under this chapter provide sufficient reimbursement to efficient and economically operating facilities and bear a reasonable relationship to costs.
RCW 74.48.010 — Washington Code / Title 74 / Chapter 48 / Section 010
RCW 74.48.010: Definitions.
Status: in_force

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise. (1) "Certain high volume medicaid nursing facilities" means the fewest number of facilities necessary with the highest number of medicaid days or total patient days annually to meet the statistical redistribution test at 42 C.F.R. Sec. 433.68(e)(2). (2) "Continuing care retirement community" means a facility that provides a continuum of services by one operational entity or related organization providing independent living services, or *boarding home or assisted living services under chapter 18.20 RCW, and skilled nursing services under chapter 18.51 RCW in a single contiguous campus. The number of licensed nursing home beds must be sixty percent or less of the total number of beds available in the entire continuing care retirement community. For purposes of this subsection "contiguous" means land adjoining or touching other property held by the same or related organization including land divided by a public road. (3) "Deductions from revenue" means reductions from gross revenue resulting from an inability to collect payment of charges. Such reductions include bad debt, contractual adjustments, policy discounts and adjustments, and other such revenue deductions. (4) "Department" means the department of social and health services. (5) "Fund" means the skilled nursing facility safety net trust fund. (6) "Hospital based" means a nursing facility that is physically part of, or contiguous to, a hospital. For purposes of this subsection "contiguous" has the same meaning as in subsection (2) of this section. (7) "Medicare patient day" means a patient day for medicare beneficiaries on a medicare part A stay, medicare hospice stay, and a patient day for persons who have opted for managed care coverage using their medicare benefit. (8) "Medicare upper payment limit" means the limitation established by federal regulations, 42 C.F.R. Sec. 447.272, that disallows federal matching funds when state medicaid agencies pay certain classes of nursing facilities an aggregate amount for services that would exceed the amount that would be paid for the same services furnished by that class of nursing facilities under medicare payment principles. (9) "Net resident service revenue" means gross revenue from services to nursing facility residents less deductions from revenue. Net resident service revenue does not include other operating revenue or nonoperating revenue. (10) "Nonexempt nursing facility" means a nursing facility that is not exempt from the skilled nursing facility safety net assessment. (11) "Nonoperating revenue" means income from activities not relating directly to the day-to-day operations of an organization. Nonoperating revenue includes such items as gains on disposal of a facility's assets, dividends, and interest from security investments, gifts, grants, and endowments. (12) "Nursing facility," "facility," or "skilled nursing facility" has the same meaning as "nursing home" as defined in RCW 18.51.010 . (13) "Other operating revenue" means income from nonresident care services to residents, as well as sales and activities to persons other than residents. It is derived in the course of operating the facility such as providing personal laundry service for residents or from other sources such as meals provided to persons other than residents, personal telephones, gift shops, and vending machines. (14) "Related organization" means an entity which is under common ownership and/or control with, or has control of, or is controlled by, the contractor, as defined under chapter 74.46 RCW. (a) "Common ownership" exists when an entity is the beneficial owner of five percent or more ownership interest in the contractor, as defined under chapter 74.46 RCW and any other entity. (b) "Control" exists where an entity has the power, directly or indirectly, significantly to influence or direct the actions or policies of an organization or institution, whether or not it is legally enforceable and however it is exercisable or exercised. (15) "Resident day" means a calendar day of care provided to a nursing facility resident, excluding medicare patient days. Resident days include the day of admission and exclude the day of discharge. An admission and discharge on the same day count as one day of care. Resident days include nursing facility hospice days and exclude bedhold days for all residents.
RCW 74.04.658 — Washington Code / Title 74 / Chapter 04 / Section 658
RCW 74.04.658: Military service benefits—Referral to Washington department of veterans affairs.
Status: in_force

During the application process for public assistance benefits, the department shall inquire of each applicant whether he or she has ever served in the United States military services or is a family or household member of someone who has ever served in the United States military services. If the applicant answers in the affirmative, the department shall provide the applicant with information on how to contact the Washington department of veterans affairs to inquire as to whether the applicant may be eligible for any benefits, services, or programs offered to veterans, military members, or their families.
RCW 74.46.475 — Washington Code / Title 74 / Chapter 46 / Section 475
RCW 74.46.475: Submitted cost report—Analysis and adjustment by department.
Status: in_force

The department shall analyze the submitted cost report or a portion thereof of each contractor for each report period to determine if the information is correct, complete, reported in conformance with department instructions and generally accepted accounting principles, the requirements of this chapter, and such rules as the department may adopt. If the analysis finds that the cost report is incorrect or incomplete, the department may make adjustments to the reported information for purposes of establishing payment rate allocations. A schedule of such adjustments shall be provided to contractors and shall include an explanation for the adjustment and the dollar amount of the adjustment. Adjustments shall be subject to review and appeal as provided in this chapter.
RCW 74.20.065 — Washington Code / Title 74 / Chapter 20 / Section 065
RCW 74.20.065: Wrongful deprivation of custody—Legal custodian excused from support payments.
Status: in_force

If the legal custodian has been wrongfully deprived of physical custody, the department is authorized to excuse the custodian from support payments for a child or children receiving or on whose behalf public assistance was provided under chapter 74.12 RCW, or for a child or children on behalf of whom the department is providing nonassistance support enforcement services.
RCW 74.60.150 — Washington Code / Title 74 / Chapter 60 / Section 150
RCW 74.60.150: Conditions.
Status: in_force

(1) The assessment, collection, and disbursement of funds under this chapter shall be conditional upon: (a) Final approval by the centers for medicare and medicaid services in order to implement the applicable sections of this chapter, except under RCW 74.60.090 , including, if necessary, waiver of the broad-based or uniformity requirements as specified under section 1903(w)(3)(E) of the federal social security act and 42 C.F.R. 433.68(e); (b) To the extent necessary, amendment of contracts between the authority and managed care organizations in order to implement this chapter; and (c) Certification by the office of financial management that appropriations have been adopted that fully support the rates established in this chapter for the upcoming calendar year. (2) This chapter does not take effect or ceases to be imposed, and any moneys remaining in the fund shall be refunded to hospitals in proportion to the amounts paid by such hospitals, if and to the extent that any of the following conditions occur: (a) The federal department of health and human services and a court of competent jurisdiction makes a final determination, with all appeals exhausted, that any element of this chapter, other than RCW 74.60.090 , cannot be validly implemented; or (b) Funds generated by the assessment for payments to medicaid prospective payment hospitals or managed care organizations are determined to be not eligible for federal matching funds in addition to those federal funds that would be received without the assessment, or the federal government replaces medicaid matching funds with a block grant or grants. (3) This chapter does not take effect or ceases to be imposed, and any moneys remaining in the fund shall be refunded to hospitals in proportion to the amounts paid by such hospitals, if and to the extent that any of the following conditions occur: (a) Other funding sufficient to maintain aggregate payment levels to hospitals for inpatient and outpatient services covered by medicaid, including fee-for-service and managed care, at least at the rates the state paid for those services on July 1, 2022, as adjusted for current enrollment and utilization is not appropriated or available; (b) Payments required by this chapter are reduced, except as specifically authorized in this chapter, or payments are not made in substantial compliance with the time frames set forth in this chapter; or (c) The amount of assessment funds authorized to be used in lieu of state general fund payments for medicaid hospital services is increased above the amount stated in RCW 74.60.020 or the fund is otherwise used as a substitute for or to supplant other funds.
RCW 74.34.110 — Washington Code / Title 74 / Chapter 34 / Section 110
RCW 74.34.110: Protection of vulnerable adults—Petition for protective order.
Status: in_force

A vulnerable adult, or interested person on behalf of the vulnerable adult, may seek relief from abandonment, abuse, financial exploitation, or neglect, or the threat thereof, by filing a petition for a vulnerable adult protection order under chapter 7.105 RCW.
RCW 74.42.450 — Washington Code / Title 74 / Chapter 42 / Section 450
RCW 74.42.450: Residents limited to those the facility qualified to care for—Transfer or discharge of residents—Appeal of department discharge decision—Reasonable accommodation.
Status: in_force

(1) The facility shall admit as residents only those individuals whose needs can be met by: (a) The facility; (b) The facility cooperating with community resources; or (c) The facility cooperating with other providers of care affiliated or under contract with the facility. (2) The facility shall transfer a resident to a hospital or other appropriate facility when a change occurs in the resident's physical or mental condition that requires care or service that the facility cannot provide. The resident, the resident's guardian, if any, the resident's next of kin, the attending physician, and the department shall be consulted at least fifteen days before a transfer or discharge unless the resident is transferred under emergency circumstances. The department shall use casework services or other means to insure that adequate arrangements are made to meet the resident's needs. (3) A resident shall be transferred or discharged only for medical reasons, the resident's welfare or request, the welfare of other residents, or nonpayment. A resident may not be discharged for nonpayment if the discharge would be prohibited by the medicaid program. (4) If a resident chooses to remain in the nursing facility, the department shall respect that choice, provided that if the resident is a medicaid recipient, the resident continues to require a nursing facility level of care. (5) If the department determines that a resident no longer requires a nursing facility level of care, the resident shall not be discharged from the nursing facility until at least thirty days after written notice is given to the resident, the resident's surrogate decision maker and, if appropriate, a family member or the resident's representative. A form for requesting a hearing to appeal the discharge decision shall be attached to the written notice. The written notice shall include at least the following: (a) The reason for the discharge; (b) A statement that the resident has the right to appeal the discharge; and (c) The name, address, and telephone number of the state long-term care ombuds. (6) If the resident appeals a department discharge decision, the resident shall not be discharged without the resident's consent until at least thirty days after a final order is entered upholding the decision to discharge the resident. (7) Before the facility transfers or discharges a resident, the facility must first attempt through reasonable accommodations to avoid the transfer or discharge unless the transfer or discharge is agreed to by the resident. The facility shall admit or retain only individuals whose needs it can safely and appropriately serve in the facility with available staff or through the provision of reasonable accommodations required by state or federal law. "Reasonable accommodations" has the meaning given to this term under the federal Americans with disabilities act of 1990, 42 U.S.C. Sec. 12101 et seq. and other applicable federal or state antidiscrimination laws and regulations.
RCW 74.08A.265 — Washington Code / Title 74 / Chapter 08A / Section 265
RCW 74.08A.265: Assistance termination—Report—Finding of racial disproportionality.
Status: in_force

(1) Annually by December 31st, the department must report to the governor and the appropriate policy and fiscal committees of the legislature disaggregated data identifying the race of individuals whose temporary assistance for needy families benefits were reduced or terminated during the preceding year due to: (a) Sanction as described in RCW 74.08A.260 ; or (b) Reaching the sixty-month time limit under RCW 74.08A.010 . (2) If the disaggregated data for terminated or sanctioned individuals shows a disproportionate representation of any racial group that has experienced historic disparities or discrimination, the department must describe steps it is taking to address and remedy the racial disproportionality.
RCW 74.09.260 — Washington Code / Title 74 / Chapter 09 / Section 260
RCW 74.09.260: Excessive charges, payments—Penalties.
Status: in_force

Any person, including any corporation, that knowingly: (1) Charges, for any service provided to a patient under any medical care plan authorized under this chapter or other applicable law, money or other consideration at a rate in excess of the rates established by the department or authority, as appropriate; or (2) Charges, solicits, accepts, or receives, in addition to any amount otherwise required to be paid under such plan, any gift, money, donation, or other consideration (other than a charitable, religious, or philanthropic contribution from an organization or from a person unrelated to the patient): (a) As a precondition of admitting a patient to a hospital or nursing facility; or (b) As a requirement for the patient's continued stay in such facility, when the cost of the services provided therein to the patient is paid for, in whole or in part, under such plan, shall be guilty of a class C felony: PROVIDED, That the fine, if imposed, shall not be in an amount more than twenty-five thousand dollars, except as authorized by RCW 9A.20.030 .
RCW 74.09A.010 — Washington Code / Title 74 / Chapter 09A / Section 010
RCW 74.09A.010: Definitions.
Status: in_force

For the purposes of this chapter: (1) "Authority" means the Washington state health care authority. (2) "Computerized" means online or batch processing with standardized format via magnetic tape output. (3) "Health insurance coverage" includes any policy, contract, or agreement under which health care items or services are provided, arranged, reimbursed, or paid for by a health insurer. (4) "Health insurer" means any party that is, by statute, policy, contract, or agreement, legally responsible for payment of a claim for a health care item or service, including, but not limited to, a commercial insurance company providing disability insurance under chapter 48.20 or 48.21 RCW, a health care service contractor providing health care coverage under chapter 48.44 RCW, a health maintenance organization providing comprehensive health care services under chapter 48.46 RCW, an employer or union self-insured plan, any private insurer, a group health plan, a service benefit plan, a managed care organization, a pharmacy benefit manager, and a third party administrator. (5) "Joint beneficiary" is an individual who has health insurance coverage and is a recipient of public assistance benefits under chapter 74.09 RCW.
RCW 74.41.040 — Washington Code / Title 74 / Chapter 41 / Section 040
RCW 74.41.040: Administration—Rules—Program standards.
Status: in_force

The department shall administer this chapter and shall establish such rules and standards as the department deems necessary in carrying out this chapter. The department shall not require the development of plans of care or discharge plans by nursing homes or adult family homes providing respite care service under this chapter. Assisted living facilities providing respite care services shall comply with the assessment and plan of care provisions of RCW 18.20.350 . The department shall develop standards for the respite program in conjunction with the selected area agencies on aging. The program standards shall serve as the basis for soliciting bids, entering into subcontracts, and developing sliding fee scales to be used in determining the ability of eligible participants to participate in paying for respite care.
RCW 74.70.040 — Washington Code / Title 74 / Chapter 70 / Section 040
RCW 74.70.040: Report to authority.
Status: in_force

(1) Each ambulance transport provider must report to the authority the number of emergency ambulance transports by payer type and the annual gross receipts for the state fiscal year ending June 30, 2020, pursuant to form and timing required by the authority. The authority shall establish the timing for such reporting to occur on or after August 15, 2020. (2) Each ambulance transport provider must report to the authority the number of emergency ambulance transports by payer type for each state fiscal quarter commencing with the state fiscal quarter ending September 30, 2020, pursuant to form and timing required by the authority. The authority shall establish the timing for such reporting to occur on or after the forty-fifth day after the end of each applicable state fiscal quarter. (3) Each ambulance transport provider must report to the authority the annual gross receipts for each state fiscal year commencing with the state fiscal year ending June 30, 2021, pursuant to form and timing required by the authority. The authority shall establish the timing for such reporting to occur on or after the forty-fifth day after the end of each applicable state fiscal year. (4) The authority may require a certification by each ambulance transport provider under penalty of perjury of the truth of the reports required under this section. Upon written notice to an ambulance transport provider, the authority may impose a civil penalty of one hundred dollars per day against an ambulance transport provider for every day that an ambulance transport provider fails to make a report required by this section within five days of the date upon which the report was due. Any funds resulting from a penalty imposed pursuant to this subsection shall be deposited in the ambulance transport fund established in RCW 74.70.030 .
RCW 74.09.640 — Washington Code / Title 74 / Chapter 09 / Section 640
RCW 74.09.640: Opioid use disorder—Nonpharmacologic treatments.
Status: in_force

(1) In order to support prevention of potential opioid use disorders, the authority must develop and recommend for coverage nonpharmacologic treatments for acute, subacute, and chronic noncancer pain and must report to the governor and the appropriate committees of the legislature, including any requests for funding necessary to implement the recommendations under this section. The recommendations must contain the following elements: (a) A list of which nonpharmacologic treatments will be covered; (b) Recommendations as to the duration, amount, and type of treatment eligible for coverage; (c) Guidance on the type of providers eligible to provide these treatments; and (d) Recommendations regarding the need to add any provider types to the list of currently eligible medicaid provider types. (2) The authority must ensure only treatments that are evidence-based for the treatment of the specific acute, subacute, and chronic pain conditions will be eligible for coverage recommendations.
RCW 74.04.050 — Washington Code / Title 74 / Chapter 04 / Section 050
RCW 74.04.050: Department to administer certain public assistance programs—Authority to administer medical services programs.
Status: in_force

(1) The department is designated as the single state agency to administer the following public assistance programs: (a) Temporary assistance for needy families; (b) Child welfare services; and (c) Any other programs of public assistance for which provision for federal grants or funds may from time to time be made, except as otherwise provided by law. (2) The authority is hereby designated as the single state agency to administer the medical services programs established under chapter 74.09 RCW, including the state children's health insurance program, Titles XIX and XXI of the federal social security act of 1935, as amended. As the state's medicaid agency, the authority is responsible for providing reasonable oversight of all medicaid program integrity activities required by federal regulation. The authority shall establish and maintain effective internal control over any state agency that receives medicaid funding in compliance with federal regulation. (3) The department and the authority are hereby empowered and authorized to cooperate in the administration of such federal laws, consistent with the public assistance laws of this state, as may be necessary to qualify for federal funds. (4) The state hereby accepts and assents to all the present provisions of the federal law under which federal grants or funds, goods, commodities, and services are extended to the state for the support of programs referenced in this section, and to such additional legislation as may subsequently be enacted as is not inconsistent with the purposes of this title, authorizing public welfare and assistance activities. The provisions of this title shall be so administered as to conform with federal requirements with respect to eligibility for the receipt of federal grants or funds. (5) The department and the authority shall periodically make application for federal grants or funds and submit such plans, reports and data, as are required by any act of congress as a condition precedent to the receipt of federal funds for such assistance. The department and the authority shall make and enforce such rules and regulations as shall be necessary to insure compliance with the terms and conditions of such federal grants or funds.
RCW 74.39A.515 — Washington Code / Title 74 / Chapter 39A / Section 515
RCW 74.39A.515: Duties of consumer directed employers that employ individual providers—Case management responsibilities—Rule making.
Status: in_force

(1) If a consumer directed employer employs individual providers, then the consumer directed employer shall: (a) Verify that each individual provider has met any training requirements established under this chapter and rules adopted under this chapter; (b) Conduct background checks on individual providers as required under this chapter, RCW 43.43.830 through 43.43.842 , 43.20A.710 , and the rules adopted by the department; or verify that a background check has been conducted for each individual provider and that the background check is still valid in accordance with department rules; (c) Implement an electronic visit verification system that complies with federal requirements, or in the absence of an electronic visit verification system, monitor a statistically valid sample of individual provider's claims to the receipt of services by the consumer; (d) Monitor individual provider compliance with employment requirements; (e) As authorized and determined by the consumer, provide a copy of the consumer's plan of care to the individual provider who has been selected by the consumer; (f) Verify the individual provider is able and willing to carry out his or her responsibilities under the plan of care; (g) Take into account information provided by the consumer or the consumer's case manager about the consumer's specific needs; (h) Discontinue the individual provider's assignment to a consumer when the consumer directed employer has reason to believe, or the department or area agency on aging has reported, that the health, safety, or well-being of a consumer is in imminent jeopardy due to the performance of the individual provider; (i) Reject a request by a consumer to assign a specific person as his or her individual provider, if the consumer directed employer has reason to believe that the individual will be unable to appropriately meet the care needs of the consumer; and (j) Establish a dispute resolution process for consumers who wish to dispute decisions made under (h) and (i) of this subsection. (2) If any individual providers are contracted with the department to provide services under this chapter, the case management responsibilities of RCW 74.39A.090 and 74.39A.095 shall include: (a) Verifying that each individual provider has met all training requirements under this chapter and department rules; (b) Conducting background checks on individual providers as required under this chapter, RCW 43.43.830 through 43.43.842 , 43.20A.710 , and department rules; or verifying that background checks have been conducted for each individual provider and that the background check is still valid in accordance with department rules; (c) Monitoring that the individual provider is providing services as outlined in the consumer's plan of care; (d) Attaching the consumer's plan of care to the contract with the individual provider; (e) Verifying with the individual provider that he or she is able and willing to carry out his or her responsibilities under the plan of care; (f) Terminating the contract between the department and the individual provider if the department, area agency on aging, or federally recognized Indian tribe finds that an individual provider's inadequate performance or inability to deliver quality care is jeopardizing the health, safety, or well-being of a consumer receiving service under this section; (g) Summarily suspending the contract pending a fair hearing, if there is reason to believe the health, safety, or well-being of a consumer is in imminent jeopardy; and (h) Rejecting a request by a consumer receiving services under this section to have a family member or other person serve as his or her individual provider if the department, area agency on aging, or federally recognized Indian tribe has reason to believe that the family member or other person will be unable to appropriately meet the care needs of the consumer. (3) The consumer may request a fair hearing under chapter 34.05 RCW to contest a planned action of the department under subsection (2)(g) and (h) of this section. (4) The department may adopt rules to implement this section.
RCW 74.04.057 — Washington Code / Title 74 / Chapter 04 / Section 057
RCW 74.04.057: Promulgation of rules and regulations to qualify for federal funds.
Status: in_force

The department is authorized to promulgate such rules and regulations as are necessary to qualify for any federal funds available under Title XVI of the federal social security act, and any other combination of existing programs of assistance consistent with federal law and regulations.
RCW 74.13A.100 — Washington Code / Title 74 / Chapter 13A / Section 100
RCW 74.13A.100: Interstate agreements for adoption of children with special needs—Definitions.
Status: in_force

The definitions in this section apply throughout *RCW 74.13.152 through 74.13.159 unless the context clearly indicates otherwise. (1) "Adoption assistance state" means the state that is signatory to an adoption assistance agreement in a particular case. (2) "Residence state" means the state where the child is living. (3) "State" means a state of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, the Commonwealth of the Northern Mariana Islands, or a territory or possession of or administered by the United States.
RCW 74.15.150 — Washington Code / Title 74 / Chapter 15 / Section 150
RCW 74.15.150: Penalty for operating without license.
Status: in_force

Any agency operating without a license shall be guilty of a misdemeanor. This section shall not be enforceable against an agency until sixty days after the effective date of new rules, applicable to such agency, have been adopted under chapter 74.15 RCW and RCW 74.13.031 .
RCW 74.09.150 — Washington Code / Title 74 / Chapter 09 / Section 150
RCW 74.09.150: Personnel to be under existing merit system.
Status: in_force

All personnel employed in the administration of the medical care program shall be covered by the existing merit system under the Washington personnel resources board.
RCW 74.39A.040 — Washington Code / Title 74 / Chapter 39A / Section 040
RCW 74.39A.040: Department assessment of and assistance to hospital patients in need of long-term care.
Status: in_force

The department shall work in partnership with hospitals in assisting patients and their families to find long-term care services of their choice. The department shall not delay hospital discharges but shall assist and support the activities of hospital discharge planners. The department also shall coordinate with home health and hospice agencies whenever appropriate. The role of the department is to assist the hospital and to assist patients and their families in making informed choices by providing information regarding home and community options to individuals who are hospitalized and likely to need long-term care. (1) To the extent of available funds, the department shall assess individuals who: (a) Are medicaid clients, medicaid applicants, or eligible for both medicare and medicaid; and (b) Apply or are likely to apply for admission to a nursing facility. (2) For individuals who are reasonably expected to become medicaid recipients within one hundred eighty days of admission to a nursing facility, the department shall, to the extent of available funds, offer an assessment and information regarding appropriate in-home and community services. (3) When the department finds, based on assessment, that the individual prefers and could live appropriately and cost-effectively at home or in some other community-based setting, the department shall: (a) Advise the individual that an in-home or other community service is appropriate; (b) Develop, with the individual or the individual's representative, a comprehensive community service plan; (c) Inform the individual regarding the availability of services that could meet the applicant's needs as set forth in the community service plan and explain the cost to the applicant of the available in-home and community services relative to nursing facility care; and (d) Discuss and evaluate the need for ongoing involvement with the individual or the individual's representative. (4) When the department finds, based on assessment, that the individual prefers and needs nursing facility care, the department shall: (a) Advise the individual that nursing facility care is appropriate and inform the individual of the available nursing facility vacancies; (b) If appropriate, advise the individual that the stay in the nursing facility may be short term; and (c) Describe the role of the department in providing nursing facility case management.
RCW 74.39A.110 — Washington Code / Title 74 / Chapter 39A / Section 110
RCW 74.39A.110: Chore services—Legislative policy and intent regarding available funds—Levels of service.
Status: in_force

It is the intent of the legislature that chore services be provided to eligible persons within the limits of funds appropriated for that purpose. Therefore, the department shall provide services only to those persons identified as at risk of being placed in a long-term care facility in the absence of such services. The department shall not provide chore services to any individual who is eligible for, and whose needs can be met by another community service administered by the department. Chore services shall be provided to the extent necessary to maintain a safe and healthful living environment. It is the policy of the state to encourage the development of volunteer chore services in local communities as a means of meeting chore care service needs and directing financial resources. In determining eligibility for chore services, the department shall consider the following: (1) The kind of services needed; (2) The degree of service need, and the extent to which an individual is dependent upon such services to remain in his or her home or return to his or her home; (3) The availability of personal or community resources which may be utilized to meet the individual's need; and (4) Such other factors as the department considers necessary to insure service is provided only to those persons whose chore service needs cannot be met by relatives, friends, nonprofit organizations, other persons, or by other programs or resources. In determining the level of services to be provided under this chapter, the client shall be assessed using an instrument designed by the department to determine the level of functional disability, the need for service and the person's risk of long-term care facility placement.
RCW 74.34.035 — Washington Code / Title 74 / Chapter 34 / Section 035
RCW 74.34.035: Reports—Mandated and permissive—Contents—Confidentiality.
Status: in_force

(1) When there is reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred, mandated reporters shall immediately report to the department. (2) When there is reason to suspect that sexual assault has occurred, mandated reporters shall immediately report to the appropriate law enforcement agency and to the department. (3) When there is reason to suspect that physical assault has occurred or there is reasonable cause to believe that an act has caused fear of imminent harm: (a) Mandated reporters shall immediately report to the department; and (b) Mandated reporters shall immediately report to the appropriate law enforcement agency, except as provided in subsection (4) of this section. (4) A mandated reporter is not required to report to a law enforcement agency, unless requested by the injured vulnerable adult or his or her legal representative or family member, an incident of physical assault between vulnerable adults that causes minor bodily injury and does not require more than basic first aid, unless: (a) The injury appears on the back, face, head, neck, chest, breasts, groin, inner thigh, buttock, genital, or anal area; (b) There is a fracture; (c) There is a pattern of physical assault between the same vulnerable adults or involving the same vulnerable adults; or (d) There is an attempt to choke a vulnerable adult. (5) When there is reason to suspect that the death of a vulnerable adult was caused by abuse, neglect, or abandonment by another person, mandated reporters shall, pursuant to RCW 68.50.020 , report the death to the medical examiner or coroner having jurisdiction, as well as the department and local law enforcement, in the most expeditious manner possible. A mandated reporter is not relieved from the reporting requirement provisions of this subsection by the existence of a previously signed death certificate. If abuse, neglect, or abandonment caused or contributed to the death of a vulnerable adult, the death is a death caused by unnatural or unlawful means, and the body shall be the jurisdiction of the coroner or medical examiner pursuant to RCW 68.50.010 . (6) Permissive reporters may report to the department or a law enforcement agency when there is reasonable cause to believe that a vulnerable adult is being or has been abandoned, abused, financially exploited, or neglected. (7) No facility, as defined by this chapter, agency licensed or required to be licensed under chapter 70.127 RCW, or facility or agency under contract with the department to provide care for vulnerable adults may develop policies or procedures that interfere with the reporting requirements of this chapter. (8) Each report, oral or written, must contain as much as possible of the following information: (a) The name and address of the person making the report; (b) The name and address of the vulnerable adult and the name of the facility or agency providing care for the vulnerable adult; (c) The name and address of the legal guardian or alternate decision maker; (d) The nature and extent of the abandonment, abuse, financial exploitation, neglect, or self-neglect; (e) Any history of previous abandonment, abuse, financial exploitation, neglect, or self-neglect; (f) The identity of the alleged perpetrator, if known; and (g) Other information that may be helpful in establishing the extent of abandonment, abuse, financial exploitation, neglect, or the cause of death of the deceased vulnerable adult. (9) Unless there is a judicial proceeding or the person consents, the identity of the person making the report under this section is confidential. (10) In conducting an investigation of abandonment, abuse, financial exploitation, self-neglect, or neglect, the department or law enforcement, upon request, must have access to all relevant records related to the vulnerable adult that are in the possession of mandated reporters and their employees, unless otherwise prohibited by law. Records maintained under RCW 4.24.250 , 18.20.390 , 43.70.510 , 70.41.200 , 70.230.080 , and 74.42.640 shall not be subject to the requirements of this subsection. Providing access to records relevant to an investigation by the department or law enforcement under this provision may not be deemed a violation of any confidential communication privilege. Access to any records that would violate attorney-client privilege shall not be provided without a court order unless otherwise required by court rule or case law.
RCW 74.09.495 — Washington Code / Title 74 / Chapter 09 / Section 495
RCW 74.09.495: Access to children's behavioral health services—Report to legislature.
Status: in_force

(1) To better assure and understand issues related to network adequacy and access to services, the authority shall report to the appropriate committees of the legislature by December 1, 2017, and annually thereafter, on the status of access to behavioral health services for children from birth through age seventeen using data collected pursuant to RCW 70.320.050 . (2) At a minimum, the report must include the following components broken down by age, gender, and race and ethnicity: (a) The percentage of discharges for patients ages six through seventeen who had a visit to the emergency room with a primary diagnosis of mental health or alcohol or other drug dependence during the measuring year and who had a follow-up visit with any provider with a corresponding primary diagnosis of mental health or alcohol or other drug dependence within thirty days of discharge; (b) The percentage of health plan members with an identified mental health need who received mental health services during the reporting period; (c) The percentage of children served by behavioral health administrative services organizations and managed care organizations, including the types of services provided; (d) The number of children's mental health providers available in the previous year, the languages spoken by those providers, and the overall percentage of children's mental health providers who were actively accepting new patients; and (e) Data related to mental health and medical services for eating disorder treatment in children and youth by county, including the number of: (i) Eating disorder diagnoses; (ii) Patients treated in outpatient, residential, emergency, and inpatient care settings; and (iii) Contracted providers specializing in eating disorder treatment and the overall percentage of those providers who were actively accepting new patients during the reporting period.
RCW 74.12.035 — Washington Code / Title 74 / Chapter 12 / Section 035
RCW 74.12.035: Additional eligibility requirements—Students—Exceptions.
Status: in_force

(1) Children over eighteen years of age and under nineteen years of age who are full-time students reasonably expected to complete a program of secondary school, or the equivalent level of vocational or technical training, before reaching nineteen years of age are eligible to receive temporary assistance for needy families: PROVIDED HOWEVER, That if such students do not successfully complete such program before reaching nineteen years of age, the assistance rendered under this subsection during such period shall not be a debt due the state. (2) Children with disabilities who are eighteen years of age and under twenty-one years of age and who are full-time students whose education is being provided in accordance with RCW 28A.155.020 are eligible to receive temporary assistance for needy families benefits. (3) The department is authorized to grant exceptions to the eligibility restrictions for children eighteen years of age and under twenty-one years of age under subsections (1) and (2) of this section only when it determines by reasonable, objective criteria that such exceptions are likely to enable the children to complete their high school education, high school equivalency certificate as provided in RCW 28B.50.536 , or vocational education.
RCW 74.42.500 — Washington Code / Title 74 / Chapter 42 / Section 500
RCW 74.42.500: Toilet and bathing facilities.
Status: in_force

Toilet and bathing facilities shall be located in or near residents' rooms and shall be appropriate in number, size, and design to meet the needs of the residents. The facility shall provide an adequate supply of hot water at all times for resident use. Plumbing shall be equipped with control valves that automatically regulate the temperature of the hot water used by residents.
RCW 74.42.200 — Washington Code / Title 74 / Chapter 42 / Section 200
RCW 74.42.200: Supervision of health care by physician—When required.
Status: in_force

The health care of each resident shall be under the continuing supervision of a physician: PROVIDED, That a resident of a facility licensed pursuant to chapter 18.51 RCW but not certified by the federal government under Title XVIII or Title XIX of the Social Security Act as now or hereafter amended shall not be required to receive the continuing supervision of a health care practitioner licensed pursuant to chapter 18.22 , 18.25, 18.32, 18.57, 18.71, and 18.83 RCW, nor shall the state of Washington require such continuing supervision as a condition of licensing. The physician shall see the resident whenever necessary, and as required and/or consistent with state and federal regulations.
RCW 74.13.690 — Washington Code / Title 74 / Chapter 13 / Section 690
RCW 74.13.690: Child welfare measurements.
Status: in_force

(1) A university-based child welfare research entity and the department, in collaboration with other stakeholders, shall develop measurements in the areas of safety, permanency, and well-being, using existing and available data. Measurements must be calculated from data used in the routine work of the state agencies' data and information technology departments. Any new record linkage or data-matching activities required in fulfillment of this section may be performed by the research entity pursuant to agreements developed under subsection (6) of this section. (2) For the purposes of this section, "state agencies" means any agency or subagency providing data used in the integrated client database maintained by the research and data analysis division of the department. Any exchange of data must be in accordance with applicable federal and state law. (3) All measurements must use a methodology accepted by the scientific community. All measurements must address any disproportionate racial and ethnic inequality. The initial measurements must be developed by December 1, 2013. (4) The measurements may not require the state agencies to revise their data collection systems, and may not require the state agencies to provide individually identifiable information. (5) The state agencies shall provide the research entity with all measurement data related to the measurements developed under this section at least quarterly beginning July 1, 2014. The research entity shall make any nonidentifiable data publicly available. The research entity shall report on the data to the legislature and the governor annually starting December 31, 2014. (6) By January 1, 2014, the state agencies shall execute agreements with the research entity to enable sharing of data pursuant to RCW 42.48.020 sufficient to comply with this section. (7) The fact that the research entity has chosen to use a specific measure, use a specific baseline, or compare any measure to a baseline is not admissible as evidence of negligence by the department in a civil action.
RCW 74.38.030 — Washington Code / Title 74 / Chapter 38 / Section 030
RCW 74.38.030: Administration of community-based services program—Area plans—Annual state plan—Determination of low-income eligible persons.
Status: in_force

(1) The program of community-based services authorized under this chapter shall be administered by the department. Such services may be provided by the department or through purchase of service contracts, vendor payments or direct client grants. The department shall, under stipend or grant programs provided under RCW 74.38.060 , utilize, to the maximum staffing level possible, eligible persons in its administration, supervision, and operation. (2) The department shall be responsible for planning, coordination, monitoring and evaluation of services provided under this chapter but shall avoid duplication of services. (3) The department may designate area agencies in cities of not less than twenty thousand population or in regional areas within the state. These agencies shall submit area plans, as required by the department. For area plans prepared for submission in 2009, and thereafter, the area agencies may include the findings and recommendations of area-wide planning initiatives that they may undertake with appropriate local and regional partners regarding the changing age demographics of their area and the implications of this demographic change for public policies and public services. They shall also submit, in the manner prescribed by the department, such other program or fiscal data as may be required. (4) The department shall develop an annual state plan pursuant to the Older Americans Act of 1965, as now or hereafter amended. This plan shall include, but not be limited to: (a) Area agencies' programs and services approved by the department; (b) Other programs and services authorized by the department; and (c) Coordination of all programs and services. (5) The department shall establish rules and regulations for the determination of low-income eligible persons. Such determination shall be related to need based on the initial resources and subsequent income of the person entering into a program or service. This determination shall not prevent the eligible person from utilizing a program or service provided by the department or area agency. However, if the determination is that such eligible person is nonlow income, the provision of RCW 74.38.050 shall be applied as of the date of such determination.
RCW 74.08A.902 — Washington Code / Title 74 / Chapter 08A / Section 902
RCW 74.08A.902: Exemptions and waivers from federal law—1997 c 58.
Status: in_force

The governor and the department of social and health services shall seek all necessary exemptions and waivers from and amendments to federal statutes, rules, and regulations and shall report to the appropriate committees in the house of representatives and senate quarterly on the efforts to secure the federal changes to permit full implementation of this act at the earliest possible date.
RCW 74.74.040 — Washington Code / Title 74 / Chapter 74 / Section 040
RCW 74.74.040: Washington state plan for refugee resettlement.
Status: in_force

The department is designated as the lead state agency responsible for the development, review, and administration of the Washington state plan for refugee resettlement. The department shall submit the state plan to and seek approval from the federal office of refugee resettlement within the federal department of health and human services according to the federal act.
RCW 74.09.240 — Washington Code / Title 74 / Chapter 09 / Section 240
RCW 74.09.240: Bribes, kickbacks, rebates—Self-referrals—Penalties.
Status: in_force

(1) Any person, including any corporation, that solicits or receives any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind (a) in return for referring an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part under this chapter or other applicable law, or (b) in return for purchasing, leasing, ordering, or arranging for or recommending purchasing, leasing, or ordering any goods, facility, service, or item for which payment may be made in whole or in part under this chapter or other applicable law, shall be guilty of a class C felony; however, the fine, if imposed, shall not be in an amount more than twenty-five thousand dollars, except as authorized by RCW 9A.20.030 . (2) Any person, including any corporation, that offers or pays any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind to any person to induce such person (a) to refer an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made, in whole or in part, under this chapter or other applicable law, or (b) to purchase, lease, order, or arrange for or recommend purchasing, leasing, or ordering any goods, facility, service, or item for which payment may be made in whole or in part under this chapter or other applicable law, shall be guilty of a class C felony; however, the fine, if imposed, shall not be in an amount more than twenty-five thousand dollars, except as authorized by RCW 9A.20.030 . (3)(a) Except as provided in 42 U.S.C. 1395 nn, physicians are prohibited from self-referring any client eligible under this chapter for the following designated health services to a facility in which the physician or an immediate family member has a financial relationship: (i) Clinical laboratory services; (ii) Physical therapy services; (iii) Occupational therapy services; (iv) Radiology including magnetic resonance imaging, computerized axial tomography, and ultrasound services; (v) Durable medical equipment and supplies; (vi) Parenteral and enteral nutrients equipment and supplies; (vii) Prosthetics, orthotics, and prosthetic devices; (viii) Home health services; (ix) Outpatient prescription drugs; (x) Inpatient and outpatient hospital services; (xi) Radiation therapy services and supplies. (b) For purposes of this subsection, "financial relationship" means the relationship between a physician and an entity that includes either: (i) An ownership or investment interest; or (ii) A compensation arrangement. For purposes of this subsection, "compensation arrangement" means an arrangement involving remuneration between a physician, or an immediate family member of a physician, and an entity. (c) The department or authority, as appropriate, is authorized to adopt by rule amendments to 42 U.S.C. 1395 nn enacted after July 23, 1995. (d) This section shall not apply in any case covered by a general exception specified in 42 U.S.C. Sec. 1395 nn. (4) Subsections (1) and (2) of this section shall not apply to: (a) A discount or other reduction in price obtained by a provider of services or other entity under this chapter or other applicable law if the reduction in price is properly disclosed and appropriately reflected in the costs claimed or charges made by the provider or entity under this chapter or other applicable law; and (b) Any amount paid by an employer to an employee (who has a bona fide employment relationship with such employer) for employment in the provision of covered items or services. (5) Subsections (1) and (2) of this section, if applicable to the conduct involved, shall supersede the criminal provisions of chapter 19.68 RCW, but shall not preclude administrative proceedings authorized by chapter 19.68 RCW.
RCW 74.15.132 — Washington Code / Title 74 / Chapter 15 / Section 132
RCW 74.15.132: Adjudicative proceedings—Training for administrative law judges.
Status: in_force

(1) The office of administrative hearings shall not assign nor allow an administrative law judge to preside over an adjudicative hearing regarding denial, modification, suspension, or revocation of any license to provide child care, including foster care, under this chapter, unless such judge has received training related to state and federal laws and department policies and procedures regarding: (a) Child abuse, neglect, and maltreatment; (b) Child protective services investigations and standards; (c) Licensing activities and standards; (d) Child development; and (e) Parenting skills. (2) The office of administrative hearings shall develop and implement a training program that carries out the requirements of this section. The office of administrative hearings shall consult and coordinate with the department in developing the training program. The department may assist the office of administrative hearings in developing and providing training to administrative law judges.
RCW 74.13.010 — Washington Code / Title 74 / Chapter 13 / Section 010
RCW 74.13.010: Declaration of purpose.
Status: in_force

The purpose of this chapter is to safeguard, protect, and contribute to the welfare of the children of the state, through a comprehensive and coordinated program of child welfare services provided by both the department and agencies providing for: Social services and facilities for children who require guidance, care, control, protection, treatment, or rehabilitation; setting of standards for social services and facilities for children; cooperation with public and voluntary agencies, organizations, and citizen groups in the development and coordination of programs and activities in behalf of children; and promotion of community conditions and resources that help parents to discharge their responsibilities for the care, development, and well-being of their children.
RCW 74.39.020 — Washington Code / Title 74 / Chapter 39 / Section 020
RCW 74.39.020: Opportunities—Increase of federal funds—Title XIX of the federal social security act.
Status: in_force

Title XIX of the federal social security act offers valuable opportunities to increase federal funds available to provide community-based long-term care services to functionally disabled persons in their homes, and in noninstitutional residential facilities, such as adult family homes and congregate care facilities.
RCW 74.39A.070 — Washington Code / Title 74 / Chapter 39A / Section 070
RCW 74.39A.070: Rules for qualifications and training requirements—Requirement that contractors comply with federal and state regulations.
Status: in_force

(1) The department shall, by rule, establish reasonable minimum qualifications and training requirements to assure that assisted living service, enhanced adult residential care service, and adult residential care providers with whom the department contracts are capable of providing services consistent with this chapter. The rules shall apply only to residential capacity for which the state contracts. (2) The department shall not contract for assisted living, enhanced adult residential care, or adult residential care services with a provider if the department finds that the provider or any partner, officer, director, managerial employee, or owner of five percent or more of the provider has a history of significant noncompliance with federal or state regulations, rules, or laws in providing care or services to vulnerable adults or to children.
RCW 74.13B.060 — Washington Code / Title 74 / Chapter 13B / Section 060
RCW 74.13B.060: Preferred service providers.
Status: in_force

For the purposes of the provision of child welfare services by provider networks, when all other elements of the responses to any procurement under RCW 74.13B.020 are equal, private nonprofit entities and federally recognized Indian tribes located in this state must receive primary preference over private for-profit entities.
RCW 74.04.033 — Washington Code / Title 74 / Chapter 04 / Section 033
RCW 74.04.033: Notification of availability of basic health plan.
Status: in_force

The department shall notify any applicant for public assistance who resides in a local area served by the Washington basic health plan and is under sixty-five years of age of the availability of basic health care coverage to qualified enrollees in the Washington basic health plan under chapter 70.47 RCW, unless the Washington basic health plan administrator has notified the department of a closure of enrollment in the area. The department shall maintain a supply of Washington basic health plan enrollment application forms, which shall be provided in reasonably necessary quantities by the administrator, in each appropriate community service office for the use of persons wishing to apply for enrollment in the Washington basic health plan.
RCW 74.15.240 — Washington Code / Title 74 / Chapter 15 / Section 240
RCW 74.15.240: Responsible living skills program—Eligibility.
Status: in_force

To be eligible for placement in a responsible living skills program, the minor must be dependent under chapter 13.34 RCW and must have lived in a HOPE center or in a secure crisis residential center. However, if the minor's caseworker determines that placement in a responsible living skills program would be the most appropriate placement given the minor's current circumstances, prior residence in a HOPE center or secure crisis residential center before placement in a responsible living program is not required. Responsible living skills [skill] centers are intended as a placement alternative for dependent youth that the department chooses for the youth because no other services or alternative placements have been successful. Responsible living skills [skill] centers are not for dependent youth whose permanency plan includes return to home or family reunification.
RCW 74.09.880 — Washington Code / Title 74 / Chapter 09 / Section 880
RCW 74.09.880: Z code collection—Incentives and funding.
Status: in_force

To improve health outcomes and address health inequities, the authority shall evaluate incentive approaches and recommend funding options to increase the collection of Z codes on individual medicaid claims, in accordance with standard billing guidance and regulations.
RCW 74.42.190 — Washington Code / Title 74 / Chapter 42 / Section 190
RCW 74.42.190: Activities program—Recreation areas, equipment.
Status: in_force

The facility shall have an activities program designed to encourage each resident to maintain normal activity and help each resident return to self care. A staff member qualified by experience or training in directing group activities shall be responsible for the activities program. The facility shall provide adequate recreation areas with sufficient equipment and materials to support the program.
RCW 74.04.480 — Washington Code / Title 74 / Chapter 04 / Section 480
RCW 74.04.480: Educational leaves of absence for personnel.
Status: in_force

The state department of social and health services is hereby authorized to promulgate rules and regulations governing the granting to any employee of the department, other than a provisional employee, a leave of absence for educational purposes to attend an institution of learning for the purpose of improving his or her skill, knowledge, and technique in the administration of social welfare programs which will benefit the department. Pursuant to the rules and regulations of the department, employees of the department who are engaged in the administration of public welfare programs may (1) attend courses of training provided by institutions of higher learning; (2) attend special courses of study or seminars of short duration conducted by experts on a temporary basis for the purpose; (3) accept fellowships or traineeships at institutions of higher learning with such stipends as are permitted by regulations of the federal government. The department of social and health services is hereby authorized to accept any funds from the federal government or any other public or private agency made available for training purposes for public assistance personnel and to conform with such requirements as are necessary in order to receive such funds.
RCW 74.08A.210 — Washington Code / Title 74 / Chapter 08A / Section 210
RCW 74.08A.210: Diversion program—Emergency assistance.
Status: in_force

(1) In order to prevent some families from developing dependency on temporary assistance for needy families, the department shall make available to qualifying applicants a diversion program designed to provide brief, emergency assistance for families in crisis whose income and assets would otherwise qualify them for temporary assistance for needy families. (2) Diversion assistance may include cash or vouchers in payment for the following needs: (a) Child care; (b) Housing assistance; (c) Transportation-related expenses; (d) Food; (e) Medical costs for the recipient's immediate family; (f) Employment-related expenses which are necessary to keep or obtain paid unsubsidized employment. (3) Diversion assistance is available once in each 12-month period for each adult applicant. Recipients of diversion assistance are not included in the temporary assistance for needy families program. (4) Diversion assistance may not exceed $2,000 for each instance. (5) To be eligible for diversion assistance, a family must otherwise be eligible for temporary assistance for needy families. (6) Families ineligible for temporary assistance for needy families due to sanction, noncompliance, the lump sum income rule, or any other reason are not eligible for diversion assistance. (7) Families must provide evidence showing that a bona fide need exists according to subsection (2) of this section in order to be eligible for diversion assistance. An adult applicant may receive diversion assistance of any type no more than once per 12-month period. If the recipient of diversion assistance is placed on the temporary assistance for needy families program within 12 months of receiving diversion assistance, the prorated dollar value of the assistance shall be treated as a loan from the state, and recovered by deduction from the recipient's cash grant.
RCW 74.12.280 — Washington Code / Title 74 / Chapter 12 / Section 280
RCW 74.12.280: Rules for coordination of services.
Status: in_force

The department is hereby authorized to adopt rules that will provide for coordination between the services provided pursuant to chapter 74.13 RCW and the services provided under the temporary assistance for needy families program in order to provide welfare and related services which will best promote the welfare of such children and their families and conform with the provisions of Public Law 87-543 (HR 10606).
RCW 74.04.330 — Washington Code / Title 74 / Chapter 04 / Section 330
RCW 74.04.330: Annual reports by assistance organizations—Penalty.
Status: in_force

Every person, firm, corporation, association or organization receiving twenty-five percent or more of its income from contributions, gifts, dues, or other payments from persons receiving assistance, community work and training, federal-aid assistance, or any other form of public assistance from the state of Washington or any agency or subdivision thereof, and engaged in political or other activities in behalf of such persons receiving such public assistance, shall, within ninety days after the close of each calendar year, make a report to the secretary of social and health services for the preceding year, which report shall contain: (1) A statement of the total amount of contributions, gifts, dues, or other payments received; (2) The names of any and all persons, firms, corporations, associations or organizations contributing the sum of twenty-five dollars or more during such year, and the amounts contributed by such persons, firms, corporations, associations, or organizations; (3) A full and complete statement of all disbursements made during such year, including the names of all persons, firms, corporations, associations, or organizations to whom any moneys were paid, and the amounts and purposes of such payments; and (4) Every such report so filed shall constitute a public record. (5) Any person, firm, or corporation, and any officer or agent of any firm, corporation, association or organization, violating this section by failing to file such report, or in any other manner, shall be guilty of a gross misdemeanor.
RCW 74.13.290 — Washington Code / Title 74 / Chapter 13 / Section 290
RCW 74.13.290: Fewest possible placements for children—Preferred placements.
Status: in_force

(1) To provide stability to children in out-of-home care, placement selection shall be made with a view toward the fewest possible placements for each child. If possible, the initial placement shall be viewed as the only placement for the child. Pursuant to RCW 13.34.060 and 13.34.130 , placement of the child with a relative or other suitable person is the preferred option. The use of short-term interim placements of thirty days or less to protect the child's health or safety while the placement of choice is being arranged is not a violation of this principle. (2) If a child has been previously placed in out-of-home care and is subsequently returned to out-of-home care, and the department cannot locate an appropriate and available relative or other suitable person, the preferred placement for the child is in a foster family home where the child previously was placed, if the following conditions are met: (a) The foster family home is available and willing to care for the child; (b) The foster family is appropriate and able to meet the child's needs; and (c) The placement is in the best interest of the child.
RCW 74.08.380 — Washington Code / Title 74 / Chapter 08 / Section 380
RCW 74.08.380: Acceptance of federal act.
Status: in_force

The state hereby accepts the provisions of that certain act of the congress of the United States entitled, An Act to provide for the general welfare by establishing a system of federal old age benefits, and by enabling the several states to make more adequate provisions for aged persons, blind persons, dependent and crippled children, maternal and child welfare, public health, and the administration of their unemployment compensation laws; to establish a social security board; to raise revenue; and for other purposes, and such other act with like or similar objects as may be enacted.
RCW 74.04.660 — Washington Code / Title 74 / Chapter 04 / Section 660
RCW 74.04.660: Family emergency assistance program—Extension of benefits during state of emergency.
Status: in_force

The department shall establish a consolidated emergency assistance program for families with children. Assistance may be provided in accordance with this section. (1) Benefits provided under this program shall be limited to one period of time, as determined by the department, within any consecutive twelve-month period. (2) Benefits under this program shall be provided to alleviate emergent conditions resulting from insufficient income and resources to provide for: Food, shelter, clothing, medical care, or other necessary items, as defined by the department. Benefits may also be provided for family reconciliation services, family preservation services, home-based services, short-term substitute care in a licensed agency as defined in RCW 74.15.020 , crisis nurseries, therapeutic child care, or other necessary services as defined by the department. Benefits shall be provided only in an amount sufficient to cover the cost of the specific need, subject to the limitations established in this section. (3)(a) The department shall, by rule, establish assistance standards and eligibility criteria for this program in accordance with this section. (b) Eligibility for benefits or services under this section does not automatically entitle a recipient to medical assistance. (4) The department shall seek federal emergency assistance funds to supplement the state funds appropriated for the operation of this program as long as other departmental programs are not adversely affected by the receipt of federal funds. (5) If state funds appropriated for the consolidated emergency assistance program are exhausted, the department may discontinue the program. (6) During a state of emergency and pursuant to an order from the governor under this subsection, benefits under this program may be extended to individuals and families without children and may be provided for more than one period of time within any consecutive 12-month period, as established in an order from the governor. Adjustments to the program under this subsection remain in effect until either the state of emergency ceases, the order expires, or the governor issues an order terminating these adjustments, whichever occurs first.
RCW 74.13.590 — Washington Code / Title 74 / Chapter 13 / Section 590
RCW 74.13.590: Tasks to be performed based on available resources.
Status: in_force

The department shall perform the tasks provided in RCW 74.13.550 through 74.13.580 based on available resources.
RCW 74.09.510 — Washington Code / Title 74 / Chapter 09 / Section 510
RCW 74.09.510: Medical assistance—Eligibility.
Status: in_force

Medical assistance may be provided in accordance with eligibility requirements established by the authority, as defined in the social security Title XIX state plan for mandatory categorically needy persons and: (1) Individuals who would be eligible for cash assistance except for their institutional status; (2) Individuals who are under twenty-one years of age, who would be eligible for medicaid, but do not qualify as dependent children and who are in (a) foster care, (b) subsidized adoption, (c) a nursing facility or an intermediate care facility for persons with intellectual disabilities, or (d) inpatient psychiatric facilities; (3) Individuals who: (a) Are under twenty-one years of age; (b) On or after July 22, 2007, were in foster care under the legal responsibility of the department of social and health services, the department of children, youth, and families, or a federally recognized tribe located within the state; and (c) On their eighteenth birthday, were in foster care under the legal responsibility of the department of children, youth, and families or a federally recognized tribe located within the state; (4) Persons who are aged, blind, or disabled who: (a) Receive only a state supplement, or (b) would not be eligible for cash assistance if they were not institutionalized; (5) Categorically eligible individuals who meet the income and resource requirements of the cash assistance programs; (6) Individuals who are enrolled in managed health care systems, who have otherwise lost eligibility for medical assistance, but who have not completed a current six-month enrollment in a managed health care system, and who are eligible for federal financial participation under Title XIX of the social security act; (7) Children and pregnant women allowed by federal statute for whom funding is appropriated; (8) Working individuals with disabilities authorized under section 1902(a)(10)(A)(ii) of the social security act for whom funding is appropriated; (9) Other individuals eligible for medical services under RCW 74.09.700 for whom federal financial participation is available under Title XIX of the social security act; (10) Persons allowed by section 1931 of the social security act for whom funding is appropriated; and (11) Women who: (a) Are under sixty-five years of age; (b) have been screened for breast and cervical cancer under the national breast and cervical cancer early detection program administered by the department of health or tribal entity and have been identified as needing treatment for breast or cervical cancer; and (c) are not otherwise covered by health insurance. Medical assistance provided under this subsection is limited to the period during which the woman requires treatment for breast or cervical cancer, and is subject to any conditions or limitations specified in the omnibus appropriations act.
RCW 74.09.190 — Washington Code / Title 74 / Chapter 09 / Section 190
RCW 74.09.190: Religious beliefs—Construction of chapter.
Status: in_force

Nothing in this chapter shall be construed as empowering the secretary or director to compel any recipient of public assistance and a medical indigent person to undergo any physical examination, surgical operation, or accept any form of medical treatment contrary to the wishes of said person who relies on or is treated by prayer or spiritual means in accordance with the creed and tenets of any well recognized church or religious denomination.
RCW 74.09.630 — Washington Code / Title 74 / Chapter 09 / Section 630
RCW 74.09.630: Opioid overdose reversal medications—Reimbursement.
Status: in_force

Until the opioid overdose reversal medication bulk purchasing and distribution program established in RCW 70.14.170 is operational: (1) All medicaid managed care organizations must reimburse a hospital or behavioral health agency for dispensing or distributing opioid overdose reversal medication to a covered person under RCW 70.41.485 and 71.24.594 . (2) If the person is not enrolled in a medicaid managed care organization and does not have any other available insurance coverage, the authority must reimburse a hospital, behavioral health agency, or pharmacy for dispensing or distributing opioid overdose reversal medication under RCW 70.41.485 and 71.24.594 .
RCW 74.29.080 — Washington Code / Title 74 / Chapter 29 / Section 080
RCW 74.29.080: Rehabilitation and job support services—Procedure—Register of eligible individuals and organizations.
Status: in_force

(1) Determination of eligibility and need for rehabilitation services and determination of eligibility for job support services shall be made by the department for each individual according to its established rules, policies, procedures, and standards. (2) The department may purchase, from any source, rehabilitation services and job support services for individuals with disabilities, subject to the individual's income or other resources that are available to contribute to the cost of such services. (3) The department shall maintain registers of individuals and organizations which meet required standards and qualify to provide rehabilitation services and job support services to individuals with disabilities. Eligibility of such individuals and organizations shall be based upon standards and criteria promulgated by the department.
RCW 74.15.280 — Washington Code / Title 74 / Chapter 15 / Section 280
RCW 74.15.280: Emergency respite centers—Licensing—Rules.
Status: in_force

The secretary is authorized to license emergency respite centers. The department may adopt rules to specify licensing requirements for emergency respite centers.
RCW 74.29.090 — Washington Code / Title 74 / Chapter 29 / Section 090
RCW 74.29.090: School to work program.
Status: in_force

The department of social and health services shall: (1) Establish a school to work program in all counties in the state to work with all students with intellectual and developmental disabilities who are potentially eligible to receive adult support services from the developmental disabilities administration of the department and are receiving high school transition services in order to connect these students with supported employment services; and (2) In collaboration with the office of the superintendent of public instruction, the counties administering supported employment services in collaboration with the developmental disabilities administration of the department, the department of services for the blind, and any other relevant state agency working with students who are potentially eligible for adult support services from the developmental disabilities administration of the department shall: (a) Create a statewide council to: (i) Establish common guidelines and outcome goals across regional interagency transition networks to ensure equitable access through system navigation for individuals receiving high school transition services and connection to services after leaving the school system; and (ii) Establish a referral and information system that helps students who are potentially eligible for adult support services from the developmental disabilities administration of the department who are transitioning from high school, and their families or guardians, connect to the necessary services and agencies that support the needs of adults with intellectual and developmental disabilities; and (b) Establish regional interagency transition networks as proposed in the 2020 transition collaborative summative report. Each regional network shall include representation from schools, counties, the developmental disabilities administration of the department, the regional division of vocational rehabilitation, service providers, community members, and students and families. The regional networks shall identify improvement goals and report no less than annually on progress or barriers to achieving these goals to the statewide council.
RCW 74.34.305 — Washington Code / Title 74 / Chapter 34 / Section 305
RCW 74.34.305: Statement to vulnerable adults.
Status: in_force

(1) When the department opens an investigation of a report of abandonment, abuse, financial exploitation, or neglect of a vulnerable adult, the department shall, at the time of the interview of the vulnerable adult who is an alleged victim, provide a written statement of the rights afforded under this chapter and other applicable law to alleged victims or legal guardians. This statement must include the department's name, address, and telephone number and may include other appropriate referrals. The statement must be substantially in the following form: "You are entitled to be free from abandonment, abuse, financial exploitation, and neglect. If there is a reason to believe that you have experienced abandonment, abuse, financial exploitation, or neglect, you have the right to: (a) Make a report to the department of social and health services and law enforcement and share any information you believe could be relevant to the investigation, and identify any persons you believe could have relevant information. (b) Be free from retaliation for reporting or causing a report of abandonment, abuse, financial exploitation, or neglect. (c) Be treated with dignity and addressed with respectful language. (d) Reasonable accommodation for your disability when reporting, and during investigations and administrative proceedings. (e) Request an order that prohibits anyone who has abandoned, abused, financially exploited, or neglected you from remaining in your home, having contact with you, or accessing your money or property. (f) Receive from the department of social and health services information and appropriate referrals to other agencies that can advocate, investigate, or take action. (g) Be informed of the status of investigations, proceedings, court actions, and outcomes by the agency that is handling any case in which you are a victim. (h) Request referrals for advocacy or legal assistance to help with safety planning, investigations, and hearings. (i) Complain to the department of social and health services, formally or informally, about investigations or proceedings, and receive a prompt response." (2) This section shall not be construed to create any new cause of action or limit any existing remedy.
RCW 74.13A.065 — Washington Code / Title 74 / Chapter 13A / Section 065
RCW 74.13A.065: Records—Confidentiality.
Status: in_force

The secretary shall keep such general records as are needed to evaluate the effectiveness of the program of adoption support authorized by RCW 26.33.320 and * 74.13.100 through 74.13.145 in encouraging and effectuating the adoption of hard to place children. In so doing the secretary shall, however, maintain the confidentiality required by law with respect to particular adoptions.
RCW 74.09.037 — Washington Code / Title 74 / Chapter 09 / Section 037
RCW 74.09.037: Identification card—Social security number restriction.
Status: in_force

Any card issued by the authority or a managed health care system to a person receiving services under this chapter, that must be presented to providers for purposes of claims processing, may not display an identification number that includes more than a four-digit portion of the person's complete social security number.
RCW 74.08A.039 — Washington Code / Title 74 / Chapter 08A / Section 039
RCW 74.08A.039: Income eligibility—Federal supplemental security income.
Status: in_force

In determining the income eligibility of an applicant or recipient for temporary assistance for needy families or WorkFirst, the department shall not count the federal supplemental security income received by a household member.
RCW 74.60.160 — Washington Code / Title 74 / Chapter 60 / Section 160
RCW 74.60.160: Contracting with health care authority.
Status: in_force

(1) The legislature intends to provide the hospitals with an opportunity to contract with the authority each fiscal biennium to protect the hospitals from future legislative action during the biennium that could result in hospitals receiving less from supplemental payments, increased managed care payments, disproportionate share hospital payments, or access payments than the hospitals expected to receive in return for the assessment based on the biennial appropriations and assessment legislation. (2) Each odd-numbered year after enactment of the biennial omnibus operating appropriations act, the authority shall extend the existing contract for the period of the fiscal biennium beginning July 1st with a hospital that is required to pay the assessment under this chapter or shall offer to enter into a contract with any hospital subject to this chapter that has not previously been a party to a contract or whose contract has expired. The contract must include the following terms: (a) The authority must agree not to do any of the following: (i) Increase the assessment from the level set by the authority pursuant to this chapter on the first day of the contract period for reasons other than as allowed under this chapter; (ii) Reduce aggregate payment levels to hospitals for inpatient and outpatient services covered by medicaid, including fee-for-service and managed care, adjusting for changes in enrollment and utilization, from the levels the state paid for those services on the first day of the contract period; (iii) For critical access hospitals only, reduce the levels of disproportionate share hospital payments under RCW 74.60.110 or access payments under RCW 74.60.100 for all critical access hospitals below the levels specified in those sections on the first day of the contract period; (iv) For medicaid prospective payment system, psychiatric, and rehabilitation hospitals only, reduce the levels of supplemental payments under RCW 74.60.120 for all medicaid prospective payment system hospitals below the levels specified in that section on the first day of the contract period unless the supplemental payments are reduced under RCW 74.60.120 (2); (v) For medicaid prospective payment system, psychiatric, and rehabilitation hospitals only, reduce the increased payments to managed care organizations under RCW 74.60.130 below the levels specified in that section on the first day of the contract period unless the managed care payments are reduced under RCW 74.60.130 (3); or (vi) Except as specified in this chapter, use assessment revenues for any other purpose than to secure federal medicaid matching funds to support payments to hospitals for medicaid services; and (b) As long as payment levels are maintained as required under this chapter, the hospital must agree not to challenge the authority's reduction of hospital reimbursement rates to July 1, 2009, levels, which results from the elimination of assessment supported rate restorations and increases, under 42 U.S.C. Sec. 1396a(a)(30)(a) either through administrative appeals or in court during the period of the contract. (3) If a court finds that the authority has breached an agreement with a hospital under subsection (2)(a) of this section, the authority: (a) Must immediately refund any assessment payments made subsequent to the breach by that hospital upon receipt; and (b) May discontinue supplemental payments, increased managed care payments, disproportionate share hospital payments, and access payments made subsequent to the breach for the hospital that are required under this chapter. (4) The remedies provided in this section are not exclusive of any other remedies and rights that may be available to the hospital whether provided in this chapter or otherwise in law, equity, or statute.
RCW 74.08A.230 — Washington Code / Title 74 / Chapter 08A / Section 230
RCW 74.08A.230: Earnings disregards and earned income cutoffs.
Status: in_force

(1) In addition to their monthly benefit payment, a family may earn and keep the first $500 of the family's earnings in addition to one-half of the family's remaining earnings during every month it is eligible to receive assistance under this section. (2) In no event may a family be eligible for temporary assistance for needy families if its monthly gross earned income exceeds the maximum earned income level as set by the department. In calculating a household's gross earnings, the department shall disregard the earnings of a minor child who is: (a) A full-time student; or (b) A part-time student carrying at least half the normal school load and working fewer than 35 hours per week.
RCW 74.39A.331 — Washington Code / Title 74 / Chapter 39A / Section 331
RCW 74.39A.331: Peer mentoring.
Status: in_force

Long-term care workers shall be offered on-the-job training or peer mentorship for at least one hour per week in the first ninety days of work from a long-term care worker who has completed at least twelve hours of mentor training and is mentoring no more than ten other workers at any given time. This requirement applies to long-term care workers who begin work on or after July 1, 2012, except that it does not apply to long-term care workers employed by community residential service businesses until January 1, 2016.
RCW 74.42.490 — Washington Code / Title 74 / Chapter 42 / Section 490
RCW 74.42.490: Room requirements—Waiver.
Status: in_force

Each resident's room shall: (1) Be equipped with or conveniently located near toilet and bathing facilities; (2) Be at or above grade level; (3) Contain a suitable bed for each resident and other appropriate furniture; (4) Have closet space that provides security and privacy for clothing and personal belongings; (5) Contain no more than four beds; (6) Have adequate space for each resident; and (7) Be equipped with a device for calling the staff member on duty. The department may waive the space, occupancy, and certain equipment requirements of this section for an existing building constructed prior to January 1, 1980, or space and certain equipment for new intermediate care facilities for persons with intellectual disabilities for as long as the department considers appropriate if the department finds that the requirements would result in unreasonable hardship on the facility, the waiver serves the particular needs of the residents, and the waiver does not adversely affect the health and safety of the residents.
RCW 74.09.5223 — Washington Code / Title 74 / Chapter 09 / Section 5223
RCW 74.09.5223: Findings—Chronic care management.
Status: in_force

The legislature finds that chronic care management, including comprehensive medication management services, provided by licensed pharmacists and qualified providers is a critical component of a collaborative, multidisciplinary, inter-professional approach to the treatment of chronic diseases for targeted individuals, to improve the quality of care and reduce overall cost in the treatment of such diseases.
RCW 74.18.070 — Washington Code / Title 74 / Chapter 18 / Section 070
RCW 74.18.070: Rehabilitation council for the blind—Membership.
Status: in_force

(1) There is hereby created the rehabilitation council for the blind. The rehabilitation council shall consist of the minimum number of voting members to meet the requirements of the rehabilitation council required under the federal rehabilitation act of 1973 as now or hereafter amended. A majority of the voting members shall be blind persons. Rehabilitation councilmembers shall be residents of the state of Washington, and shall be appointed in accordance with the categories of membership specified in the federal rehabilitation act of 1973 as now or hereafter amended. The director of the department shall be an ex officio, nonvoting member. (2) The governor shall appoint members of the rehabilitation council for terms of three years, except that the initial appointments shall be as follows: (a) Three members for terms of three years; (b) two members for terms of two years; and (c) other members for terms of one year. Vacancies in the membership of the rehabilitation council shall be filled by the governor for the remainder of the unexpired term. (3) The governor may remove members of the rehabilitation council for cause.
RCW 74.09.780 — Washington Code / Title 74 / Chapter 09 / Section 780
RCW 74.09.780: Reservation of legislative power.
Status: in_force

The legislature reserves the right to amend or repeal all or any part of this subchapter at any time and there shall be no vested private right of any kind against such amendment or repeal. All rights, privileges, or immunities conferred by this subchapter or any acts done pursuant thereto shall exist subject to the power of the legislature to amend or repeal this subchapter at any time.
RCW 74.46.551 — Washington Code / Title 74 / Chapter 46 / Section 551
RCW 74.46.551: Facility-based payment rates—Comparative analysis—Rate add-ons.
Status: in_force

(1) For fiscal year 2016 and subject to appropriation, the department shall do a comparative analysis of the facility-based payment rates calculated on July 1, 2015, using the payment methodology defined in this chapter, to the facility-based rates in effect June 30, 2010. If the facility-based payment rate calculated on July 1, 2015, is smaller than the facility-based payment rate on June 30, 2010, the difference must be provided to the individual nursing facilities as an add-on per medicaid resident day. (2) During the comparative analysis performed in subsection (1) of this section, for fiscal year 2016, if it is found that the direct care rate for any facility calculated under this chapter is greater than the direct care rate in effect on June 30, 2010, then the facility must receive a ten percent direct care rate add-on to compensate that facility for taking on more acute clients than it has in the past. (3) The rate add-ons provided in subsection (2) of this section are subject to the reconciliation and settlement process provided in RCW 74.46.022 (6).
RCW 74.70.010 — Washington Code / Title 74 / Chapter 70 / Section 010
RCW 74.70.010: Finding—Purpose.
Status: in_force

The legislature finds that the payments to private emergency ambulance service providers for transports for medicaid recipients have not been increased since 2004, resulting in a loss for carriers who provide this service. This has resulted in the shifting of cost of medicaid transports to other payers. The purpose of this chapter is to provide for a quality assurance fee for specified providers of emergency ambulance services as referenced in 42 C.F.R. Sec. 433.56, which will be used to add on to base funding from all other sources, thereby supporting additional medicaid payments to nonpublic and nonfederal providers of emergency ambulance services as specified in this chapter.
RCW 74.18.120 — Washington Code / Title 74 / Chapter 18 / Section 120
RCW 74.18.120: Administrative hearing—Appeal—Rules.
Status: in_force

(1) An applicant or eligible person who is dissatisfied with a decision, action, or inaction made by the department or its agents regarding that person's eligibility or department services provided to that person is entitled to an administrative hearing. Such administrative hearings shall be conducted pursuant to chapter 34.05 RCW by an administrative law judge. (2) The applicant or eligible individual may appeal final decisions issued following administrative hearings under RCW 34.05.510 through 34.05.598 . (3) The department shall develop rules governing other processes for dispute resolution as required under the federal rehabilitation act of 1973.
RCW 74.13A.050 — Washington Code / Title 74 / Chapter 13A / Section 050
RCW 74.13A.050: Agreements as contracts within state and federal Constitutions—State's continuing obligation.
Status: in_force

An agreement for adoption support made before January 1, 1985, or pursuant to RCW 26.33.320 and 74.13A.005 through 74.13A.080 , although subject to review and adjustment as provided for herein, shall, as to the standard used by the secretary in making such review or reviews and any such adjustment, constitutes a contract within the meaning of section 10, Article I of the United States Constitution and section 23, Article I of the state Constitution. For that reason once such an agreement has been made any review of and adjustment under such agreement shall as to the standards used by the secretary, be made only subject to the provisions of RCW 26.33.320 and 74.13A.005 through 74.13A.080 and such rules and regulations relating thereto as they exist on the date of the initial determination in connection with such agreement or such more generous standard or parts of such standard as may hereafter be provided for by law or regulation. Once made such an agreement shall constitute a solemn undertaking by the state of Washington with such adoptive parent or parents. The termination of the effective period of RCW 26.33.320 and 74.13A.005 through 74.13A.080 or a decision by the state or federal government to discontinue or reduce general appropriations made available for the purposes to be served by RCW 26.33.320 and 74.13A.005 through 74.13A.080 , shall not affect the state's specific continuing obligations to support such adoptions, subject to such annual review and adjustment for all such agreements as have theretofore been entered into by the state. The purpose of this section is to assure any such parent that, upon his or her consenting to assume the burdens of adopting a hard to place child, the state will not in future so act by way of general reduction of appropriations for the program authorized by RCW 26.33.320 and 74.13A.005 through 74.13A.080 or ratable reductions, to impair the trust and confidence necessarily reposed by such parent in the state as a condition of such parent taking upon himself or herself the obligations of parenthood of a difficult to place child. Should the secretary and any such adoptive parent differ as to whether any standard or part of a standard adopted by the secretary after the date of an initial agreement, which standard or part is used by the secretary in making any review and adjustment, is more generous than the standard in effect as of the date of the initial determination with respect to such agreement such adoptive parent may invoke his or her rights, including all rights of appeal under the fair hearing provisions, available to him or her under RCW 74.13A.055 .
RCW 74.20A.360 — Washington Code / Title 74 / Chapter 20A / Section 360
RCW 74.20A.360: Records access—Confidentiality—Nonliability—Penalty for noncompliance.
Status: in_force

(1) Notwithstanding any other provision of Washington law, the division of child support, the Washington state support registry, or the agency or firm providing child support enforcement services for another state under Title IV-D of the federal social security act may access records of the following nature, in the possession of any agency or entity listed in this section: (a) Records of state and local agencies, including but not limited to: (i) The state registrar, including but not limited to records of birth, marriage, and death; (ii) Tax and revenue records, including, but not limited to, information on residence addresses, employers, and assets; (iii) Records concerning real and titled personal property; (iv) Records of occupational, professional, and recreational licenses and records concerning the ownership and control of corporations, partnerships, and other business entities; (v) Employment security records; (vi) Records of agencies administering public assistance programs; and (vii) Records of the department of corrections, and of county and municipal correction or confinement facilities; (b) Records of public utilities and cable television companies relating to persons who owe or are owed support, or against whom a support obligation is sought, including names and addresses of the individuals, and employers' names and addresses pursuant to RCW 74.20.225 and RCW 74.20A.120 ; and (c) Records held by financial institutions, pursuant to RCW 74.20A.370 . (2) Upon the request of the division of child support, the Washington state support registry, or the agency or firm providing child support enforcement services for another state under Title IV-D of the social security act, any employer shall provide information as to the employment, earnings, benefits, and residential address and phone number of any employee. (3) Entities in possession of records described in subsection (1)(a) and (c) of this section must provide information and records upon the request of the division of child support, the Washington state support registry, or the agency or firm providing child support enforcement services for another state under Title IV-D of the federal social security act. The division of child support may enter into agreements providing for electronic access to these records. (4) Public utilities and cable television companies must provide the information in response to a judicial or administrative subpoena issued by the division of child support, the Washington state support registry, or the agency or firm providing child support enforcement services for another state under Title IV-D of the federal social security act. (5) Entities responding to information requests and subpoenas under this section are not liable for disclosing information pursuant to the request or subpoena. (6) The division of child support shall maintain all information gathered under this section confidential and shall only disclose this information as provided under RCW 26.23.120 . (7) The division of child support may impose fines for noncompliance with this section using the notice of noncompliance under RCW 74.20A.350 .
RCW 74.74.020 — Washington Code / Title 74 / Chapter 74 / Section 020
RCW 74.74.020: Definitions.
Status: in_force

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise. (1) "Department" means the department of social and health services. (2) "Federal act" means Title IV of the federal immigration and nationality act, 8 U.S.C. Sec. 1521 et seq. as amended, including any federal rules adopted pursuant to the federal act. (3) "Immigrant" means a person who has arrived in the United States and the state of Washington from another country seeking residence who is not a naturalized citizen. (4) "Refugee" means a person admitted into the United States under section 207 of the immigration and nationality act and others who are eligible for federal refugee resettlement services under the federal act. (5) "State plan" means the Washington state plan for refugee resettlement described in RCW 74.74.040 .
RCW 74.08.390 — Washington Code / Title 74 / Chapter 08 / Section 390
RCW 74.08.390: Research, projects, to effect savings by restoring self-support—Waiver of public assistance requirements.
Status: in_force

The department of social and health services may conduct research studies, pilot projects, demonstration projects, surveys and investigations for the purpose of determining methods to achieve savings in public assistance programs by means of restoring individuals to maximum self-support and personal independence and preventing social and physical disablement, and for the accomplishment of any of such purposes may employ consultants or enter into contracts with any agency of the federal, state or local governments, nonprofit corporations, universities or foundations. Pursuant to this authority the department may waive the enforcement of specific statutory requirements, regulations, and standards in one or more counties or on a statewide basis by formal order of the secretary. The order establishing the waiver shall provide alternative methods and procedures of administration, shall not be in conflict with the basic purposes, coverage, or benefits provided by law, shall not be general in scope but shall apply only for the duration of such a project and shall not take effect unless the secretary of health, education and welfare of the United States has agreed, for the same project, to waive the public assistance plan requirements relative to statewide uniformity.
RCW 74.09.335 — Washington Code / Title 74 / Chapter 09 / Section 335
RCW 74.09.335: Reimbursement of health care services provided by fire departments—Adoption of standards.
Status: in_force

The authority shall adopt standards for the reimbursement of health care services provided to eligible clients by fire departments pursuant to a community assistance referral and education services program under RCW 35.21.930 . The standards must allow payment for covered health care services provided to individuals whose medical needs do not require ambulance transport to an emergency department.
RCW 74.39A.540 — Washington Code / Title 74 / Chapter 39A / Section 540
RCW 74.39A.540: Home care safety net assessment work group—Securing federal funding—Contracting—Reporting.
Status: in_force

(1) The home care safety net assessment work group is established, with the following members: (a) The director of the health care authority, or the director's designee; (b) The secretary of the department, or the secretary's designee; (c) The secretary of the department of health, or the secretary's designee; (d) The director of the department of revenue, or the director's designee; (e) A representative from the exclusive bargaining representative of individual providers; (f) A representative of a coalition representing home care agencies serving medicaid clients; (g) A representative of an association representing home care and home health agencies; and (h) A representative from each consumer directed employer in Washington. (2) The work group shall develop a home care safety net assessment proposal to secure federal matching funds under federally prescribed programs available through the state medicaid plan or a waiver. In developing the proposal, the work group shall consider the financial information provided by consumer directed employers and in-home services agencies under RCW 70.127.295 to the extent authorized under RCW 70.127.295 (4)(b)(ii) and any relevant data analysis of the financial information provided by a private entity under contract with the health care authority pursuant to subsection (3) of this section. (3) The health care authority may contract with a private entity to provide data analysis of the financial information submitted by in-home services agencies and consumer directed employers as necessary to inform the work group's development of a home care safety net assessment proposal. The data analysis must include the development of various financial modeling options that may meet federal regulations for approval of the assessment. (4) Staff support to the work group must be provided by the health care authority. (5) The work group shall report its findings to the governor and the appropriate committees of the legislature by December 1, 2024. The report must include recommendations related to the elements necessary to adopt and implement a home care safety net assessment proposal that meets the requirements needed for federal approval.
RCW 74.42.330 — Washington Code / Title 74 / Chapter 42 / Section 330
RCW 74.42.330: Food storage.
Status: in_force

The facility shall store dry or staple food items at an appropriate height above the floor in a ventilated room not subject to sewage or wastewater backflow or contamination by condensation, leakage, rodents or vermin. Perishable foods shall be stored at proper temperatures to conserve nutritive values.
RCW 74.08A.500 — Washington Code / Title 74 / Chapter 08A / Section 500
RCW 74.08A.500: Legislative-executive WorkFirst poverty reduction oversight task force—Definitions.
Status: in_force

The definitions in this section apply throughout chapter 126, Laws of 2018 unless the context clearly requires otherwise. (1) "Advisory committee" means the intergenerational poverty advisory committee. (2) "Cycle of poverty" or "poverty cycle" means the set of factors or events by which the long-term poverty of a person is likely to continue and be experienced by each child of the person when the child becomes an adult unless there is outside intervention. (3) "Department" means the department of social and health services. (4) "Intergenerational poverty" means poverty in which two or more successive generations of a family continue in the cycle of poverty and governmental dependence, and is not situational poverty. (5) "Partner agency" means an executive branch agency represented by a voting or nonvoting member of the task force. (6) "Secretary" means the secretary of the department of social and health services. (7) "Task force" means the legislative-executive WorkFirst poverty reduction oversight task force.
RCW 74.14C.090 — Washington Code / Title 74 / Chapter 14C / Section 090
RCW 74.14C.090: Reports on referrals and services.
Status: in_force

Each department caseworker who refers a client for preservation services shall file a report with his or her direct supervisor stating the reasons for which the client was referred. The caseworker's supervisor shall verify in writing his or her belief that the family who is the subject of a referral for preservation services meets the eligibility criteria for services as provided in this chapter. The direct supervisor shall report monthly to the regional administrator on the provision of these services. The regional administrator shall report to the secretary quarterly on the provision of these services for the entire region. The secretary shall post on the department's website a semiannual report on the provision of these services on a statewide basis.
RCW 74.13.570 — Washington Code / Title 74 / Chapter 13 / Section 570
RCW 74.13.570: Oversight committee—Duties.
Status: in_force

(1) The department shall establish an oversight committee composed of staff from the office of the superintendent of public instruction, the student achievement council, foster youth, former foster youth, foster parents, and advocacy agencies to develop strategies for maintaining foster children in the schools they were attending at the time they entered foster care and to promote opportunities for foster youth to participate in postsecondary education or training. (2) The duties of the oversight committee shall include, but are not limited to: (a) Developing strategies for school-based recruitment of foster homes; (b) Monitoring the progress of current pilot projects that assist foster children to continue attending the schools they were attending at the time they entered foster care; (c) Overseeing the expansion of the number of pilot projects; (d) Promoting the use of best practices, throughout the state, demonstrated by the pilot projects and other programs relating to maintaining foster children in the schools they were attending at the time they entered foster care; (e) Informing the legislature of the status of efforts to maintain foster children in the schools they were attending at the time they entered foster care; (f) Assessing the scope and nature of statewide need among current and former foster youth for assistance to pursue and participate in postsecondary education or training opportunities; (g) Identifying available sources of funding available in the state for services to former foster youth to pursue and participate in postsecondary education or training opportunities; (h) Reviewing the effectiveness of activities in the state to support former foster youth to pursue and participate in postsecondary education or training opportunities; (i) Identifying new activities, or existing activities that should be modified or expanded, to best meet statewide needs; and (j) Reviewing on an ongoing basis the progress toward improving educational and vocational outcomes for foster youth.
RCW 74.13.080 — Washington Code / Title 74 / Chapter 13 / Section 080
RCW 74.13.080: Group care placement—Prerequisites for payment.
Status: in_force

The department shall not make payment for any child in group care placement unless the group home is licensed and the department has the custody of the child and the authority to remove the child in a cooperative manner after at least seventy-two hours notice to the child care provider; such notice may be waived in emergency situations. However, this requirement shall not be construed to prohibit the department from making or mandate the department to make payment for Indian children placed in facilities licensed by federally recognized Indian tribes pursuant to chapter 74.15 RCW.
RCW 74.48.060 — Washington Code / Title 74 / Chapter 48 / Section 060
RCW 74.48.060: Conditions.
Status: in_force

(1) If the centers for medicare and medicaid services fail to approve any state plan amendments or waiver requests that are necessary in order to implement the applicable sections of this chapter then the assessment authorized in RCW 74.48.040 shall cease to be imposed. (2) Nothing in subsection (1) of this section prohibits the department from working cooperatively with the centers for medicare and medicaid services to secure approval of any needed state plan amendments or waiver requests. As provided in RCW 74.48.030 and 74.48.050 , the department shall adjust any submitted state plan amendments or waiver requests as necessary to achieve approval. (3) If this chapter does not take effect or ceases to be imposed, any moneys remaining in the fund shall be refunded to skilled nursing facilities in proportion to the amounts paid by such facilities.
RCW 74.60.070 — Washington Code / Title 74 / Chapter 60 / Section 070
RCW 74.60.070: Assessment part of operating overhead.
Status: in_force

The incidence and burden of assessments imposed under this chapter shall be on hospitals and the expense associated with the assessments shall constitute a part of the operating overhead of hospitals. Hospitals shall not increase charges or billings to patients or third-party payers as a result of the assessments under this chapter. The authority may require hospitals to submit certified statements by their chief financial officers or equivalent officials attesting that they have not increased charges or billings as a result of the assessments.
RCW 74.39A.370 — Washington Code / Title 74 / Chapter 39A / Section 370
RCW 74.39A.370: Addressing long-term care complaint workload.
Status: in_force

Subject to funding provided for this specific purpose, the department of social and health services shall use additional investigative resources to address a significant growth in the long-term care complaint workload. The department shall use the resulting licensor resources to meet current statutory requirements and timelines. "Complaints," as used in this section, include both complaints about provider practice, under chapters 70.128 , 18.20, 18.51, and 74.42 RCW, and complaints about individuals alleged to have abused, neglected, abandoned, or exploited residents or clients, under chapter 74.34 RCW.
RCW 74.08.045 — Washington Code / Title 74 / Chapter 08 / Section 045
RCW 74.08.045: Need for personal and special care—Purchase of personal and special care by department.
Status: in_force

The department may purchase such personal and special care at reasonable rates established by the department from substitute homes and intermediate care facilities providing [provided] this service is in compliance with standards of care established by the regulations of the department.
RCW 74.41.030 — Washington Code / Title 74 / Chapter 41 / Section 030
RCW 74.41.030: Definitions.
Status: in_force

Unless the context clearly indicates otherwise, the definitions in this section apply throughout this chapter. (1) "Family caregiver long-term care information and support services" means providing long-term care information and support services to unpaid family and other unpaid caregivers of adults with functional disabilities, including but not limited to providing: (a) Information about available public and private long-term care support services; (b) assistance in gaining access to an array of appropriate long-term care family caregiver services; (c) promotion and implementation of support groups; (d) caregiver training to assist the nonpaid caregivers in making decisions and solving challenges relating to their caregiving roles; (e) respite care services; and (f) additional supportive long-term care services that may include but not be limited to translating/interpreter services, specialized transportation, coordination of health care services, help purchasing needed supplies, durable goods, or equipment, and other forms of information and support necessary to maintain the unpaid caregiving activity. (2) "Respite care services" means relief care for families or other caregivers of adults with functional disabilities, eligibility for which shall be determined by the department by rule. The services provide temporary care or supervision of adults with functional disabilities in substitution for the caregiver. The term includes adult day services. (3) "Eligible participant for family caregiver long-term care information and support services" means an adult who needs substantially continuous care or supervision by reason of his or her functional disability and may be at risk of placement into a long-term care facility. (4) "Eligible participant for respite care services" means an adult who needs substantially continuous care or supervision by reason of his or her functional disability and is also assessed as requiring placement into a long-term care facility in the absence of an unpaid family or other unpaid caregiver. (5) "Unpaid caregiver" means a spouse, relative, or friend who has primary responsibility for the care of an adult with a functional disability and who does not receive financial compensation for the care. To be eligible for respite care and for family caregiver support services, the caregiver is considered the client. (6) "Adult day services" means nonmedical services to persons who live with their families, cannot be left unsupervised, and are at risk of being placed in a twenty-four-hour care facility if their families do not receive some relief from constant care. (7) "Department" means the department of social and health services.
RCW 74.55.010 — Washington Code / Title 74 / Chapter 55 / Section 010
RCW 74.55.010: Demonstration sites—Selection criteria—Definition.
Status: in_force

(1) The secretary shall establish demonstration sites for statewide implementation of a children's system of care. The demonstration sites shall be selected using the following criteria: (a) The system administrator must be the recipient of funding by the federal center for mental health services for the purpose of developing a system of care for children with emotional and behavioral disorders; (b) The system administrator must have established a process for ongoing input and coordination from the public health and safety network or networks established in the catchment area of the project; and (c) The system administrator may be a project site under a Title IV-E waiver. (2) For the purposes of this section, "children's system of care" means a centralized community care coordination system representing a philosophy about the way services should be delivered to children and their families, using existing resources of various child-serving agencies addressing the problems of children with emotional and behavioral disorders. The agencies represented may include providers of mental health services, drug and alcohol services, services for the developmentally disabled, county juvenile justice and state juvenile rehabilitation, child welfare, and special education.
RCW 74.09.497 — Washington Code / Title 74 / Chapter 09 / Section 497
RCW 74.09.497: Authority review of payment codes available to health plans and providers related to primary care and behavioral health—Requirements—Principles considered—Matrices—Reporting.
Status: in_force

(1) By August 1, 2017, the authority must complete a review of payment codes available to health plans and providers related to primary care and behavioral health. The review must include adjustments to payment rules if needed to facilitate bidirectional integration. The review must involve stakeholders and include consideration of the following principles to the extent allowed by federal law: (a) Payment rules must allow professionals to operate within the full scope of their practice; (b) Payment rules should allow medically necessary behavioral health services for covered patients to be provided in any setting; (c) Payment rules should allow medically necessary primary care services for covered patients to be provided in any setting; (d) Payment rules and provider communications related to payment should facilitate integration of physical and behavioral health services through multifaceted models, including primary care behavioral health, whole-person care in behavioral health, collaborative care, and other models; (e) Payment rules should be designed liberally to encourage innovation and ease future transitions to more integrated models of payment and more integrated models of care; (f) Payment rules should allow health and behavior codes to be reimbursed for all patients in primary care settings as provided by any licensed behavioral health professional operating within their scope of practice, including but not limited to psychiatrists, psychologists, psychiatric advanced registered nurse professionals, physician assistants working with a psychiatrist who is acting as a participating physician as defined in RCW 18.71A.010 , psychiatric nurses, mental health counselors, social workers, chemical dependency professionals, chemical dependency professional trainees, marriage and family therapists, and mental health counselor associates under the supervision of a licensed clinician; (g) Payment rules should allow health and behavior codes to be reimbursed for all patients in behavioral health settings as provided by any licensed health care provider within the provider's scope of practice; (h) Payment rules which limit same-day billing for providers using the same provider number, require prior authorization for low-level or routine behavioral health care, or prohibit payment when the patient is not present should be implemented only when consistent with national coding conventions and consonant with accepted best practices in the field. (2) Concurrent with the review described in subsection (1) of this section, the authority must create matrices listing the following codes available for provider payment through medical assistance programs: All behavioral health-related codes; and all physical health-related codes available for payment when provided in licensed behavioral health agencies. The authority must clearly explain applicable payment rules in order to increase awareness among providers, standardize billing practices, and reduce common and avoidable billing errors. The authority must disseminate this information in a manner calculated to maximally reach all relevant plans and providers. The authority must update the provider billing guide to maintain consistency of information. (3) The authority must inform the governor and relevant committees of the legislature by letter of the steps taken pursuant to this section and results achieved once the work has been completed.
RCW 13.60.010 — Washington Code / Title 74 / Chapter 60 / Section 010
RCW 13.60.010: Missing children and endangered person clearinghouse—Hotline—Distribution of information—Amber alert plan, endangered missing person advisory plan, silver alert and missing indigenous person alert designations.
Status: in_force

(1) The Washington state patrol shall establish a missing children and endangered person clearinghouse which shall include the maintenance and operation of a toll-free telephone hotline. The clearinghouse shall distribute information to local law enforcement agencies, school districts, the department of children, youth, and families, and the general public regarding missing children and endangered persons. The information shall include pictures, bulletins, training sessions, reports, and biographical materials that will assist in local law enforcement efforts to locate missing children and endangered persons. The state patrol shall also maintain a regularly updated computerized link with national and other statewide missing person systems or clearinghouses, and within existing resources, shall develop and implement a plan, commonly known as an "amber alert plan" or an "endangered missing person advisory plan" which includes "silver alert" and "missing indigenous person alert" designations for voluntary cooperation between local, state, tribal, and other law enforcement agencies, state government agencies, radio and television stations, cable and satellite systems, and social media pages and sites to enhance the public's ability to assist in recovering abducted children and missing endangered persons consistent with the state endangered missing person advisory plan. (2) For the purposes of this chapter: (a) "Child" or "children" means an individual under 18 years of age. (b) "Missing endangered person" means: (i) A missing indigenous woman or indigenous person; or (ii) A person who is believed to be in danger because of age, health, mental or physical disability, in combination with environmental or weather conditions, or is believed to be unable to return to safety without assistance and who is: (A) A person with a developmental disability as defined in *RCW 71A.10.020 (5); (B) A vulnerable adult as defined in RCW 74.34.020 ; or (C) A person who has been diagnosed as having Alzheimer's disease or other age-related dementia. (c) "Missing indigenous person alert" means the designated title of a missing endangered person advisory that will be used on a variable message sign and text of the highway advisory radio message when used as part of an activated advisory to assist in the recovery of a missing indigenous person. (d) "Silver alert" means the designated title of a missing endangered person advisory that will be used on a variable message sign and text of the highway advisory radio message when used as part of an activated advisory to assist in the recovery of a missing endangered person age 60 or older.The definitions in this section apply throughout this chapter unless the context clearly requires otherwise. (1) "Authority" means the health care authority. (2) "Base year" for medicaid fee-for-service payments for state fiscal year 2024 is state fiscal year 2021. For each following year's calculations, the base year must be updated to the next following year. (3) "Border hospital" means, for the purposes of the fee-for-service program under RCW 74.60.120 , a hospital as defined in WAC 182-550-1050 and bordering cities as described in WAC 182-501-0175, or successor rules. (4) "Cancer hospital" means a hospital classified as involved extensively in treatment for or research on cancer under section 1886(d)(1)(B)(v) of the social security act. (5) "Children's hospital" means a hospital primarily serving children, as defined in WAC 182-550-1050 or successor rule. (6) "Critical access hospital" means a hospital as described in RCW 74.09.5225 . (7) "Designated public hospital" means a hospital operated by a public hospital district in the state of Washington, not certified by the department of health as a critical access hospital, that: (a) Has not opted out of the certified public expenditure payment program described in WAC 182-550-4650 or successor rule by June 1, 2023, or in future years by June 1st of the preceding year; or (b) Is an affiliate of a system of state and county-owned hospitals and is not participating in that system's intergovernmental transfer directed payment program as of June 1, 2023, or in future years by June 1st of the preceding calendar year. (8) "Director" means the director of the health care authority. (9) "Fund" means the hospital safety net assessment fund established under RCW 74.60.020 . (10) "High government payer independent hospital" means a prospective payment system hospital which is nonprofit, provides acute care to adults and children, is not governmentally owned or owned or operated by a health system that owns or operates three or more acute care hospitals, and provides services to patients covered by medicare, medicaid, or other governmental payers as well as the uninsured. (11) "Hospital" means a facility licensed under chapter 70.41 RCW. (12) "Inflation factor" means the centers for medicare and medicaid services inpatient hospital market basket inflation factor using the four quarter rolling average as calculated and available by April 30th of each year or an alternative source required by the centers for medicare and medicaid services. (13) "Long-term acute care hospital" means a hospital which has an average inpatient length of stay of greater than twenty-five days as determined by the department of health. (14) "Managed care organization" means an organization having a certificate of authority or certificate of registration from the office of the insurance commissioner that contracts with the authority under a comprehensive risk contract to provide prepaid health care services to eligible clients under the authority's medicaid managed care programs, including the healthy options program. (15) "Medicaid" means the medical assistance program as established in Title XIX of the social security act and as administered in the state of Washington by the authority. (16) "Medicaid managed care inpatient discharge" means an inpatient discharge for a medicaid patient, excluding normal newborns, based upon the grouper methodology used by the authority, where the medicaid managed care organization was the primary payer of the patient claim. (17) "Medicaid managed care outpatient payments" means outpatient services provided to a medicaid patient where a medicaid managed care organization was the primary payer of the patient claim. (18) "Medicaid prospective payment system hospital" means a hospital reimbursed for inpatient and outpatient services provided to medicaid beneficiaries under the inpatient prospective payment system and the outpatient prospective payment system as defined in WAC 182-550-1050 or successor rule, excluding any designated public hospital, any state or county-owned hospital, or any hospital located outside of the state of Washington and in one of the bordering cities listed in WAC 182-501-0175 or successor rule, or any hospital owned or operated by a health maintenance organization as defined in RCW 48.46.020 . "Medicaid prospective payment system" refers solely to a reimbursement under the state medicaid program and has no bearing on or reference to a hospital's reimbursement classification under federal health care or other payment programs. (19) "Medicare cost report" means the medicare cost report, form 2552, or successor document. (20) "Nonmedicare net patient revenue" means all net patient revenue, less a deduction only of fee-for-service medicare revenue and includes medicare managed care revenue. (21) "Outpatient services" means services that are provided as ambulatory payment classification services or successor payment methodologies as defined in WAC 182-550-1050 or successor rule and applies to fee-for-service payments and managed care encounter data. (22) "*Psychiatric hospital" means a hospital facility licensed as a *psychiatric hospital under chapter 71.12 RCW. (23) "Rehabilitation hospital" means a medicare-certified freestanding inpatient rehabilitation facility. (24) "Small rural disproportionate share hospital payment" means a payment made in accordance with WAC 182-550-5200 or successor rule. (25) "Upper payment limit" means the aggregate federal upper payment limit on the amount of the medicaid payment for which federal financial participation is available for a class of service and a class of health care providers, as specified in 42 C.F.R. Part 47, as separately determined for inpatient and outpatient hospital services.
RCW 74.08A.270 — Washington Code / Title 74 / Chapter 08A / Section 270
RCW 74.08A.270: Good cause.
Status: in_force

(1) Good cause reasons for failure to participate in WorkFirst program components include situations where: (a) The recipient is a parent or other relative personally providing care for a child under the age of six years, and formal or informal child care, or day care for an incapacitated individual living in the same home as a dependent child, is necessary for an individual to participate or continue participation in the program or accept employment, and such care is not available, and the department fails to provide such care; (b) the recipient is a parent with a child under the age of two years; or (c) the recipient is experiencing a hardship as defined by the department in rule. (2) A parent claiming a good cause exemption from WorkFirst participation under subsection (1)(b) of this section may be required to participate in one or more of the following, up to a maximum total of twenty hours per week, if such treatment, services, or training is indicated by the comprehensive evaluation or other assessment: (a) Mental health treatment; (b) Alcohol or drug treatment; (c) Domestic violence services; or (d) Parenting education or parenting skills training, if available. (3) The department shall: (a) Work with a parent claiming a good cause exemption under subsection (1)(b) of this section to identify and access programs and services designed to improve parenting skills and promote child well-being, including but not limited to home visitation programs and services; and (b) provide information on the availability of home visitation services to temporary assistance for needy families caseworkers, who shall inform clients of the availability of the services. If desired by the client, the caseworker shall facilitate appropriate referrals to providers of home visitation services. (4) Nothing in this section shall prevent a recipient from participating in the WorkFirst program on a voluntary basis. (5) A parent is eligible for a good cause exemption under subsection (1)(b) of this section for a maximum total of 24 months over the parent's lifetime.
RCW 74.09.605 — Washington Code / Title 74 / Chapter 09 / Section 605
RCW 74.09.605: Incorporation of outcomes/criteria into contracts with managed care organizations.
Status: in_force

The authority shall incorporate the expected outcomes and criteria to measure the performance of service coordination organizations as provided in chapter 70.320 RCW into contracts with managed care organizations that provide services to clients under this chapter.
RCW 74.15.170 — Washington Code / Title 74 / Chapter 15 / Section 170
RCW 74.15.170: Agencies, homes conducted by religious organizations—Application of chapter.
Status: in_force

Nothing in this chapter or the rules and regulations adopted pursuant thereto shall be construed as authorizing the supervision, regulation, or control of the remedial care or treatment of residents of any agency, children's institution, child-placing agency, maternity home, day or hourly nursery, foster home or other related institution conducted for or by members of a recognized religious sect, denomination or organization which in accordance with its creed, tenets, or principles depends for healing upon prayer in the practice of religion, nor shall the existence of any of the above conditions militate against the licensing of such a home or institution.
RCW 74.09.715 — Washington Code / Title 74 / Chapter 09 / Section 715
RCW 74.09.715: Access to dental care.
Status: in_force

Within funds appropriated for this purpose, the authority shall establish two dental access projects to serve seniors and other adults who are categorically needy blind or disabled. The projects shall provide: (1) Enhanced reimbursement rates for certified dentists for specific procedures, to begin no sooner than July 1, 2009; (2) Reimbursement for trained medical providers for preventive oral health services, to begin no sooner than July 1, 2009; (3) Training, development, and implementation through a partnership with the University of Washington school of dentistry; (4) Local program coordination including outreach and case management; and (5) An evaluation that measures the change in utilization rates and cost savings.
RCW 74.34.200 — Washington Code / Title 74 / Chapter 34 / Section 200
RCW 74.34.200: Abandonment, abuse, financial exploitation, or neglect of a vulnerable adult—Cause of action for damages—Legislative intent.
Status: in_force

(1) In addition to other remedies available under the law, a vulnerable adult who has been subjected to abandonment, abuse, financial exploitation, or neglect either while residing in a facility or in the case of a person residing at home who receives care from a home health, hospice, or home care agency, or an individual provider, shall have a cause of action for damages on account of his or her injuries, pain and suffering, and loss of property sustained thereby. This action shall be available where the defendant is or was a corporation, trust, unincorporated association, partnership, administrator, employee, agent, officer, partner, or director of a facility, or of a home health, hospice, or home care agency licensed or required to be licensed under chapter 70.127 RCW, as now or subsequently designated, or an individual provider. (2) It is the intent of the legislature, however, that where there is a dispute about the care or treatment of a vulnerable adult, the parties should use the least formal means available to try to resolve the dispute. Where feasible, parties are encouraged but not mandated to employ direct discussion with the health care provider, use of the long-term care ombuds or other intermediaries, and, when necessary, recourse through licensing or other regulatory authorities. (3) In an action brought under this section, a prevailing plaintiff shall be awarded his or her actual damages, together with the costs of the suit, including a reasonable attorneys' fee. The term "costs" includes, but is not limited to, the reasonable fees for a guardian, guardian ad litem, and experts, if any, that may be necessary to the litigation of a claim brought under this section.
RCW 74.04.900 — Washington Code / Title 74 / Chapter 04 / Section 900
RCW 74.04.900: Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
Status: in_force

For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.
RCW 74.13.515 — Washington Code / Title 74 / Chapter 13 / Section 515
RCW 74.13.515: Disclosure of child welfare records—Fatalities.
Status: in_force

For purposes of RCW 74.13.500 (1)(d), the secretary must make the fullest possible disclosure consistent with chapter 42.56 RCW and applicable federal law in cases of all fatalities of children who were in the care of, or receiving services from, the department at the time of their death or within the twelve months previous to their death. If the secretary specifically determines that disclosure of the name of the deceased child is contrary to the best interests of the child's siblings or other children in the household, the secretary may remove personally identifying information. For the purposes of this section, "personally identifying information" means the name, street address, social security number, and day of birth of the child who died and of private persons who are relatives of the child named in child welfare records. "Personally identifying information" shall not include the month or year of birth of the child who has died. Once this personally identifying information is removed, the remainder of the records pertaining to a child who has died must be released regardless of whether the remaining facts in the records are embarrassing to the unidentifiable other private parties or to identifiable public workers who handled the case.
RCW 74.09.632 — Washington Code / Title 74 / Chapter 09 / Section 632
RCW 74.09.632: Opioid overdose reversal medications—Technical assistance—Written materials.
Status: in_force

(1) The authority, in consultation with the department of health, the office of the insurance commissioner, and the addictions, drug, and alcohol institute at the University of Washington, shall provide technical assistance to hospitals and licensed or certified , behavioral health agencies to assist these entities, practitioners, and providers in complying with RCW 70.41.485 and 71.24.594 . The technical assistance provided to behavioral health agencies must include: (a) Training nonmedical providers on distributing and providing client education and directions for use of opioid overdose reversal medication; (b) Providing written guidance for billing for opioid overdose reversal medication; and (c) Analyzing the cost of additional behavioral health agency staff time to carry out the activities in RCW 71.24.594 , and providing written guidance no later than January 1, 2022, for funding and billing direct service activities related to assisting clients to obtain opioid overdose reversal medication. (2) The authority shall develop written materials in all relevant languages for each hospital and applicable licensed or certified behavioral health agency to comply with RCW 70.41.485 and 71.24.594 , including directions for the use of opioid overdose reversal medication, and provide them to all hospitals and behavioral health agencies by January 1, 2022.
RCW 74.13A.075 — Washington Code / Title 74 / Chapter 13A / Section 075
RCW 74.13A.075: "Secretary" and "department" defined.
Status: in_force

As used in RCW 26.33.320 and 74.13A.005 through 74.13A.080 the following definitions shall apply: (1) "Department" means the department of children, youth, and families. (2) "Secretary" means the secretary of the department.
RCW 74.04.004 — Washington Code / Title 74 / Chapter 04 / Section 004
RCW 74.04.004: Definitions—Fraud and abuse.
Status: in_force

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise. (1) "Abuse" means any intentional use of public assistance benefits that constitutes a violation of any state statute or regulation relating to the use of public assistance benefits. This definition excludes medicaid and other medical programs as defined in chapter 74.09 RCW, and fraud and abuse committed by medical providers and recipients of medicaid and other medical program services. (2) "Disclosable information" means public information that (a) is not exempt from disclosure under chapter 42.56 RCW; and (b) does not pertain to an ongoing investigation. (3) "Fraud" means an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or herself or some other person. (4) "Office" means the office of fraud and accountability. (5) "Public assistance" or "public assistance programs" means public aid to persons in need including assistance grants, food assistance, work relief, disability lifeline benefits, temporary assistance for needy families, and, for purposes of this section, working connections child care subsidies. This definition excludes medicaid and other medical programs as defined in chapter 74.09 RCW, and fraud and abuse committed by medical providers and recipients of medicaid and other medical program services.
RCW 74.08A.410 — Washington Code / Title 74 / Chapter 08A / Section 410
RCW 74.08A.410: Outcome measures—Development—Benchmarks.
Status: in_force

(1) The WorkFirst program shall develop outcome measures for use in evaluating the WorkFirst program authorized in chapter 58, Laws of 1997, which may include but are not limited to: (a) Caseload reduction, including data for participants who exit: (i) Due to increased income; (ii) to employment; (iii) at the participant's request; or (iv) for other reasons; (b) Recidivism to caseload after two years; (c) Employment; (d) Job retention; (e) Earnings; (f) Wage progression; (g) Reduction in average grant through increased recipient earnings; (h) Placement of recipients into private sector, unsubsidized jobs; and (i) Outcomes for sanctioned and time-limited families. (2) The department shall require that contractors for WorkFirst services collect outcome measure information and report outcome measures to the department regularly. The department shall develop benchmarks that compare outcome measure information from all contractors to provide a clear indication of the most effective contractors. Benchmark information shall be published quarterly and provided to the legislature, the governor, the legislative-executive WorkFirst poverty reduction oversight task force, and all contractors for WorkFirst services.
RCW 74.13B.005 — Washington Code / Title 74 / Chapter 13B / Section 005
RCW 74.13B.005: Findings—Intent.
Status: in_force

(1) The legislature finds that: (a) The state of Washington and several Indian tribes in the state of Washington assume legal responsibility for abused or neglected children when their parents or caregivers are unable or unwilling to adequately provide for their safety, health, and welfare; (b) Washington state has a strong history of partnership between the department and contracted service providers who currently serve children and families in the child welfare system. The department and its contracted service providers have responsibility for providing services to address parenting deficiencies resulting in child maltreatment, and the needs of children impacted by maltreatment; (c) Department caseworkers and contracted service providers each play a critical and complementary role in the child welfare system; (d) The current system of contracting for services needed by children and families in the child welfare system is fragmented, inflexible, and lacks incentives for improving outcomes for children and families. (2) The legislature intends: (a) To reform the delivery of certain services to children and families in the child welfare system by creating a flexible, accountable community-based system of care that utilizes performance-based contracting, maximizes the use of evidence-based, research-based, and promising practices, and expands the capacity of community-based agencies to leverage local funding and other resources to benefit children and families served by the department; (b) To achieve improved child safety, child permanency, including reunification, and child well-being outcomes through the collaborative efforts of the department and contracted service providers and the prioritization of these goals in performance-based contracting; and (c) To implement performance-based contracting under chapter 205, Laws of 2012 in a manner that supports and complies with the federal and Washington state Indian child welfare act.
RCW 74.13.035 — Washington Code / Title 74 / Chapter 13 / Section 035
RCW 74.13.035: Crisis residential centers—Annual records, contents—Multiple licensing.
Status: in_force

Crisis residential centers shall compile yearly records which shall be transmitted to the department and which shall contain information regarding population profiles of the children admitted to the centers during each past calendar year. Such information shall include but shall not be limited to the following: (1) The number, age, and sex of children admitted to custody; (2) Who brought the children to the center; (3) Services provided to children admitted to the center; (4) The circumstances which necessitated the children being brought to the center; (5) The ultimate disposition of cases; (6) The number of children admitted to custody who ran away from the center and their ultimate disposition, if any; (7) Length of stay. The department may require the provision of additional information and may require each center to provide all such necessary information in a uniform manner. A center may, in addition to being licensed as such, also be licensed as a family foster home or group care facility and may house on the premises juveniles assigned for foster or group care.
RCW 74.04.225 — Washington Code / Title 74 / Chapter 04 / Section 225
RCW 74.04.225: Opportunity portal—Access to available services facilitated—Report to legislature and governor.
Status: in_force

(1) An online opportunity portal shall be established to provide the public with more effective access to available state, federal, and local services. The secretary of the department of social and health services shall act as the executive branch sponsor of the portal planning process. Under the leadership of the secretary, the department shall: (a) Identify and select an appropriate solution and acquisition approach to integrate technology systems to create a user-friendly electronic tool for Washington residents to apply for benefits; (b) Facilitate the adaptation of state information technology systems to allow applications generated through the opportunity portal and other compatible electronic application systems to seamlessly link to appropriate state information systems; (c) Ensure that the portal provides access to a broad array of state, federal, and local services, including but not limited to: Health care services, higher education financial aid, tax credits, civic engagement, nutrition assistance, energy assistance, family support, and the programs under RCW 74.62.030 and 43.185C.220 and as defined in RCW 10.101.010 , 13.34.030 , * 70.96A.530 , 74.04.005 , ** 74.04.652 , 74.04.655 , 74.04.657 , and 74.62.005 through 74.62.030 ; (d) Design an implementation strategy for the portal that maximizes collaboration with community-based organizations to facilitate its use by low-income individuals and families; (e) Provide access to the portal at a wide array of locations including but not limited to: Community or technical colleges, community college campuses where community service offices are colocated, community-based organizations, libraries, churches, food banks, state agencies, early childhood education sites, and labor unions; (f) Ensure project resources maximize available federal and private funds for development and initial operation of the opportunity portal. Any incidental costs to state agencies shall be derived from existing resources. This subsection does not obligate or preclude the appropriation of future state funding for the opportunity portal; (g) Determine the solution and acquisition approach by June 1, 2010. (2) By December 1, 2011, and annually thereafter, the department of social and health services shall report to the legislature and governor. The report shall include data and information on implementation and outcomes of the opportunity portal, including any increases in the use of public benefits and increases in federal funding. (3) The department shall develop a plan for implementing paperless application processes for the services included in the opportunity portal for which the electronic exchange of application information is possible. The plan should include a goal of achieving, to the extent possible, the transition of these services to paperless application processes by July 1, 2012. The plan must comply with federal statutes and regulations and must allow applicants to submit applications by alternative means to ensure that access to benefits will not be restricted. (4) To the extent that the department enters into a contractual relationship to accomplish the purposes of this section, such contract or contracts shall be performance-based.
RCW 74.20A.322 — Washington Code / Title 74 / Chapter 20A / Section 322
RCW 74.20A.322: License suspension—Adjudicative proceeding.
Status: in_force

(1) A responsible parent may request an adjudicative proceeding upon service of the notice described in RCW 74.20A.320 . The request for an adjudicative proceeding must be received by the department within twenty days of service. The request must be in writing and indicate the current mailing address and daytime phone number, if available, of the responsible parent. (2) If a responsible parent timely requests an adjudicative proceeding, the department may not certify the name of the parent to the department of licensing or a licensing entity for noncompliance with a child support order unless the adjudicative proceeding results in a finding that the responsible parent is not in compliance with the order and has not made a good faith effort to comply. (3) The issues that may be considered at the adjudicative proceeding are limited to whether: (a) The person named as the responsible parent is the responsible parent; (b) The responsible parent is required to pay child support under a child support order; (c) The responsible parent is in compliance with the order; and (d) The responsible parent has made a good faith effort to comply with the order. (4) If the administrative law judge finds that the parent is not in compliance with the support order, but has made a good faith effort to comply, the administrative law judge shall formulate a payment schedule as provided in RCW 74.20A.326 . (5) The decision resulting from the adjudicative proceeding must be in writing and inform the responsible parent of his or her rights to review. The parent's copy of the decision may be sent by regular mail to the parent's most recent address of record. (6) The proceedings under this subsection shall be conducted in accordance with the requirements of chapter 34.05 RCW, the administrative procedure act. (7) The procedures of this section constitute the exclusive administrative remedy for contesting the establishment of noncompliance with a child support order and suspension of a license under this section, and satisfy the requirements of RCW 34.05.422 . (8) For the purposes of this section, "good faith effort to comply" is a factual determination to be made by the administrative law judge based on the responsible parent's payment history, ability to pay, and efforts to find and maintain gainful employment.
RCW 74.42.560 — Washington Code / Title 74 / Chapter 42 / Section 560
RCW 74.42.560: Emergency lighting for facilities housing persons with developmental disabilities.
Status: in_force

If a living unit of a facility for the developmentally disabled houses more than fifteen residents, the living unit shall have emergency lighting with automatic switches for stairs and exits.
RCW 74.04.340 — Washington Code / Title 74 / Chapter 04 / Section 340
RCW 74.04.340: Federal surplus commodities—Certification of persons eligible to receive commodities.
Status: in_force

The state department of social and health services is authorized to assist needy families and individuals to obtain federal surplus commodities for their use, by certifying, when such is the case, that they are eligible to receive such commodities. However, only those who are receiving or are eligible for public assistance or care and such others as may qualify in accordance with federal requirements and standards shall be certified as eligible to receive such commodities.
RCW 74.76.070 — Washington Code / Title 74 / Chapter 76 / Section 070
RCW 74.76.070: Medicaid access program—Liability.
Status: in_force

The medicaid access program, health carriers and medicaid managed care organizations assessed by the program, the authority, and employees of the authority are not civilly or criminally liable and may not have any penalty or cause of action of any nature arise against them for any action or inaction, including any discretionary decision or failure to make a discretionary decision, when the action or inaction is done in good faith and in the performance of the powers and duties assigned to the program. This section does not prohibit legal actions against the program to enforce the program's statutory or contractual duties or obligations.
RCW 74.08A.905 — Washington Code / Title 74 / Chapter 08A / Section 905
RCW 74.08A.905: Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
Status: in_force

For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.
RCW 74.09.760 — Washington Code / Title 74 / Chapter 09 / Section 760
RCW 74.09.760: Short title—1989 1st ex.s. c 10.
Status: in_force

This act may be known and cited as the "maternity care access act of 1989."
RCW 74.20A.900 — Washington Code / Title 74 / Chapter 20A / Section 900
RCW 74.20A.900: Severability—Alternative when method of notification held invalid.
Status: in_force

If any provision of this chapter or the application thereof to any person or circumstance is held invalid, such invalidity shall not affect other provisions or applications of this chapter which can be given effect without the invalid provision or application, and to this end the provisions of this chapter are severable. If any method of notification provided for in this chapter is held invalid, service as provided for by the laws of the state of Washington for service of process in a civil action shall be substituted for the method held invalid.
RCW 74.39A.901 — Washington Code / Title 74 / Chapter 39A / Section 901
RCW 74.39A.901: Conflict with federal requirements.
Status: in_force

If any part of this chapter or a collective bargaining agreement under this chapter is found by a court of competent jurisdiction to be in conflict with federal requirements that are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this chapter or the agreement is inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and this finding does not affect the operation of the remainder of this chapter or the agreement in its application to the agencies concerned. The rules under this chapter shall meet federal requirements that are a necessary condition to the receipt of federal funds by the state.
RCW 74.42.530 — Washington Code / Title 74 / Chapter 42 / Section 530
RCW 74.42.530: Isolation areas.
Status: in_force

The facility shall have isolation areas for residents with infectious diseases or make other provisions for isolating these residents.
RCW 74.20A.220 — Washington Code / Title 74 / Chapter 20A / Section 220
RCW 74.20A.220: Charging off child support debts as uncollectible—Compromise—Waiver of any bar to collection.
Status: in_force

Any support debt due the department from a responsible parent may be written off and cease to be accounted as an asset if the secretary finds there are no cost-effective means of collecting the debt. The department may accept offers of compromise of disputed claims or may grant partial or total charge-off of support arrears owed to the department up to the total amount of public assistance paid to or for the benefit of the persons for whom the support obligation was incurred. The department shall adopt rules as to the considerations to be made in the granting or denial of partial or total charge-off and offers of compromise of disputed claims of debt for support arrears. The rights of the payee under an order for support shall not be prejudiced if the department accepts an offer of compromise, or grants a partial or total charge-off under this section. The responsible parent owing a support debt may execute a written extension or waiver of any statute which may bar or impair the collection of the debt and the extension or waiver shall be effective according to its terms.
RCW 74.42.140 — Washington Code / Title 74 / Chapter 42 / Section 140
RCW 74.42.140: Prescribed plan of care—Treatment, medication, diet services.
Status: in_force

The facility shall care for residents by providing residents with authorized medical services which shall include treatment, medication, and diet services, and any other services contained in the comprehensive plan of care or otherwise prescribed by the attending physician.
RCW 74.46.835 — Washington Code / Title 74 / Chapter 46 / Section 835
RCW 74.46.835: AIDS pilot nursing facility—Payment for direct care.
Status: in_force

(1) Payment for direct care at the pilot nursing facility in King county designed to meet the service needs of residents living with AIDS, as defined in *RCW 70.24.017 , and as specifically authorized for this purpose under chapter 9, Laws of 1989 1st ex. sess., shall be exempt from case mix methods of rate determination set forth in this chapter and shall be exempt from the direct care wage index adjustment set forth in this chapter. (2) Direct care component rates at the AIDS pilot facility shall be based on direct care reported costs at the pilot facility, utilizing the same rate-setting cycle prescribed for other nursing facilities, and as supported by a staffing benchmark based upon a department-approved acuity measurement system. (3) The provisions of RCW 74.46.421 and all other rate-setting principles, cost lids, and limits, including settlement as provided in rule shall apply to the AIDS pilot facility. (4) This section applies only to the AIDS pilot nursing facility.
RCW 74.09.5229 — Washington Code / Title 74 / Chapter 09 / Section 5229
RCW 74.09.5229: Primary care health homes—Chronic care management—Findings—Intent.
Status: in_force

The legislature finds that: (1) Health care costs are growing rapidly, exceeding the consumer price index year after year. Consequently, state health programs are capturing a growing share of the state budget, even as state revenues have declined. Sustaining these critical health programs will require actions to effectively contain health care cost increases in the future; and (2) The primary care health home model has been demonstrated to successfully constrain costs, while improving quality of care. Chronic care management, occurring within a primary care health home, has been shown to be especially effective at reducing costs and improving quality. However, broad adoption of these models has been impeded by a fee-for-service system that reimburses volume of services and does not adequately support important primary care health home services, such as case management and patient outreach. Furthermore, successful implementation will require a broad adoption effort by private and public payers, in coordination with providers. Therefore the legislature intends to promote the adoption of primary care health homes for children and adults and, within them, advance the practice of chronic care management to improve health outcomes and reduce unnecessary costs. To facilitate the best coordination and patient care, primary care health homes are encouraged to collaborate with other providers currently outside the medical insurance model. Successful chronic care management for persons receiving long-term care services in addition to medical care will require close coordination between primary care providers, long-term care workers, and other long-term care service providers, including area agencies on aging. Primary care providers also should consider oral health coordination through collaboration with dental providers and, when possible, delivery of oral health prevention services. The legislature also intends that the methods and approach of the primary care health home become part of basic primary care medical education.
RCW 74.20A.140 — Washington Code / Title 74 / Chapter 20A / Section 140
RCW 74.20A.140: Action for foreclosure of support lien—Satisfaction.
Status: in_force

Whenever a support lien has been filed, an action in foreclosure of lien upon real or personal property may be brought in the superior court of the county where real or personal property is or was located and the lien was filed and judgment shall be rendered in favor of the department for the amount due, with costs, and the court shall allow, as part of the costs, the moneys paid for making and filing the claim of lien, and a reasonable attorney's fee, and the court shall order any property upon which any lien provided for by this chapter is established, to be sold by the sheriff of the proper county to satisfy the lien and costs. The payment of the lien debt, costs and reasonable attorney fees, at any time before sale, shall satisfy the judgment of foreclosure. Where the net proceeds of sale upon application to the debt claimed do not satisfy the debt in full, the department shall have judgment over for any deficiency remaining unsatisfied and further levy and sales upon other property of the judgment debtor may be made under the same execution. In all sales contemplated under this section, advertising of notice shall only be necessary for two weeks in a newspaper published in the county where said property is located, and if there be no newspaper therein, then in the most convenient newspaper having a circulation in such county. Remedies provided for herein are alternatives to remedies provided for in other sections of this chapter.
RCW 74.42.080 — Washington Code / Title 74 / Chapter 42 / Section 080
RCW 74.42.080: Confidentiality of records.
Status: in_force

Residents' records, including information in an automatic data bank, shall be treated confidentially. The facility shall not release information from a resident's record to a person not otherwise authorized by law to receive the information without the resident's or the resident's guardian's written consent.
RCW 74.04.380 — Washington Code / Title 74 / Chapter 04 / Section 380
RCW 74.04.380: Federal and other surplus food commodities—Agreements—Personnel—Facilities—Cooperation with other agencies—Discontinuance of program.
Status: in_force

The secretary of social and health services, from funds appropriated to the department for such purpose, shall, upon receipt of authorization from the governor, provide for the receiving, warehousing and distributing of federal and other surplus food commodities for the use and assistance of recipients of public assistance or other needy families and individuals certified as eligible to obtain such commodities. The secretary is authorized to enter into such agreements as may be necessary with the federal government or any state agency in order to participate in any program of distribution of surplus food commodities including but not limited to a food stamp or benefit program. The secretary shall hire personnel, establish distribution centers and acquire such facilities as may be required to carry out the intent of this section; and the secretary may carry out any such program as a sole operation of the department or in conjunction or cooperation with any similar program of distribution by private individuals or organizations, any department of the state or any political subdivision of the state. The secretary shall discontinue such program, or any part thereof, whenever in the determination of the governor such program, or any part thereof, is no longer in the best interest of the state.
RCW 74.98.010 — Washington Code / Title 74 / Chapter 98 / Section 010
RCW 74.98.010: Continuation of existing law.
Status: repealed

The provisions of this title insofar as they are substantially the same as statutory provisions repealed by this chapter, and relating to the same subject matter, shall be construed as restatements and continuations, and not as new enactments.
RCW 74.25A.080 — Washington Code / Title 74 / Chapter 25A / Section 080
RCW 74.25A.080: Department of social and health services to seek federal funds.
Status: in_force

The department of social and health services shall seek any federal funds available for implementation of this chapter, including, but not limited to, funds available under Title IV of the federal social security act (42 U.S.C. Sec. 601 et seq.) for the job opportunities and basic skills program.
RCW 74.09.565 — Washington Code / Title 74 / Chapter 09 / Section 565
RCW 74.09.565: Medical assistance for institutionalized persons—Treatment of income between spouses.
Status: in_force

(1) An agreement between spouses transferring or assigning rights to future income from one spouse to the other shall be invalid for purposes of determining eligibility for medical assistance or the limited casualty program for the medically needy, but this subsection does not affect agreements between spouses transferring or assigning resources, and income produced by transferred or assigned resources shall continue to be recognized as the separate income of the transferee. (2) In determining eligibility for medical assistance or the limited casualty program for the medically needy for a married person in need of institutional care, or care under home and community-based waivers as defined in Title XIX of the social security act, if the community income received in the name of the nonapplicant spouse exceeds the community income received in the name of the applicant spouse, the applicant's interest in that excess shall be considered unavailable to the applicant. (3) The department or authority, as appropriate, shall adopt rules consistent with the provisions of section 1924 of the social security act entitled "Treatment of Income and Resources for Certain Institutionalized Spouses," in determining the allocation of income between an institutionalized and community spouse. (4) The department or authority, as appropriate, shall establish the monthly maintenance needs allowance for the community spouse up to the maximum amount allowed by state appropriation or within available funds and permitted in section 1924 of the social security act. The total monthly needs allowance shall not exceed one thousand five hundred dollars, subject to adjustment provided in section 1924 of the social security act.
RCW 74.20A.060 — Washington Code / Title 74 / Chapter 20A / Section 060
RCW 74.20A.060: Assertion of lien—Effect.
Status: in_force

(1) The secretary may assert a lien upon the real or personal property of a responsible parent: (a) When a support payment is past due, if the parent's support order contains notice that liens may be enforced against real and personal property, or notice that action may be taken under this chapter; (b) Twenty-one days after service of a notice of support debt under RCW 74.20A.040 ; (c) Twenty-one days after service of a notice and finding of financial responsibility under RCW 74.20A.055 ; (d) Twenty-one days after service of a notice and finding of parental responsibility; (e) Twenty-one days after service of a notice of support owed under RCW 26.23.110 ; or (f) When appropriate under RCW 74.20A.270 . (2) The division of child support may use uniform interstate lien forms adopted by the United States department of health and human services to assert liens on a responsible parent's real and personal property located in another state. (3) The claim of the department for a support debt, not paid when due, shall be a lien against all property of the debtor with priority of a secured creditor. This lien shall be separate and apart from, and in addition to, any other lien created by, or provided for, in this title. The lien shall attach to all real and personal property of the debtor on the date of filing of such statement with the county auditor of the county in which such property is located. (4) Whenever a support lien has been filed and there is in the possession of any person, firm, corporation, association, political subdivision or department of the state having notice of said lien any property which may be subject to the support lien, such property shall not be paid over, released, sold, transferred, encumbered or conveyed, except as provided for by the exemptions contained in RCW 74.20A.090 and 74.20A.130 , unless: (a) A written release or waiver signed by the secretary has been delivered to said person, firm, corporation, association, political subdivision or department of the state; or (b) A determination has been made in an adjudicative proceeding pursuant to RCW 74.20A.055 or by a superior court ordering release of said support lien on the basis that no debt exists or that the debt has been satisfied.
RCW 74.42.220 — Washington Code / Title 74 / Chapter 42 / Section 220
RCW 74.42.220: Contracts for professional services from outside the agency.
Status: in_force

(1) If the facility does not employ a qualified professional to furnish required services, the facility shall have a written contract with a qualified professional or agency outside the facility to furnish the required services. The terms of the contract, including terms about responsibilities, functions, and objectives, shall be specified. The contract shall be signed by the administrator, or the administrator's representative, and the qualified professional. (2) All contracts for these services shall require the standards in RCW 74.42.010 through 74.42.570 to be met.
RCW 74.08.044 — Washington Code / Title 74 / Chapter 08 / Section 044
RCW 74.08.044: Need for personal and special care—Licensing—Rules and regulations.
Status: in_force

The department is authorized to promulgate rules and regulations establishing eligibility for alternate living arrangements, and license the same, including minimum standards of care, based upon need for personal care and supervision beyond the level of board and room only, but less than the level of care required in a hospital or a nursing facility as defined in the federal social security act.
RCW 74.09.700 — Washington Code / Title 74 / Chapter 09 / Section 700
RCW 74.09.700: Medical care—Limited casualty program.
Status: in_force

(1) To the extent of available funds and subject to any conditions placed on appropriations made for this purpose, medical care may be provided under the limited casualty program to persons not eligible for medical assistance or medical care services who are medically needy as defined in the social security Title XIX state plan and medical indigents in accordance with eligibility requirements established by the authority. The eligibility requirements may include minimum levels of incurred medical expenses. This includes residents of nursing facilities, residents of intermediate care facilities for persons with intellectual disabilities, and individuals who are otherwise eligible for section 1915(c) of the federal social security act home and community-based waiver services, administered by the department who are aged, blind, or disabled as defined in Title XVI of the federal social security act and whose income exceeds three hundred percent of the federal supplement security income benefit level. (2) Determination of the amount, scope, and duration of medical coverage under the limited casualty program shall be the responsibility of the authority, subject to the following: (a) Only the following services may be covered: (i) For persons who are medically needy as defined in the social security Title XIX state plan: Inpatient and outpatient hospital services, and home and community-based waiver services; (ii) For persons who are medically needy as defined in the social security Title XIX state plan, and for persons who are medical indigents under the eligibility requirements established by the authority: Rural health clinic services; physicians' and clinic services; prescribed drugs, dentures, prosthetic devices, and eyeglasses; nursing facility services; and intermediate care facility services for persons with intellectual disabilities; home health services; hospice services; other laboratory and X-ray services; rehabilitative services, including occupational therapy; medically necessary transportation; and other services for which funds are specifically provided in the omnibus appropriations act; (b) Medical care services provided to the medically indigent and received no more than seven days prior to the date of application shall be retroactively certified and approved for payment on behalf of a person who was otherwise eligible at the time the medical services were furnished: PROVIDED, That eligible persons who fail to apply within the seven-day time period for medical reasons or other good cause may be retroactively certified and approved for payment. (3) The authority shall establish standards of assistance and resource and income exemptions. All nonexempt income and resources of limited casualty program recipients shall be applied against the cost of their medical care services.
RCW 74.42.910 — Washington Code / Title 74 / Chapter 42 / Section 910
RCW 74.42.910: Construction—Conflict with federal requirements.
Status: in_force

If any part of this act is found to be in conflict with federal requirements which are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this act is hereby declared to be inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and such finding or determination shall not affect the operation of the remainder of this act in its application to the agencies concerned. The rules under this act shall meet federal requirements which are a necessary condition to the receipt of federal funds by the state.
RCW 74.98.060 — Washington Code / Title 74 / Chapter 98 / Section 060
RCW 74.98.060: Emergency—1959 c 26.
Status: in_force

This act is necessary for the immediate preservation of the public peace, health and safety, the support of the state government and its existing public institutions, and shall take effect immediately.
RCW 74.13.110 — Washington Code / Title 74 / Chapter 13 / Section 110
RCW 74.13.110: Contracted services performance improvement account.
Status: in_force

(1) The department of children, youth, and families contracted services performance improvement account is created in the state treasury. Moneys in the account may be spent only after appropriation. Moneys in the account may be expended solely to improve contracted services provided to clients under the agency's program areas, including child welfare, early learning, family support, and adolescents, to support (a) achieving permanency for children; (b) improving foster home retention and stability of placements; (c) improving and increasing placement options for youth in out-of-home care; (d) preventing out-of-home placement; and (e) achieving additional, measurable department of children, youth, and families outcome goals adopted by the department. (2) Revenues to the department of children, youth, and families contracted services performance improvement account consist of: (a) Legislative appropriations; and (b) any other public or private funds appropriated to or deposited in the account.
RCW 74.09.250 — Washington Code / Title 74 / Chapter 09 / Section 250
RCW 74.09.250: False statements regarding institutions, facilities—Penalties.
Status: in_force

Any person, including any corporation, that knowingly makes or causes to be made, or induces or seeks to induce the making of, any false statement or representation of a material fact with respect to the conditions or operations of any institution or facility in order that such institution or facility may qualify (either upon initial certification or upon recertification) as a hospital, nursing facility, or home health agency, shall be guilty of a class C felony: PROVIDED, That the fine, if imposed, shall not be in an amount more than five thousand dollars.
RCW 74.66.100 — Washington Code / Title 74 / Chapter 66 / Section 100
RCW 74.66.100: Procedure for civil actions.
Status: in_force

(1) A subpoena requiring the attendance of a witness at a trial or hearing conducted under RCW 74.66.040 or 74.66.050 may be served at any place in the state of Washington. (2) A civil action under RCW 74.66.040 or 74.66.050 may be brought at any time, without limitation after the date on which the violation of RCW 74.66.020 is committed. (3) If the attorney general elects to intervene and proceed with a qui tam action, the attorney general may file its own complaint or amend the complaint of a relator to clarify or add detail to the claims in which the attorney general is intervening and to add any additional claims with respect to which the attorney general contends it is entitled to relief. (4) In any action brought under RCW 74.66.040 or 74.66.050 , the attorney general is required to prove all essential elements of the cause of action, including damages, by a preponderance of the evidence. (5) Notwithstanding any other provision of law or the rules for superior court, a final judgment rendered in favor of the government entity in any criminal proceeding charging fraud or false statements, whether upon a verdict after trial or upon a plea of guilty or nolo contendere, estops the defendant from denying the essential elements of the offense in any action which involves the same transaction as in the criminal proceeding and which is brought under RCW 74.66.040 or 74.66.050 .
RCW 74.39.001 — Washington Code / Title 74 / Chapter 39 / Section 001
RCW 74.39.001: Finding.
Status: in_force

The legislature finds that: Washington's chronically functionally disabled population is growing at a rapid pace. This growth, along with economic and social changes and the coming age wave, presents opportunities for the development of long-term care community services networks and enhanced volunteer participation in those networks, and creates a need for different approaches to currently fragmented long-term care programs. The legislature further recognizes that persons with functional disabilities should receive long-term care services that encourage individual dignity, autonomy, and development of their fullest human potential.
RCW 74.29.020 — Washington Code / Title 74 / Chapter 29 / Section 020
RCW 74.29.020: Powers and duties of department.
Status: in_force

Subject to available funds, and consistent with federal law and regulations the department shall: (1) Develop statewide rehabilitation programs; (2) Provide vocational rehabilitation services, independent living services, and/or job support services to individuals with disabilities or severe disabilities; (3) Disburse all funds provided by law and may receive, accept and disburse such gifts, grants, conveyances, devises and bequests of real and personal property from public or private sources, as may be made from time to time, in trust or otherwise, whenever the terms and conditions thereof will aid in carrying out rehabilitation services as specified by law and the regulations of the department; and may sell, lease or exchange real or personal property according to the terms and conditions thereof. Any money so received shall be deposited in the state treasury for investment, reinvestment or expenditure in accordance with the conditions of its receipt and RCW 43.88.180 ; (4) Appoint and fix the compensation and prescribe the duties, of the personnel necessary for the administration of this chapter, unless otherwise provided by law; (5) Make exploratory studies, do reviews, and research relative to rehabilitation; (6) Coordinate with the state rehabilitation advisory council and the state independent living advisory council on the administration of the programs; (7) Report to the governor and to the legislature on the administration of this chapter, as requested; and (8) Adopt rules, in accord with chapter 34.05 RCW, necessary to carry out the purposes of this chapter.
RCW 74.09.730 — Washington Code / Title 74 / Chapter 09 / Section 730
RCW 74.09.730: Disproportionate share hospital adjustment.
Status: in_force

(1) In establishing Title XIX payments for inpatient hospital services: (a) To the extent funds are appropriated specifically for this purpose, and subject to any conditions placed on appropriations made for this purpose, the authority shall provide a disproportionate share hospital adjustment considering the following components: (i) A low-income care component based on a hospital's medicaid utilization rate, its low-income utilization rate, its provision of obstetric services, and other factors authorized by federal law; (ii) A medical indigency care component based on a hospital's services to persons who are medically indigent; and (iii) A state-only component, to be paid from available state funds to hospitals that do not qualify for federal payments under (a)(ii) of this subsection, based on a hospital's services to persons who are medically indigent; (b) The payment methodology for disproportionate share hospitals shall be specified by the authority in regulation. (2) Nothing in this section shall be construed as a right or an entitlement by any hospital to any payment from the authority.
RCW 74.42.390 — Washington Code / Title 74 / Chapter 42 / Section 390
RCW 74.42.390: Communication system.
Status: in_force

The facility shall have a communication system, including telephone service, that insures prompt contact of on-duty personnel and prompt notification of responsible personnel in an emergency.
RCW 74.31.030 — Washington Code / Title 74 / Chapter 31 / Section 030
RCW 74.31.030: Staff support—Department powers and duties—Comprehensive plan.
Status: in_force

(1) In response to council recommendations developed pursuant to RCW 74.31.020 , the department shall include in the comprehensive statewide plan a staffing plan for providing adequate support for council activities for positions funded by the traumatic brain injury account established in RCW 74.31.060 and designate at least one staff person who shall be responsible for the following: (a) Coordinating policies, programs, and services for individuals with traumatic brain injuries; and (b) Providing staff support to the council created in RCW 74.31.020 . (2) The department shall provide data and information to the council established under RCW 74.31.020 that is requested by the council and is in the possession or control of the department. (3) The department shall implement, within funds appropriated for this specific purpose, the comprehensive statewide plan to address the needs of individuals impacted by traumatic brain injuries, including the use of public-private partnerships and a public awareness campaign. The comprehensive plan should be created in collaboration with the council and should consider the following: (a) Building provider capacity and provider training; (b) Improving the coordination of services; (c) The feasibility of establishing agreements with private sector agencies or tribal governments to develop services for individuals with traumatic brain injuries; and (d) Other areas the council deems appropriate. (4) The department shall: (a) Assure that information and referral services are provided to individuals with traumatic brain injuries. The referral services may be funded from the traumatic brain injury account established under RCW 74.31.060 ; (b) Encourage and facilitate the following: (i) Collaboration among state agencies that provide services to individuals with traumatic brain injuries; (ii) Collaboration among organizations and entities that provide services to individuals with traumatic brain injuries; and (iii) Community participation in program implementation; and (c) Have the authority to accept, expend, or retain any gifts, bequests, contributions, or grants from private persons or private and public agencies to carry out the purpose of this chapter.
RCW 74.42.070 — Washington Code / Title 74 / Chapter 42 / Section 070
RCW 74.42.070: Privacy.
Status: in_force

Residents shall be given privacy during treatment and care of personal needs. Residents who are spouses or domestic partners shall be given privacy during visits with their spouses or their domestic partners. If both spouses or both domestic partners are residents of the facility, the facility shall permit the spouses or domestic partners to share a room, unless medically contraindicated.
RCW 74.04.070 — Washington Code / Title 74 / Chapter 04 / Section 070
RCW 74.04.070: County office—Administrator.
Status: in_force

There may be established in each county of the state a county office which shall be administered by an executive officer designated as the county administrator. The county administrator shall be appointed by the secretary in accordance with the rules and regulations of the state merit system.
RCW 74.04.210 — Washington Code / Title 74 / Chapter 04 / Section 210
RCW 74.04.210: Basis of allocation of moneys to counties.
Status: in_force

The moneys appropriated for public assistance purposes and subject to allocation as in this title provided shall be allocated to counties on the basis of past experience and established case load history.
RCW 74.42.310 — Washington Code / Title 74 / Chapter 42 / Section 310
RCW 74.42.310: Staff duties at meals.
Status: in_force

(1) A facility shall have sufficient personnel to supervise the residents, direct self-help dining skills, and to insure that each resident receives enough food. (2) A facility shall provide table service for all residents, including residents in wheelchairs, who are capable and willing to eat at tables.
RCW 74.04.630 — Washington Code / Title 74 / Chapter 04 / Section 630
RCW 74.04.630: State supplementation to national program of supplemental security income—Contractual agreements with federal government.
Status: in_force

The department may enter into contractual agreements with the United States department of health, education and welfare, consistent with the provisions of Public Laws 92-603 and 93-66, and to be effective January 1, 1974, for the purpose of enabling the secretary of the department of health, education and welfare to perform administrative functions of state supplementation to the national supplemental security income program and the determination of medicaid eligibility on behalf of the state. The department is authorized to transfer and make payments of state funds to the secretary of the department of health, education and welfare as required by Public Laws 92-603 and 93-66. These agreements shall be submitted for review and comment to the social and health services committees of the senate and house of representatives. The department of social and health services shall administer the state supplemental program as established in RCW 74.04.620 .
RCW 74.20A.328 — Washington Code / Title 74 / Chapter 20A / Section 328
RCW 74.20A.328: License suspension—Rules.
Status: in_force

The department may adopt rules to implement and enforce the requirements of RCW 74.20A.320 and 74.20A.322 through 74.20A.326 .
RCW 74.60.170 — Washington Code / Title 74 / Chapter 60 / Section 170
RCW 74.60.170: Estimated hospital net financial benefit determined by the authority—Formula—Modification.
Status: in_force

(1) The estimated hospital net financial benefit under this chapter shall be determined by the authority by summing the following anticipated hospital payments, including all applicable federal matching funds, RCW 74.60.110 for payments to small rural disproportionate share hospitals, RCW 74.60.120 for supplemental payments to hospitals, RCW 74.60.130 for directed payments, RCW 74.60.020 (4)(f) for quality improvement incentives, minus the total assessments paid by all hospitals under RCW 74.60.030 for hospital assessments, and minus any taxes paid on RCW 74.60.130 for managed care payments. (2) If, for any reason including reduction or elimination of federal matching funds, the estimated hospital net financial benefit falls below one hundred thirty million dollars in any state fiscal year, the office of financial management shall direct the authority to modify the assessment rates provided for in RCW 74.60.030 , and the office of financial management is authorized to direct the authority to adjust the amounts disbursed from the fund, including disbursements for payments under RCW 74.60.020 (4)(f) and payments to hospitals under RCW 74.60.090 through 74.60.130 and 74.60.020 (4)(g), such that the estimated hospital net financial benefit is equal to the amount disbursed from the fund for use in lieu of state general fund payments. Each category of adjusted payments to hospitals under RCW 74.60.090 through 74.60.130 and payments under RCW 74.60.020 (4)(g) must bear the same relationship to the total of such adjusted payments as originally provided in this chapter.
RCW 74.76.020 — Washington Code / Title 74 / Chapter 76 / Section 020
RCW 74.76.020: Waiver requests—Funds.
Status: in_force

*** CHANGE IN 2026 *** (SEE 2385.SL ) ***

(1) By September 1, 2025, the authority shall submit any state plan amendments or waiver requests to the centers for medicare and medicaid services that are necessary to implement the medicaid access program established in RCW 74.76.050 . (2) The assessment, collection, and disbursement of funds for this program shall be conditional upon: (a) Final approval by the centers for medicare and medicaid services of any state plan amendments or waiver requests that are necessary in order to implement the applicable sections of this chapter including, if necessary, waiver of the broad-based or uniformity requirements as specified under section 1903(w)(3)(E) of the federal social security act and 42 C.F.R. Sec. 433.68(e); (b) To the extent necessary, amendment of contracts between the authority and managed care organizations to implement this chapter; and (c) Certification by the office of financial management that appropriations have been adopted that fully support the rates established in RCW 74.76.030 for the upcoming fiscal year.
RCW 74.13.718 — Washington Code / Title 74 / Chapter 13 / Section 718
RCW 74.13.718: Caregiver communication specialist.
Status: in_force

The department shall establish a caregiver communication specialist position within the department for the purpose of improving communication between the department and caregivers. The caregiver communication specialist position established in this section is responsible for: (1) Developing policies for sharing appropriate and timely information with caregivers of children receiving child welfare services; and (2) Supporting coordination between existing caregiver engagement teams, constituent relations, communications specialists, and child welfare field offices.
RCW 74.20.230 — Washington Code / Title 74 / Chapter 20 / Section 230
RCW 74.20.230: Petition for support order by married parent with minor children who are receiving public assistance.
Status: in_force

Any married parent with minor children, natural or legally adopted children who is receiving public assistance may apply to the superior court of the county in which such parent resides or in which the spouse may be found for an order upon such spouse, if such spouse is the natural or adoptive mother or father of such children, to provide for such spouse's support and the support of such spouse's minor children by filing in such county a petition setting forth the facts and circumstances upon which such spouse relies for such order. If it appears to the satisfaction of the court that such parent is without funds to employ counsel, the state department of social and health services through the attorney general may file such petition on behalf of such parent. If satisfied that a just cause exists, the court shall direct that a citation issue to the other spouse requiring such spouse to appear at a time set by the court to show cause why an order of support should not be entered in the matter.