WAC 182-531-0250. Who can provide and bill for physician-related and health care professional services

(1) The health care professionals and health care entities listed in WAC 182-502-0002 and enrolled with the medicaid agency can bill for physician-related and health care professional services that are within their scope of practice. (2) The agency pays for services provided by, or in conjunction with, a resident physician when: (a) The services are billed under the teaching hospital's national provider identifier (NPI) or the supervising physician's NPI; (b) The servicing provider is identified on the claim under the teaching or resident physician's NPI; and (c) The services are provided and billed according to this chapter and chapters 182-501 and 182-502 WAC. (3) The agency does not pay for services performed by any of the health care professionals listed in WAC 182-502-0003 . (4) The agency pays eligible providers for physician-related services and health care professional services if those services are mandated by, and provided to clients who are eligible for, one of the following: (a) The early periodic screening, diagnosis, and treatment (EPSDT) program, see chapter 182-534 WAC; (b) A Washington apple health program for qualified medicare beneficiaries (QMB); or (c) A waiver program.