WAC 182-550-2541. Quality of care — Agency-approved acute PM&R hospital

(1) To ensure quality of care, the medicaid agency may conduct reviews (e.g., post-pay, on-site) of any agency-approved acute PM&R hospital. (2) A provider of acute PM&R services must act on any report of substandard care or violation of the hospital's medical staff bylaws and CARF standards. The provider must have and follow written procedures that: (a) Provide a resolution to either a complaint or grievance or both; and (b) Comply with applicable CARF standards for adults or pediatrics as appropriate. (3) A complaint or grievance regarding substandard conditions or care may be investigated by any one or more of the following: (a) The department of health (DOH); (b) The joint commission on accreditation of health care organizations (JCAHO); (c) CARF; (d) The agency; or (e) Other agencies with review authority for the medicaid agency's programs.