RCW 74.42.056
Department assessment of medicaid eligible individuals—Requirements.
A nursing facility shall not admit any individual who is medicaid eligible unless that individual has been assessed by the department. Appropriate hospital discharge shall not be delayed pending the assessment.
To ensure timely hospital discharge of medicaid eligible persons, the date of the request for a department long-term care assessment, or the date that nursing home care actually begins, whichever is later, shall be deemed the effective date of the initial service and payment authorization. The department shall respond promptly to such requests.
A nursing facility admitting an individual without a request for a department assessment shall not be reimbursed by the department and shall not be allowed to collect payment from a medicaid eligible individual for any care rendered before the date the facility makes a request to the department for an assessment. The date on which a nursing facility makes a request for a department long-term care assessment, or the date that nursing home care actually begins, whichever is later, shall be deemed the effective date of initial service and payment authorization for admissions regardless of the source of referral.
A medicaid eligible individual residing in a nursing facility who is transferred to an acute care hospital shall not be required to have a department assessment under this section prior to returning to the same or another nursing facility.
[ 1995 1st sp.s. c 18 § 7.]
NOTES:
Conflict with federal requirements—Severability—Effective date—1995 1st sp.s. c 18: See notes following RCW 74.39A.030.
Structure Revised Code of Washington
Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.
74.42.020 - Minimum standards.
74.42.030 - Resident to receive statement of rights, rules, services, and charges.
74.42.040 - Resident's rights regarding medical condition, care, and treatment.
74.42.050 - Residents to be treated with consideration, respect—Complaints.
74.42.055 - Discrimination against medicaid recipients prohibited.
74.42.056 - Department assessment of medicaid eligible individuals—Requirements.
74.42.057 - Notification regarding resident likely to become medicaid eligible.
74.42.058 - Department case management services.
74.42.060 - Management of residents' financial affairs.
74.42.080 - Confidentiality of records.
74.42.090 - Work tasks by residents.
74.42.110 - Freedom of association—Limits.
74.42.120 - Personal possessions.
74.42.130 - Individual financial records.
74.42.140 - Prescribed plan of care—Treatment, medication, diet services.
74.42.150 - Plan of care—Goals—Program—Responsibilities—Review.
74.42.170 - Rehabilitative services.
74.42.190 - Activities program—Recreation areas, equipment.
74.42.200 - Supervision of health care by physician—When required.
74.42.210 - Pharmacist services.
74.42.220 - Contracts for professional services from outside the agency.
74.42.225 - Self-medication programs for residents—Educational program—Implementation.
74.42.240 - Administering medication.
74.42.250 - Medication stop orders—Procedure for persons with developmental disabilities.
74.42.260 - Drug storage, security, inventory.
74.42.280 - Adverse drug reaction.
74.42.285 - Immunizations—Rules.
74.42.290 - Meal intervals—Food handling—Utensils—Disposal.
74.42.300 - Nutritionist—Menus, special diets.
74.42.310 - Staff duties at meals.
74.42.320 - Sanitary procedures for food preparation.
74.42.340 - Administrative support—Purchasing—Inventory control.
74.42.350 - Organization chart.
74.42.360 - Adequate staff—Minimum staffing standards—Exceptions—Definition.
74.42.370 - Licensed administrator.
74.42.380 - Director of nursing services.
74.42.390 - Communication system.
74.42.400 - Engineering and maintenance personnel.
74.42.420 - Resident record system.
74.42.430 - Written policy guidelines.
74.42.440 - Facility rated capacity not to be exceeded.
74.42.455 - Transitional care management.
74.42.460 - Organization plan and procedures.
74.42.470 - Infected employees.
74.42.490 - Room requirements—Waiver.
74.42.500 - Toilet and bathing facilities.
74.42.510 - Room for dining, recreation, social activities—Waiver.
74.42.540 - Building requirements.
74.42.560 - Emergency lighting for facilities housing persons with developmental disabilities.
74.42.570 - Health and safety requirements.
74.42.580 - Penalties for violation of standards.
74.42.620 - Departmental rules.
74.42.630 - Conflict with federal requirements.
74.42.640 - Quality assurance committee.
74.42.910 - Construction—Conflict with federal requirements.
74.42.920 - Chapter 74.42 RCW suspended—Effective date delayed until January 1, 1981.