reglab/housing_qa huggingface dataset:
WA Rev Code § 74.09.200 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.200 - Audits and investigations—Legislative declaration—State authority.

RCW 74.09.200 Audits and investigations—Legislative declaration—State authority.The legislature finds and declares it to be in the public interest and for the protection of the health and welfare of the residents of the state of Washington that a proper regulatory and inspection program be instituted in connection with the providing of medical, dental, and other health services to recipients of public assistance and medically indigent persons. In order to effectively accomplish such purpose and to assure that the recipient of such services receives such services as are paid for by the state of Washington, the acceptance by the recipient of such services, and by practitioners of reimbursement for performing such services, shall authorize the secretary or director, to inspect and audit all records in connection with the providing of such services.[ 2011 1st sp.s. c 15 § 14; 1979 ex.s. c 152 § 1.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
WA Rev Code § 74.09.210 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.210 - Fraudulent practices—Penalties.

RCW 74.09.210 Fraudulent practices—Penalties.(1) No person, firm, corporation, partnership, association, agency, institution, or other legal entity, but not including an individual public assistance recipient of health care, shall, on behalf of himself or herself or others, obtain or attempt to obtain benefits or payments under this chapter or other applicable law in a greater amount than that to which entitled by means of:(a) A willful false statement;(b) By willful misrepresentation, or by concealment of any material facts; or(c) By other fraudulent scheme or device, including, but not limited to:(i) Billing for services, drugs, supplies, or equipment that were unfurnished, of lower quality, or a substitution or misrepresentation of items billed; or(ii) Repeated billing for purportedly covered items, which were not in fact so covered.(2) Any person or entity knowingly violating any of the provisions of subsection (1) of this section shall be liable for repayment of any excess benefits or payments received, plus interest at the rate and in the manner provided in RCW 43.20B.695. Such person or other entity shall further, in addition to any other penalties provided by law, be subject to civil penalties. The director or the attorney general may assess civil penalties in an amount not to exceed three times the amount of such excess benefits or payments: PROVIDED, That these civil penalties shall not apply to any acts or omissions occurring prior to September 1, 1979. RCW 43.20A.215 governs notice of a civil fine assessed by the director and provides the right to an adjudicative proceeding.(3) A criminal action need not be brought against a person for that person to be civilly liable under this section.(4) In all administrative proceedings under this section, service, adjudicative proceedings, and judicial review of such determinations shall be in accordance with chapter 34.05 RCW, the administrative procedure act.(5) Civil penalties shall be deposited upon their receipt into the medicaid fraud penalty account established in RCW 74.09.215.(6) The attorney general may contract with private attorneys and local governments in bringing actions under this section as necessary.[ 2018 c 201 § 7009; 2013 c 23 § 202; 2012 c 241 § 102; 2011 1st sp.s. c 15 § 15; 1989 c 175 § 146; 1987 c 283 § 7; 1979 ex.s. c 152 § 2.]NOTES:Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.Intent—Finding—2012 c 241: See note following RCW 74.66.010.Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.Effective date—1989 c 175: See note following RCW 34.05.010.Severability—Savings—1987 c 283: See notes following RCW 43.20A.020.
WA Rev Code § 74.09.215 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.215 - Medicaid fraud penalty account.

RCW 74.09.215 Medicaid fraud penalty account.The medicaid fraud penalty account is created in the state treasury. All receipts from civil penalties collected under RCW 74.09.210, all receipts received under judgments or settlements that originated under a filing under the federal false claims act, all receipts from fines received pursuant to RCW 43.71C.090, and all receipts received under judgments or settlements that originated under the state medicaid fraud false claims act, chapter 74.66 RCW, must be deposited into the account. Moneys in the account may be spent only after appropriation and must be used only for medicaid services, fraud detection and prevention activities, recovery of improper payments, for other medicaid fraud enforcement activities, and the prescription monitoring program established in chapter 70.225 RCW. For the 2013-2015 fiscal biennium, moneys in the account may be spent on inpatient and outpatient rebasing and conversion to the tenth version of the international classification of diseases. For the 2011-2013 fiscal biennium, moneys in the account may be spent on inpatient and outpatient rebasing.[ 2019 c 334 § 14. Prior: 2013 2nd sp.s. c 4 § 1902; 2013 2nd sp.s. c 4 § 997; 2013 2nd sp.s. c 4 § 995; 2013 c 36 § 3; 2012 c 241 § 103.]NOTES:Effective dates—2013 2nd sp.s. c 4: See note following RCW 2.68.020.Findings—2013 c 36: See note following RCW 70.225.020.Intent—Finding—2012 c 241: See note following RCW 74.66.010.
WA Rev Code § 74.09.220 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.220 - Liability for receipt of excess payments.

RCW 74.09.220 Liability for receipt of excess payments.Any person, firm, corporation, partnership, association, agency, institution or other legal entity, but not including an individual public assistance recipient of health care, that, without intent to violate this chapter or other applicable law, obtains benefits or payments under this code to which such person or entity is not entitled, or in a greater amount than that to which entitled, shall be liable for (1) any excess benefits or payments received, and (2) interest calculated at the rate and in the manner provided in RCW 43.20B.695. Whenever a penalty is due under RCW 74.09.210 or interest is due under RCW 43.20B.695, such penalty or interest shall not be reimbursable by the state as an allowable cost under any of the provisions of this chapter or other applicable law.[ 2018 c 201 § 7010; 1987 c 283 § 8; 1979 ex.s. c 152 § 3.]NOTES:Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.Severability—Savings—1987 c 283: See notes following RCW 43.20A.020.
WA Rev Code § 74.09.230 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.230 - False statements, fraud—Penalties.

RCW 74.09.230 False statements, fraud—Penalties.Any person, including any corporation, that(1) knowingly makes or causes to be made any false statement or representation of a material fact in any application for any payment under any medical care program authorized under this chapter or other applicable law, or(2) at any time knowingly makes or causes to be made any false statement or representation of a material fact for use in determining rights to such payment, or knowingly falsifies, conceals, or covers up by any trick, scheme, or device a material fact in connection with such application or payment, or(3) having knowledge of the occurrence of any event affecting (a) the initial or continued right to any payment, or (b) the initial or continued right to any such payment of any other individual in whose behalf he or she has applied for or is receiving such payment, conceals or fails to disclose such event with an intent fraudulently to secure such payment either in a greater amount or quantity than is due or when no such payment is authorized,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.[ 2018 c 201 § 7011; 2013 c 23 § 203; 1979 ex.s. c 152 § 4.]NOTES:Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
WA Rev Code § 74.09.250 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.250 - False statements regarding institutions, facilities—Penalties.

RCW 74.09.250 False statements regarding institutions, facilities—Penalties.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.[ 1991 sp.s. c 8 § 6; 1979 ex.s. c 152 § 6.]NOTES:Effective date—1991 sp.s. c 8: See note following RCW 18.51.050.
WA Rev Code § 74.09.260 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.260 - Excessive charges, payments—Penalties.

RCW 74.09.260 Excessive charges, payments—Penalties.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.[ 2018 c 201 § 7013; 2011 1st sp.s. c 15 § 17; 1991 sp.s. c 8 § 7; 1979 ex.s. c 152 § 7.]NOTES:Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.Effective date—1991 sp.s. c 8: See note following RCW 18.51.050.
WA Rev Code § 74.09.270 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.270 - Failure to maintain trust funds in separate account—Penalties.

RCW 74.09.270 Failure to maintain trust funds in separate account—Penalties.(1) Any person having any patient trust funds in his or her possession, custody, or control, who, knowing that he or she is violating any statute, regulation, or agreement, deliberately fails to deposit, transfer, or maintain said funds in a separate, designated, trust bank account as required by such statute, regulation, or agreement shall be guilty of a gross misdemeanor and shall be punished by imprisonment for up to three hundred sixty-four days in the county jail, or by a fine of not more than ten thousand dollars or as authorized by RCW 9A.20.030, or by both such fine and imprisonment.(2) "Patient trust funds" are funds received by any health care facility which belong to patients and are required by any state or federal statute, regulation, or by agreement to be kept in a separate trust bank account for the benefit of such patients.(3) This section shall not be construed to prevent a prosecution for theft.[ 2011 c 96 § 54; 1979 ex.s. c 152 § 8.]NOTES:Findings—Intent—2011 c 96: See note following RCW 9A.20.021.
WA Rev Code § 74.09.280 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.280 - False verification of written statements—Penalties.

RCW 74.09.280 False verification of written statements—Penalties.The secretary or director may by rule require that any application, statement, or form filled out by suppliers of medical care under this chapter or other applicable law shall contain or be verified by a written statement that it is made under the penalties of perjury and such declaration shall be in lieu of any oath otherwise required, and each such paper shall in such event so state. The making or subscribing of any such papers or forms containing any false or misleading information may be prosecuted and punished under chapter 9A.72 RCW.[ 2018 c 201 § 7014; 2011 1st sp.s. c 15 § 18; 1979 ex.s. c 152 § 9.]NOTES:Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
WA Rev Code § 74.09.295 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.295 - Disclosure of involuntary commitment information.

RCW 74.09.295 Disclosure of involuntary commitment information.It is permissible to provide to a correctional institution, as defined in RCW 9.94.049, with the fact, place, and date of an involuntary commitment and the fact and date of discharge or release of a person who has been involuntarily committed under chapter 71.05 or 71.34 RCW, without a person's consent, in the course of the implementation and use of the department's postinstitutional medical assistance system supporting the expedited medical determinations and medical suspensions as provided in RCW 74.09.555. Disclosure under this section is mandatory for the purposes of the health insurance portability and accountability act.[ 2011 c 305 § 2.]NOTES:Findings—2011 c 305: "The legislature finds that effective collaboration and communication between mental health and chemical dependency treatment providers and service delivery systems and law enforcement and criminal justice agencies is important to both the care of persons with mental disorders and chemical dependency and public safety. The legislature also finds that many state and local efforts in recent years have worked to address improved treatment of persons with mental disorders, chemical dependency disorders, or co-occurring mental and substance abuse disorders who are confined in a correctional institution and to improve communication and collaboration among the agencies, institutions, and professionals who are responsible for the care or custody of those persons. While numerous laws have been enacted to clarify the appropriate sharing of information between those agencies, institutions, and professionals, the legislature finds further clarification will continue to aide [aid] and improve the care of those persons and augment public safety." [ 2011 c 305 § 1.]
WA Rev Code § 74.09.300 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.300 - Department to report penalties to appropriate licensing agency or disciplinary board.

RCW 74.09.300 Department to report penalties to appropriate licensing agency or disciplinary board.Whenever the secretary or director imposes a civil penalty under RCW 74.09.210, or terminates or suspends a provider's eligibility under RCW 74.09.290, he or she shall, if the provider is licensed pursuant to Titles 18, 70, or 71 RCW, give written notice of such imposition, termination, or suspension to the appropriate licensing agency or disciplinary board.[ 2011 1st sp.s. c 15 § 20; 1979 ex.s. c 152 § 11.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
WA Rev Code § 74.09.327 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.327 - Audio-only telemedicine—Fee-for-service reimbursement.

RCW 74.09.327 Audio-only telemedicine—Fee-for-service reimbursement.(1) The authority shall adopt rules regarding medicaid fee-for-service reimbursement for services delivered through audio-only telemedicine. Except as provided in subsection (2) of this section, the rules must establish a manner of reimbursement for audio-only telemedicine that is consistent with RCW 74.09.325.(2) The rules shall require rural health clinics to be reimbursed for audio-only telemedicine at the rural health clinic encounter rate.(3)(a) For purposes of this section, "audio-only telemedicine" means the delivery of health care services through the use of audio-only technology, permitting real-time communication between a patient at the originating site and the provider, for the purpose of diagnosis, consultation, or treatment.(b) For purposes of this section only, "audio-only telemedicine" does not include:(i) The use of facsimile or email; or(ii) The delivery of health care services that are customarily delivered by audio-only technology and customarily not billed as separate services by the provider, such as the sharing of laboratory results.[ 2021 c 157 § 6.]NOTES:Conflict with federal requirements—2021 c 157: "If any part of this act is found 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 act 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 act in its application to the agencies concerned. Rules adopted under this act must meet federal requirements that are a necessary condition to the receipt of federal funds by the state. Nothing in this act alters the requirement for the health care authority to report potential fraud to the medicaid fraud control division of the Washington attorney general's office under 42 C.F.R. 455.21." [ 2021 c 157 § 10.]
WA Rev Code § 74.09.330 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.330 - Reimbursement methodology for ambulance services—Transport of a medical assistance enrollee to a mental health facility or chemical dependency program.

RCW 74.09.330 Reimbursement methodology for ambulance services—Transport of a medical assistance enrollee to a mental health facility or chemical dependency program.The authority shall develop a reimbursement methodology for ambulance services when transporting a medical assistance enrollee to a mental health facility or chemical dependency program in accordance with the applicable alternative facility procedures adopted under RCW 70.168.100.[ 2015 c 157 § 6.]
WA Rev Code § 74.09.335 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.335 - Reimbursement of health care services provided by fire departments—Adoption of standards.

RCW 74.09.335 Reimbursement of health care services provided by fire departments—Adoption of standards.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.[ 2017 c 273 § 1.]
WA Rev Code § 74.09.340 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.340 - Personal needs allowance, adjusted.

RCW 74.09.340 Personal needs allowance, adjusted.(1) Except as provided in RCW 72.36.160, beginning January 1, 2019, the personal needs allowance for clients being served in medical institutions and in residential settings is seventy dollars.(2) Beginning January 1, 2020, and each year thereafter, subject to the availability of amounts appropriated for this specific purpose, the personal needs allowance shall be adjusted for economic trends and conditions by increasing the allowance by the percentage cost-of-living adjustment for old-age, survivors, and disability social security benefits as published by the federal social security administration. However, in no case shall the personal needs allowance exceed the maximum personal needs allowance permissible under the federal social security act.[ 2018 c 137 § 1; 2017 c 270 § 2.]NOTES:Findings—Intent—2017 c 270: "(1) The legislature finds that through the medicaid program, state and federal government fund long-term care, mental health, and medical services for many elderly persons and people with disabilities, both in institutions and in community alternatives. The legislature also finds that a significant portion of these individuals' social security benefits is retained by the state to assist with the cost of their care. The legislature intends that these individuals retain for their own use a reasonable and modest personal needs allowance which may be used to purchase clothing, postage, barber services, travel, and other personal items not covered by their care setting, in order to promote their autonomy and personal dignity.(2) It is the intent of the legislature to adjust the personal needs allowance annually to reflect cost-of-living adjustments to federal social security benefits for medicaid-eligible residents in institutions and community-based residential settings receiving long-term care, developmental disabilities, or mental health services." [ 2017 c 270 § 1.]Effective date—2017 c 270: "Section 2 of this act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect July 1, 2017." [ 2017 c 270 § 3.]