reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-560 - Rural health system project › Section 246-560-077 - Application review, selection, and funding

Current through Register Vol. 24-14, July 15, 2024
(1) The department may, based on reviewer
				recommendations, funding limitations, or other considerations, offer funding to
				all, some or none of the applicants, and may offer to fund portions of
				projects.
(2) Reviewers shall score
				applications independently using a scoring system established by the department
				which is incorporated by reference.
(3) Copies of the scoring system may be
				requested by writing to the Washington State Department of Health, Office of
				Community and Rural Health, P.O. Box 47834, Olympia, Washington
				98504-7834.
(4) The director of the
				office of community and rural health shall make the final decision regarding
				funding based on application scores, total funds available, and the best
				utilization of resources to promote the goals of the program.
Statutory Authority:
					 RCW
					 70.175.010 - [70.175.]090 and70.185.030 -
					 [70.185.]080. 99-03-043, § 246-560-077, filed 1/14/99, effective
					 2/14/99.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-560 - Rural health system project › Section 246-560-085 - Appeal process

Current through Register Vol. 24-14, July 15, 2024
(1) The following
				departmental actions are subject to administrative appeal:
(a) A decision not to invite an
				application;
(b) A determination
				that an application does not meet initial screening criteria and will not be
				reviewed; or
(c) A decision not to
				fund all or any portion of a project.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this
				  chapter unless the context clearly requires otherwise:
(1) "Applicant" means an entity with an
				active Washington state business license that provides health care services and
				seeks to employ a physician at a Washington state practice location(s) and is
				requesting state sponsorship or concurrence of a J-1 visa waiver.
(2) "Board eligible" means having satisfied
				the requirements necessary to sit for board examinations.
(3) "Department" means the Washington state
				department of health.
(4)
				"Employment contract" means a legally binding agreement between the applicant
				and the physician named in the visa waiver application that contains all terms
				and conditions of employment including, but not limited to, the salary,
				benefits, length of employment and any other consideration owing under the
				agreement.
(5) "Full time" means a
				minimum forty hours of medical practice per week, not including call coverage,
				consisting of at least thirty-two hours seeing patients on an ambulatory or
				in-patient basis and may include up to eight hours administrative work for at
				least forty-eight weeks per year.
(6) "Health professional shortage area" or
				"HPSA" means an area federally designated as having a shortage of primary care
				physicians or mental health care.
(7) "Hospitalist" means a physician, usually
				an internist, who specializes in the care of hospitalized patients.
(8) "Integrated health care system (system)"
				means an organized system in which more than one health care entity
				participates, and in which the participating entities:
(a) Hold themselves out to the public as
				participating in a joint arrangement; and
(b) Participate in joint payment activities,
				such as clinics where a physician group charges a professional fee and a
				hospital charges a facility fee.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-020 - Authority to sponsor visa waivers

Current through Register Vol. 24-14, July 15, 2024
(1)
				The department may assist communities to recruit and retain physicians, or
				other health care professionals, as directed in
				chapter
				70.185 RCW, by exercising
				an option provided in federal law. This option allows the department to sponsor
				a limited number of visa waivers each federal fiscal year if certain conditions
				are met.
(2) The department may
				acknowledge and support as needed sponsorship proposed by federal agencies,
				including the United States Department of Health and Human Services.
(3) The department may carry out a visa
				waiver program, or, in the event of resource limitations or other
				considerations, may discontinue the program. Purposes of the program are:
(a) To increase the availability of physician
				services in existing federally designated health professional shortage areas
				(HPSA) for applicants that have long standing vacancies;
(b) To improve access to physician services
				for communities and specific underserved populations that are having difficulty
				finding physician services;
(c) To
				serve Washington communities that have identified a physician currently holding
				a J-1 visa as an ideal candidate to meet the community's need for health care
				services.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-040 - Principles that will be applied to the visa waiver program

Current through Register Vol. 24-14, July 15, 2024
(1) The visa waiver
				program is considered a secondary source for recruiting qualified physicians.
				It is not a substitute for broad recruiting efforts for graduates from U.S.
				medical schools.
(2) Sponsorship
				may be offered to applicants that can provide evidence of sustained active
				recruitment for the vacancy in the practice location for a physician who has
				specific needed skills.
(3)
				Sponsorship is intended to support introduction of physicians into practice
				settings that promote continuation of the practice beyond the initial contract
				period.
(4) Sponsorship will be for
				an employment situation where there is community support and a collegial
				professional environment.
(5) The
				visa waiver program will be used to assist applicants that provide care to all
				residents of the federally designated HPSA. When a HPSA designation is for a
				population group as approved by the federal Health Research and Services
				Administration as defined by 42 C.F.R. Chapter 1, Part 5, Appendices A or C,
				the applicant must provide care to the population group.
(6) Sponsorship is available to applicants
				that can document the provision of needed services, regardless of public or
				private ownership.
Statutory Authority:
					 Chapter
					 70.185 RCW. 98-20-067,
					 § 246-562-040, filed 10/2/98, effective
					 11/2/98.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-050 - Review criteria

Current through Register Vol. 24-14, July 15, 2024
Applicants and physicians must meet all federal criteria for
				  international medical graduates seeking a visa waiver including the criteria
				  established in  8 U.S.C. Sec. 1182(e),  8 U.S.C Sec. 1184(1), and  22 C.F.R. Sec. 41.63(e).
Applicants must also meet the criteria in this
				  chapter.
Statutory Authority:
					 Chapter
					 70.185 RCW and
					 Public Law
					 108-441. 06-07-035, § 246-562-050, filed
					 3/8/06, effective 4/8/06. Statutory Authority:
					 Chapter
					 70.185 RCW. 03-19-054,
					 § 246-562-050, filed 9/11/03, effective 10/12/03; 98-20-067, §
					 246-562-050, filed 10/2/98, effective
					 11/2/98.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-060 - Criteria for applicants

Current through Register Vol. 24-14, July 15, 2024
(1) Applicants
				must :
(a) Be licensed to do business in
				Washington state; and
(b) Have
				provided medical care in Washington state for a minimum of twelve months prior
				to submitting the application.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-070 - Criteria for the proposed practice location to be served by the physician

Current through Register Vol. 24-14, July 15, 2024
(1) The proposed
				practice location(s) must be located in:
(a) A
				federally designated primary care HPSA(s); or
(b) A federally designated mental HPSA(s) for
				psychiatrists; or
(c) A state
				operated psychiatric or correctional facility.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-075 - Criteria for waiver sponsorships in nondesignated areas

Current through Register Vol. 24-14, July 15, 2024
Key objectives of the J-1 visa waiver program are to
				  increase access to physicians for low income, medicaid-covered and otherwise
				  medically underserved individuals. Federal law allows states to sponsor a
				  limited number of physicians each federal fiscal year who will practice
				  medicine at a location outside a designated HPSA that serves significant
				  numbers or percentages of patients who reside in designated HPSAs. Sponsorships
				  will not be open to applicants hiring physicians to practice outside
				  HPSA-designated areas until January 15th of each federal fiscal year unless the
				  employer is a state correctional or psychiatric institution.
The determination of appropriateness for a sponsorship in a
				  nondesignated area will take into consideration the following factors.
(1)
Nature of the applicant and
				practice location(s).
Certain health care facilities play an important
				role in serving Washington's medically underserved populations. Specifically,
				providers of important services to the state's vulnerable population groups,
				particularly in specialty and tertiary care services draw patients from a large
				area, including designated HPSAs. Applicants must describe their practice
				location's service area and to what extent they provide service to residents of
				designated HPSAs.
(2)
Expected patient panel to be served by the sponsored physician.
Successful nondesignated waiver applicants must be able to describe:
(a) The percentage the sponsored physician's
				panel reasonably expected to be medicaid and medicare patients given current
				use of the service and practice location by those populations.
(b) How the applicant will ensure access to
				this physician for low-income or uninsured patients.
(c) If there is a unique practice area or
				substantial referral network making the physician a statewide resource for
				certain medical conditions.
(d) If
				the physician has language skills that will benefit patients at the practice
				location.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-080 - Criteria for the physician

Current through Register Vol. 24-14, July 15, 2024
(1) The
				physician seeking a J-1 visa waiver from Washington state must not have a J-1
				visa waiver application pending for any other employment offer. The physician
				must provide a letter attesting that no other applications are
				pending.
(2) The physician must
				have the qualifications described in recruitment efforts for a specific
				vacancy.
(3) The physician is
				considered eligible to apply for a waiver when:
(a) The physician has successfully completed
				a residency or fellowship program; or
(b) The physician is in the final year of a
				residency or fellowship program, and the physician provides a letter from their
				program that:
(i) Identifies the date the
				physician will complete the residency or fellowship program; and
(ii) Confirms the physician is in good
				standing with the program.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-085 - Eligibility for primary care and specialist waivers

Current through Register Vol. 24-14, July 15, 2024
(1)
Primary care waivers.
(a) Primary care waivers are available to the
				following physician specialties:
(i) Family
				medicine;
(ii) General internal
				medicine;
(iii)
				Pediatrics;
(iv) Geriatric
				medicine;
(v) Obstetrics and
				gynecology; or
(vi) Psychiatry and
				its subspecialties.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-087 - Eligibility for facilities hiring physicians as hospitalists

Current through Register Vol. 24-14, July 15, 2024
(1) An applicant is
				limited to one hospitalist sponsorship per hospital per federal fiscal year.
				Multiple employers at the same location are not allowed.
(2) An applicant may only use inpatient data
				on the patient visit report required in WAC
				246-562-060 to demonstrate that
				fifteen percent of applicant's total patient visits were to medicaid and other
				low-income patients.
(3) An
				applicant must identify primary care physicians in the community who will
				accept unattached medicaid, medicare or uninsured patients for follow-up
				care.
Statutory Authority:
					 Chapter
					 70.185 RCW and
					 Public Law
					 108-441. 06-07-035, § 246-562-087, filed
					 3/8/06, effective 4/8/06.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-090 - Application form

Current through Register Vol. 24-14, July 15, 2024
Applications must be completed, address all state and
				  federal requirements, and must include all required documents as specified in
				  the department application form. Applications are available on the department's
				  web site.
Statutory Authority:
					 Chapter
					 70.185 RCW and
					 Public Law
					 108-441. 06-07-035, § 246-562-090, filed
					 3/8/06, effective 4/8/06. Statutory Authority:
					 Chapter
					 70.185 RCW. 98-20-067,
					 § 246-562-090, filed 10/2/98, effective
					 11/2/98.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-100 - Criteria applied to federally designated facilities

Current through Register Vol. 24-14, July 15, 2024
Local, state, or federal institutions that are federally
				  designated with a facility designation may request state sponsorship. Physician
				  services may be limited to the population of the institution. All other state
				  and federal requirements must be met.
Statutory Authority:
					 Chapter
					 70.185 RCW. 98-20-067,
					 § 246-562-100, filed 10/2/98, effective
					 11/2/98.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-110

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 Chapter
					 70.185 RCW. 03-19-054,
					 § 246-562-110, filed 9/11/03, effective 10/12/03; 00-15-082, §
					 246-562-110, filed 7/19/00, effective 8/19/00; 98-20-067, § 246-562-110,
					 filed 10/2/98, effective 11/2/98.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-120 - Department review and action

Current through Register Vol. 24-14, July 15, 2024
(1) The
				department will review applications for completeness in the date order
				received.
(2) Applications must be
				mailed, sent by commercial carrier, or delivered in person as long as the U.S.
				Department of State requires a paper application.
(3) The department may limit the time period
				during which applications may be submitted including cutting off applications
				after the state has sponsored all applications allowed in a given federal
				fiscal year.
(4) If the department
				receives more complete applications than the number of available waiver slots,
				priority will be given in the following order:
(a) Applications submitted by state
				psychiatric or correctional facilities;
(b) Applications for physicians working in
				outpatient primary care practice locations that:
(i) Are located in a HPSA;
(ii) Serve the highest percentage of medicaid
				and other low-income patients; and
(iii) Are not eligible for another visa
				waiver program.
(c)
				Applications for physicians working in outpatient specialty care practice
				locations that:
(i) Are located in a HPSA;
				and
(ii) Serve the highest
				percentage of medicaid and other low-income patients.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-130 - Eligibility for future participation in the visa waiver program

Current through Register Vol. 24-14, July 15, 2024
(1) Applicants may
				be denied future participation in the state visa waiver program if:
(a) The required reports are not submitted in
				a complete and timely manner.
(b) A
				sponsored physician does not serve the designated HPSA or HPSA population at an
				approved practice location for the full three years of employment.
(c) A sponsored physician does not remain
				employed by the applicant for the full three years of employment.
(d) The applicant has a history of
				noncompliance with any of the provisions of this chapter or federal labor law
				requirements.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-140 - Department's responsibility to report to the U.S. Department of State and the United States Citizenship and Immigration Services

Current through Register Vol. 24-14, July 15, 2024
(1) The department may report to the U.S.
				Department of State and the United States Citizenship and Immigration Services
				if the applicant or physician is determined to be out of compliance with any of
				the provisions of this chapter.
(2)
				The department may report to the U.S. Department of State and the United States
				Citizenship and Immigration Services if the physician is determined to have
				left employment in the federally designated area.
Statutory Authority:
					 Chapter
					 70.185 RCW. 03-19-054,
					 § 246-562-140, filed 9/11/03, effective 10/12/03; 00-15-082, §
					 246-562-140, filed 7/19/00, effective 8/19/00; 98-20-067, § 246-562-140,
					 filed 10/2/98, effective 11/2/98.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-150 - Appeal process

Current through Register Vol. 24-14, July 15, 2024
(1) The applicant
				or physician may appeal the following department decisions:
(a) To deny or withdraw a visa waiver
				sponsorship;
(b) To deny a request
				for approval of an employment contract amendment;
(c) Determination that the applicant or
				physician is out of compliance with this chapter; or
(d) Determination that the applicant is not
				eligible for future participation in the visa waiver program.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-562 - Physician visa waivers › Section 246-562-160 - Implementation

Current through Register Vol. 24-14, July 15, 2024
Notwithstanding any other provision of this chapter, this
				  rule governs the allocation of departmental J-1 visa waiver sponsorships of
				  specialists and primary care physicians during the federal fiscal year which
				  begins October 1 of each year.
Statutory Authority:
					 Chapter
					 70.185 RCW. 03-19-054,
					 § 246-562-160, filed 9/11/03, effective 10/12/03; 02-19-084, §
					 246-562-160, filed 9/16/02, effective 10/17/02; 00-15-082, § 246-562-160,
					 filed 7/19/00, effective 8/19/00.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-564 - Volunteer retired provider malpractice insurance program › Section 246-564-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The volunteer retired provider malpractice insurance program
				  (VRP) was established under
				  RCW
				   43.70.460 and
				  43.70.470, and is administered by
				  the department of health. The VRP program serves low-income patients by
				  increasing access to health care services. The program pays the malpractice
				  insurance for volunteer health care providers in qualified practice
				  settings.
Statutory Authority: 2004 c 184,
					 RCW
					 43.70.470. 05-10-094, § 246-564-001,
					 filed 5/4/05, effective 6/4/05.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-564 - Volunteer retired provider malpractice insurance program › Section 246-564-010 - Qualified practice settings defined

Current through Register Vol. 24-14, July 15, 2024
Qualified practice settings include any of the
				  following:
(1) Public or tax exempt
				corporations.
(2) For-profit
				practice settings that maintain and hold themselves out to the public as
				providing health care services to medicaid patients and post a sliding fee
				scale.
(3) For-profit practice
				settings that have established hours on a regular basis for providing free
				health care services.
(4)
				For-profit practice settings that participate, through a written agreement, in
				a community-based program to provide access to health care services for
				uninsured persons.
Statutory Authority: 2004 c 184,
					 RCW
					 43.70.470. 05-10-094, § 246-564-010,
					 filed 5/4/05, effective 6/4/05.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-570 - EPINEPHRINE AUTOINJECTORS AND ANAPHYLAXIS TRAINING AND REPORTING FOR AUTHORIZED ENTITIES › Section 246-570-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this chapter is to establish the requirements
				  for epinephrine autoinjectors and anaphylaxis training for employees and
				  representatives of authorized entities under
				  RCW
				   70.54.440.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-570 - EPINEPHRINE AUTOINJECTORS AND ANAPHYLAXIS TRAINING AND REPORTING FOR AUTHORIZED ENTITIES › Section 246-570-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this
				  chapter unless the context clearly indicates otherwise.
(1) "Administer" or "administration" means
				the direct application of an epinephrine autoinjector to the body of an
				individual.
(2) "Authorized entity"
				means any entity or organization at or in connection with which allergens
				capable of causing anaphylaxis may be present including, but not limited to,
				restaurants, recreation camps, youth sports leagues, amusement parks, colleges,
				universities, and sports arenas.
(3) "Department" means the Washington state
				department of health.
(4)
				"Dispenser" means a health care provider who may dispense epinephrine
				autoinjectors pursuant to a prescription issued in the name of an authorized
				entity.
(5) "Epinephrine
				autoinjector" means a single-use device used for the automatic injection of a
				premeasured dose of epinephrine into the human body.
(6) "Prescriber" means an authorized health
				care provider allowed by law to prescribe an epinephrine autoinjector in the
				course of professional practice.
(7) "Training provider" means an
				organization, entity, business, or individual who provides epinephrine
				autoinjector and anaphylaxis training.
(8) "Self-administration" means a person's
				discretionary use of an epinephrine autoinjector on themselves.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-570 - EPINEPHRINE AUTOINJECTORS AND ANAPHYLAXIS TRAINING AND REPORTING FOR AUTHORIZED ENTITIES › Section 246-570-020 - Proof of epinephrine autoinjector and anaphylaxis training to obtain an epinephrine auto-injector for an authorized entity

Current through Register Vol. 24-14, July 15, 2024
Prior to prescribing or dispensing an epinephrine
				  autoinjector to an authorized entity, a prescriber or dispenser may require
				  proof of epinephrine autoinjector and anaphylaxis training.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-570 - EPINEPHRINE AUTOINJECTORS AND ANAPHYLAXIS TRAINING AND REPORTING FOR AUTHORIZED ENTITIES › Section 246-570-030 - Epinephrine autoinjector and anaphylaxis training certification

Current through Register Vol. 24-14, July 15, 2024
An employee or representative of an authorized entity shall
				  complete an epinephrine autoinjector and anaphylaxis training by an approved
				  training provider, as defined in WAC 246-570-040, prior to storing,
				  maintaining, providing or administering an epinephrine autoinjector made
				  available by an authorized entity.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-570 - EPINEPHRINE AUTOINJECTORS AND ANAPHYLAXIS TRAINING AND REPORTING FOR AUTHORIZED ENTITIES › Section 246-570-040 - Approved epinephrine autoinjector and anaphylaxis training provider

Current through Register Vol. 24-14, July 15, 2024
(1) Epinephrine
				autoinjector and anaphylaxis training must be conducted by:
(a) A nationally recognized organization
				experienced in training laypersons in emergency health treatment. For the
				purposes of this section, the American Red Cross anaphylaxis and epinephrine
				autoinjector training course is an approved training provider; or
(b) A training provider approved by the
				department must meet the following requirements:
(i) Training content must meet the
				requirements in WAC 246-570-050;
(ii) Each individual providing training shall
				have:
(A) Knowledge of epinephrine
				autoinjector and anaphylaxis; and
(B) Experience delivering training in
				epinephrine autoinjector administration, and anaphylaxis causes and
				symptoms.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-570 - EPINEPHRINE AUTOINJECTORS AND ANAPHYLAXIS TRAINING AND REPORTING FOR AUTHORIZED ENTITIES › Section 246-570-050 - Epinephrine autoinjector and anaphylaxis training content

Current through Register Vol. 24-14, July 15, 2024
(1) Epinephrine autoinjector and anaphylaxis
				training may be conducted online or in person and at a minimum, must include:
(a) Techniques on how to recognize symptoms
				of severe allergic reactions, including anaphylaxis;
(b) Standards and procedures for the storage
				and administration of an epinephrine autoinjector;
(c) Emergency follow-up procedures;
(d) The use and administration of an
				epinephrine autoinjector with adults and children; and
(e) An assessment to ensure the participant
				gained competency in anaphylaxis and epinephrine autoinjector
				administration.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-570 - EPINEPHRINE AUTOINJECTORS AND ANAPHYLAXIS TRAINING AND REPORTING FOR AUTHORIZED ENTITIES › Section 246-570-060 - Epinephrine autoinjector incident reporting

Current through Register Vol. 24-14, July 15, 2024
(1) Each authorized entity must report to the
				department each incident when an employee or representative who holds a
				training certificate under WAC 246-570-030 administers or provides an
				epinephrine autoinjector to a person believed to be suffering from
				anaphylaxis.
(2) The incident
				report must be reported within five days of the incident.
(3) The incident report must be on a form or
				format provided by the department.
Washington Administrative Code › Title 246 - Health, Department of › HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Chapter 246-570 - EPINEPHRINE AUTOINJECTORS AND ANAPHYLAXIS TRAINING AND REPORTING FOR AUTHORIZED ENTITIES › Section 246-570-070 - Training approval process

Current through Register Vol. 24-14, July 15, 2024
The secretary will consider for approval any training
				  provider which meets the requirements as outlined in this chapter.
(1) An authorized representative of the
				training provider shall request approval on a form provided by the
				department.
(2) The training
				provider must submit documentation demonstrating that training content meets
				the requirements of WAC 246-570-050.
(3) Upon the evaluation of a complete
				application, the secretary will grant or deny approval.
(4) If the department notifies a training
				provider of the department's intent to deny, suspend or revoke approval, the
				training provider may request an adjudicative proceeding under chapter 246-10
				WAC. A request for an adjudicative proceeding must be in writing, state the
				basis for contesting the adverse action, include a copy of the adverse notice
				and be served on and received by the department within twenty-eight days of the
				training provider's receipt of the adverse notice.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-650 - Newborn screening › Section 246-650-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this chapter is to establish board rules to
				  detect, in newborns, congenital disorders leading to developmental or physical
				  disabilities as required by
				  RCW
				   70.83.050 and to provide protections for the
				  confidentiality of information and human biological specimens submitted
				  pursuant to these requirements.
Statutory Authority:
					 Chapters
					 70.83,
					 43.20 RCW. 03-24-026, §
					 246-650-001, filed 11/24/03, effective 12/25/03. Statutory Authority:
					 RCW
					  43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-650-001, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					  43.20.050 and
					 70.83.050. 87-11-040 (Order 303),
					 § 248-103-001, filed 5/18/87.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-650 - Newborn screening › Section 246-650-020 - Performance of screening tests

Current through Register Vol. 24-14, July 15, 2024
(1)
				Hospitals and other providers of birth and delivery services or neonatal care
				to infants shall:
(a) Inform parents or
				guardians, by providing a departmental information pamphlet or by other means,
				of:
(i) The purpose of screening newborns for
				congenital disorders;
(ii)
				Disorders of concern as listed in WAC 246-650-020(2);
(iii) The requirement for newborn
				screening;
(iv) The legal right of
				parents or guardians to refuse testing because of religious tenets or practices
				as specified in
				RCW
				 70.83.020; and
(v) The specimen storage, retention and
				access requirements specified in WAC
				246-650-050.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-650 - Newborn screening › Section 246-650-035 - Screening for critical congenital heart disease

Current through Register Vol. 24-14, July 15, 2024
(1) Prior to a hospital discharge of a
				newborn, the hospital shall ensure that:
(a)
				A licensed health care provider perform critical congenital heart disease
				screening on the newborn using pulse oximetry according to recommended American
				Academy of Pediatrics guidelines;
(b) Record the results of the critical
				congenital heart disease screening test in the newborn's medical record;
				and
(c) If the screening test
				indicates a suspicion of abnormality, refer the newborn for appropriate care
				and report the test results to the newborn's attending health care provider and
				parent, parents, or guardian.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-650 - Newborn screening › Section 246-650-040 - Reports to the board and the public

Current through Register Vol. 24-14, July 15, 2024
(1)
				The department shall report to the board annually the following information
				concerning tests conducted under WAC
				246-650-020:
(a) The costs of tests as charged by the
				department;
(b) The results of each
				category of tests, by county of birth and racial or ethnic group, as reported
				on the newborn screening specimen/information form ; and
(c) Follow-up procedures and the results of
				such follow-up procedures.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-650 - Newborn screening › Section 246-650-990 - Screening charge

Current through Register Vol. 24-14, July 15, 2024
The department has authority under
				  RCW
				   43.20B.020 to require a reasonable charge
				  from parents, guardians, or responsible parties for the costs of newborn
				  screening. The charge is to be collected through the facility where the
				  specimen was obtained.
Statutory Authority:
					 RCW
					  70.83.040. 99-20-036, § 246-650-990,
					 filed 9/29/99, effective 10/30/99. Statutory Authority:
					 RCW
					  43.20B.020. 92-02-018 (Order 224), §
					 246-650-990, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					  43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-650-990, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					  43.20.050 and
					 70.83.050. 87-11-040 (Order 303),
					 § 248-103-030, filed 5/18/87.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-650 - Newborn screening › Section 246-650-991 - Specialty clinic support fee

Current through Register Vol. 24-14, July 15, 2024
The department has the authority under
				  RCW
				   70.83.023 to collect an eight dollar and
				  forty cent fee for each infant screened to fund specialty clinics that provide
				  treatment services for congenital disorders defined by the state board of
				  health under
				  RCW
				   70.83.020, and may also be used for purposes
				  of funding activities in subsection (2) of this section. This fee is to be
				  collected in conjunction with the screening charge described in WAC
				  246-650-990.
Statutory Authority:
					 RCW
					  70.83.040. 05-20-108, § 246-650-991,
					 filed 10/5/05, effective 11/5/05; 99-20-036, § 246-650-991, filed 9/29/99,
					 effective 10/30/99.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-680 - Prenatal tests - Congenital and heritable disorders › Section 246-680-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this chapter is to establish standards for
				  screening and diagnostic procedures for prenatal diagnosis of congenital
				  disorders of the fetus under
				  RCW
				   48.21.244,
				  48.44.344, and
				  48.46.375; and to establish
				  criteria and timelines regarding the availability and use of prenatal tests for
				  health care providers to share with pregnant women and couples as required
				  under RCW
				   70.54.220.
Statutory Authority:
					 RCW
					 43.20.050,
					 70.54.220. 03-11-031, §
					 246-680-001, filed 5/15/03, effective 6/15/03. Statutory Authority:
					 RCW
					 43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-680-001, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					  48.21.244,
					 48.44.344 and
					 48.46.375. 90-02-094 (Order 024),
					 § 248-106-001, filed 1/3/90, effective
					 2/3/90.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-680 - Prenatal tests - Congenital and heritable disorders › Section 246-680-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this chapter
				  unless the context clearly requires otherwise:
(1) "Amniocentesis" means a procedure to
				remove a small amount of amniotic fluid from the uterus of a pregnant person in
				order to perform one or more of the following laboratory tests:
(a) Measure the level of
				alpha-fetoprotein;
(b) Measure the
				level of acetylcholinesterase;
(c)
				Cytogenetic studies on fetal cells including chromosome analysis, cytogenomic
				microarray analysis (CMA), and fluorescent in-situ hybridization
				(FISH);
(d) Biochemical studies on
				fetal cells or amniotic fluid;
(e)
				Deoxyribonucleic acid (DNA) studies on fetal cells for single gene disorders or
				fetal genotyping for isoimmunization studies; and
(f) Infectious disease studies.
Washington Administrative Code › Title 246 - Health, Department of › LABORATORY › Chapter 246-680 - Prenatal tests - Congenital and heritable disorders › Section 246-680-020 - Board of health standards for screening and diagnostic tests during pregnancy

Current through Register Vol. 24-14, July 15, 2024
(1) For the
				purpose of
				RCW
				 48.21.244,
				48.44.344,
				and
				48.46.375,
				the following are standards of medical necessity for insurers, health care
				service contractors, and health maintenance organizations to use when
				authorizing requests or claims for prenatal screening or diagnosis without the
				requirement of a case-by-case determination:
(a) Hepatitis B surface antigen (HBsAg)
				screening for all pregnant persons during the first trimester of pregnancy and
				the last trimester of pregnancy if the person is at high risk for hepatitis B
				infection.
(b) Group B strep
				screening through prenatal vaginorectal cultures at thirty-five to thirty-seven
				weeks of gestation. Pregnant persons who are currently colonized with Group B
				strep, or who have unknown Group B strep status should receive intrapartum
				treatment in accordance with the current standard of practice in order to
				reduce risk to the newborn.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-001 - Declaration of purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of the children and youth with special health
				  care needs (CYSHCN) program is to assure comprehensive, coordinated,
				  integrated, family-centered, and culturally competent systems of care. The
				  CYSHCN program focuses on developing, extending, and improving services and
				  service systems for identifying, diagnosing, and treating infants, children,
				  and youth up to eighteen years of age who have or are at risk of developing
				  chronic physical, developmental, behavioral, or emotional conditions, or any
				  combination thereof, and require health and related services of a type beyond
				  what is required by children generally. The program works to ensure CYSHCN are
				  able to achieve the healthiest lives possible and develop to their fullest
				  potential by building the capacity of communities to support CYSHCN and their
				  families while developing and enhancing the capacity of statewide systems of
				  care that are comprehensive, coordinated, integrated, family-centered,
				  community-based, and culturally appropriate with the purpose of supporting and
				  promoting health equity.
Statutory Authority: RCW  43.20.140. 99-01-100, §
					 246-710-001, filed 12/17/98, effective 1/17/99. Statutory Authority:
					 RCW
					  43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-710-001, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW  43.20.140 and
					 43.20.050. 83-01-002 (Order 247),
					 § 248-105-010, filed 12/2/82.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this chapter
				  unless the context clearly requires otherwise.
(1) "Children and youth with special health
				care needs" or "CYSHCN" means children and youth up to eighteen years of age
				who have or are at increased risk of developing chronic physical,
				developmental, behavioral, or emotional conditions which require health and
				related services of a type or amount beyond that required by children
				generally.
(2) "Client" means a
				child or youth with special health care needs who is receiving services from a
				local CYSHCN agency.
(3) "CYSHCN
				program" means the program administered in the state of Washington by the
				department funded through the federal Title V Maternal Child Health block grant
				and other discretionary funding when available.
(4) "Department" means the Washington state
				department of health.
(5) "DX/TX
				funds" means diagnostic and treatment funds managed by the department that are
				used to pay for medically necessary services which are not covered by the
				HCA-medicaid program or other funding sources responsible and available for the
				care of a child or youth participating in the CYSHCN program.
(6) "Health care authority," "HCA," or
				"authority" means the state agency responsible for the administration of
				Washington state's medicaid program.
(7) "Local CYSHCN agency" means the local
				health jurisdiction or other local agency designated by the department to
				administer the CYSHCN program for the county where the client resides.
(8)"Nonphysician provider" means
				any medical, behavioral, developmental or social support worker or organization
				that has been determined by the department to provide services for CYSHCN, that
				does not hold an allopathic or osteopathic physician's license.
(9) "Services" means health-related
				interventions including, but not limited to:
(a) Early identification;
(b) Referrals for additional screening and
				diagnostic services;
(c) Care
				coordination;
(d) Case
				management;
(e) Family
				support;
(f) Health education and
				life skills;
(g) Medical,
				habilitative and rehabilitative services; and
(h) Equipment provided in the client's home
				or community setting by local CYSHCN agencies, physicians and nonphysician
				providers.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-030 - Scope and eligibility

Current through Register Vol. 24-14, July 15, 2024
(1) A child,
				youth, or family with a current address in Washington state is eligible for
				services if the child or youth is younger than eighteen years of age, and has
				one or more of the following:
(a) A disability
				or disabling condition(s);
(b)
				Chronic illness or condition(s);
(c) Health-related educational or behavioral
				condition(s); or
(d) A risk of
				developing disabilities, chronic conditions, or health-related educational and
				behavioral conditions.
For the purposes of subsection (1) of this section, length of
				  stay in the state is not considered in determining residency.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-050 - Authorization of diagnostic and treatment (DX/TX) funds

Current through Register Vol. 24-14, July 15, 2024
The department may authorize diagnostic and treatment
				  services paid for with CYSHCN funds in accordance with the following:
(1) The department shall make decisions about
				using DX/TX funds on a case-by-case basis. DX/TX funds are not intended for
				those items that are part of usual daily living expenses that are the
				responsibility of parents/caregivers. DX/TX funds are not entitlement funds and
				the local CYSHCN agency or the department may choose not to use those funds.
(2) The department may only make a
				decision about whether to pay for services with DX/TX funds once all of the
				following have been completed:
(a)
				Determination of financial eligibility for a client;
(b) Department receipt, review, and approval
				of a HSA form submitted electronically to the department by the local CYSHCN
				agency;
(c) Services must be
				recognized as an acceptable form of treatment by a significant portion of the
				professional community; and
(d)
				Determination by the department that the services are medically
				necessary.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-060 - Qualifications of providers

Current through Register Vol. 24-14, July 15, 2024
The department shall determine the eligibility of qualified
				  medical and nonmedical providers to receive payment out of DX/TX funds. A
				  service may not be authorized for out-of-state providers if an equivalent
				  service is available within the state of Washington. The department may
				  authorize the use of resources in bordering states when appropriate. Providers
				  of services paid for with DX/TX funds shall meet the following minimum
				  qualifications:
(1) Physicians,
				advanced registered nurse practitioners (ARNPs), and physician's assistants
				(PAs) must:
(a) Hold an active license in the
				jurisdiction where they practice;
(b) Be licensed, certified, or registered
				with the appropriate state authority and in good standing in the jurisdiction
				where they practice;
(c) Have no
				record of disciplinary action taken on his or her license in the previous five
				years; and
(d) Not be listed in the
				federal exclusions database.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-070 - Provider diagnostic and treatment fund fees and payments

Current through Register Vol. 24-14, July 15, 2024
(1) Payments to
				providers using DX/TX funds must be made using the current CYSHCN program
				standards and payment schedules, including the Washington state HCA-medicaid
				fee schedule and the CYSHCN program supplemental fee schedule.
(2) A provider shall consider payment to have
				been made in full for the services rendered when accepting the fees paid under
				this section.
(3) A provider may
				not bill or in any way seek billing or payment from a client for any remaining
				balances, unless the local CYSHCN agency has arranged for such billing before
				services were provided.
Statutory Authority: RCW  43.20.140. 99-01-100, §
					 246-710-070, filed 12/17/98, effective 1/17/99. Statutory Authority:
					 RCW
					  43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-710-070, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW  43.20.140 and
					 43.20.050. 83-01-002 (Order 247),
					 § 248-105-080, filed 12/2/82.