WAC 182-537-0600. School district requirements for billing and payment

To receive payment from the medicaid agency for providing school-based health care services (SBHS) to eligible children, a school district must: (1) Enroll as a billing provider in ProviderOne and have a current, signed core provider agreement (CPA) with the agency. (2) Have a current, signed, and executed SBHS contract with the agency. (3) Meet the applicable requirements in chapter 182-502 WAC. (4) Comply with the applicable requirements in the agency's current, published ProviderOne billing and resource guide. (5) Bill according to the agency's current SBHS billing guide and the SBHS fee schedule. (6) Provide only early intervention or health care-related services identified through a current individualized education program (IEP) or individualized family service plan (IFSP). (7) Use only licensed health care providers or nonlicensed people practicing under the supervision of a licensed provider under WAC 182-537-0350 . (8) Enroll licensed health care providers as servicing providers under the school district's ProviderOne account, and ensure providers have their own national provider identifier (NPI) number. (9) Meet documentation requirements described in WAC 182-537-0700 .