WAC 182-553-400. Home infusion therapy and parenteral nutrition program — Provider requirements

(1) Eligible providers of home infusion supplies and equipment and parenteral nutrition solutions must: (a) Have a signed core provider agreement with the medicaid agency; and (b) Be one of the following provider types: (i) Pharmacy provider; (ii) Durable medical equipment (DME) provider; or (iii) Infusion therapy provider. (2) The agency pays eligible providers for home infusion supplies and equipment and parenteral nutrition solutions only when the providers: (a) Are able to provide home infusion therapy within their scope of practice; (b) Have evaluated each client in collaboration with the client's physician, pharmacist, or nurse to determine whether home infusion therapy and parenteral nutrition is an appropriate course of action; (c) Have determined that the therapies prescribed and the client's needs for care can be safely met; (d) Have assessed the client and obtained a written physician order for all solutions and medications administered to the client in the client's residence or in a dialysis center through intravenous, epidural, subcutaneous, or intrathecal routes; (e) Meet the requirements in WAC 182-502-0020 , including keeping legible, accurate, and complete client charts, and providing the following documentation in the client's medical file: (i) For a client receiving infusion therapy, the file must contain: (A) A copy of the written prescription for the therapy; (B) The client's age, height, and weight; and (C) The medical necessity for the specific home infusion service. (ii) For a client receiving parenteral nutrition, the file must contain: (A) All the information listed in (e)(i) of this subsection; (B) Oral or enteral feeding trials and outcomes, if applicable; (C) Duration of gastrointestinal impairment; and (D) The monitoring and reviewing of the client's lab values: (I) At the initiation of therapy; (II) At least once per month; and (III) When the client, the client's lab results, or both, are unstable.