Washington Administrative Code

DVR purchases the following VR services by contract:(1) Vocational evaluation services,(2) Job placement/retention services,(3) Transitional employment services.[Statutory Authority: RCW 43.20A.310(2), 74.29.020(3) and 74.29.080(8). WSR 03-19-075, § 388-892-0100, filed 9/12/03, e…

There are three types of vocational evaluation services:(1) "Brief" vocational assessment services are:(a) Paper and pencil tests, such as psychometric testing, personality testing, preference and interest inventories that identify an individual's work interests and abilities; an…

(1) Job placement/retention services mean referral of an individual to a specific job that results in a competitive employment job placement, training activities that enable an individual to adequately perform essential job functions and provision of services after job placement …

Specialized job placement/retention services include two levels - level 1 and level 2:(1) Level 1 services are provided for individuals who, as determined by DVR, may require a high level of support prior to or during the initial phases of job placement but do not require ongoing…

Transitional employment services:(1) Meet the vocational rehabilitation needs of individuals with severe and persistent mental illness.(2) Assess and build an individual's skills and abilities in a real work setting.(3) Utilize the clubhouse programs model/international center fo…

(1) DVR contracts with qualified service providers for the provision of vocational evaluation, job placement/retention and transitional employment services through a request for qualifications (RFQ) contract procurement process that is administered by DVR.(2) A qualified provider…

(1) RFQs are issued on a periodic cycle to be determined by DVR, for example, every two years. The duration of the VR service contracts resulting from the RFQ will be announced in the RFQ. DVR reserves the right to extend the contracts by offering up to three one-year extensions.…

A VR service contractor must meet all of the following uniform qualifications, as specifically detailed in the DVR RFQ for VR service contracts, to obtain any/all specific types of initial VR service contracts. Such qualifications shall include but not be limited to, qualificatio…

An initial VR service contract may be granted for a period of up to two years or for a duration as announced in the RFQ.[Statutory Authority: RCW 43.20A.310(2), 74.29.020(3) and 74.29.080(8). WSR 03-19-075, § 388-892-0310, filed 9/12/03, effective 10/13/03.]

DVR may add VR service contractors between RFQs if DVR determines the contract is needed and the contractor meets all uniform VR service contract qualifications outlined in this chapter.[Statutory Authority: RCW 43.20A.310(2), 74.29.020(3) and 74.29.080(8). WSR 03-19-075, § 388-8…

(1) To receive subsequent VR service contracts, a contractor must respond to each RFQ by submitting a proposal showing that they:(a) Continue to meet all uniform VR service contract qualifications;(b) Have met DVR's performance standards established in the prior VR service contra…

(1) In addition to the uniform VR service contract qualifications, additional contractor qualifications apply to each specific type of VR service contract.(2) A separate RFQ is published for each specific type of VR service contract that outlines the additional contractor qualifi…

(1) Individuals or organizations providing brief vocational assessment and/or comprehensive vocational evaluation services must maintain conformance to all uniform VR service contract qualifications and be:(a) Qualified as a certified vocational evaluator (CVE) by the commission …

(1) Organizations that provide any job placement/retention service must maintain conformance to all uniform VR service contract qualifications.(2) There are no additional qualifications for organizations that provide general job placement/retention services.(3) Organizations that…

Organizations that provide transitional employment services contracts must:(1) Maintain conformance to all uniform VR service contract qualifications; and(2) Be certified by the International Center for Clubhouse Development (ICCD).[Statutory Authority: RCW 43.20A.310(2), 74.29.0…

All DVR VR service contracts may be granted for a period of up to two years or for a duration as announced in the RFQ.[Statutory Authority: RCW 43.20A.310(2), 74.29.020(3) and 74.29.080(8). WSR 03-19-075, § 388-892-0450, filed 9/12/03, effective 10/13/03.]

To establish reasonable reimbursement rates for vocational rehabilitation services while providing informed choice and access, DVR establishes fixed fees for VR contract services as follows:(1) Every six years, or on an interval as announced, and with input received from the serv…

(1) DVR may decide not to accept a bid or an offer by a person or organization seeking to provide contracted VR services if the bid or offer does not meet minimum RFQ requirements. The DSHS bid protest procedures set forth in the request for qualifications shall be the exclusive …

DVR may define and contract for the purchase of any vocational rehabilitation services outside of these rules if necessary to meet the vocational rehabilitation needs of any individual or group of DVR customers.[Statutory Authority: RCW 43.20A.310(2), 74.29.020(3) and 74.29.080(8…

Unless the context indicates otherwise, the following definitions apply in this chapter."Accounting" means activities providing information, usually quantitative and often expressed in monetary units, for:(1) Decision making;(2) Planning;(3) Evaluating performance;(4) Controlling…

In order to participate in the nursing facility medicaid payment system established by this chapter and chapter 74.46 RCW, the person or legal entity responsible for operation of a facility shall:(1) Obtain a state certificate of need and/or federal capital expenditure review (se…

(1) Cost reports and final audit reports filed by the contractor shall be subject to public disclosure pursuant to chapter 42.56 RCW.(2) Subsection (1) of this section does not prevent a contractor from having access to its own records or from authorizing an agent or designee to …

The nursing facility medicaid payment system is the system used by the department to pay for nursing facility services provided to medical care recipients. Payment for nursing facility care shall be determined in accordance with this chapter and chapter 74.46 RCW. The provisions …

(1) The contractor must submit annually a complete report of costs and financial conditions of the contractor that is prepared and presented in a standardized manner and in accordance with this chapter and chapter 74.46 RCW.(2) The department will review the contractor's costs an…

(1) For purposes of administering the payment system, the department shall consider a "new contractor" as one who receives a new vendor number and:(a) Builds from the ground-up a new facility; and operates the new facility with completely new staff, administration and residents. …

(1) To determine reported costs, nursing facility contractors shall use generally accepted accounting principles, the provisions of this chapter, and chapter 74.46 RCW. In the event of conflict, chapter 74.46 RCW, this chapter, and instructions issued by the department take prece…

(1) The contractor shall specify a location in the state of Washington at which the contractor shall retain all records supporting the cost reports for a period of four years following the filing of the required cost reports. Also, at the same location, for a period of four years…

The department will retain cost reports for one year after final settlement or reconciliation, or the period required under chapter 40.14 RCW, whichever is longer. Resident assessment information and records shall be retained as provided in statute or by department rule.[Statutor…

(1) A contractor may request in writing an extension for submitting cost reports. Contractor requests must:(a) Be addressed to the manager, nursing facility rates program;(b) State the circumstances prohibiting compliance with the report due date; and(c) Be received by the depart…

(1) If a nursing facility's contract is terminated or assigned, and the nursing facility does not submit a final cost report as required by WAC 388-96-022, the nursing facility shall return to the department all payments made to the terminating or assigning contractor relating to…

The contractor as defined in RCW 74.46.020(13) must certify under penalty of perjury that the cost report or an amendment to it is a true, correct, and complete representation of actual costs related to patient care prepared in accordance with applicable instructions provided by …

(1) If a contractor knowingly or with reason to know files a report containing false information, such action constitutes good cause for termination of its contract with the department.(2) In accordance with RCW 74.46.531, the department will make adjustments to payment rates bec…

(1) For the purpose of determining allowable costs, the department must consider an amendment to an annual report only if filed by the provider before the receipt by the provider of the notification scheduling the department's audit. The contractor may file an amendment subsequen…

(1) The purposes of department audits and examinations under this chapter and chapter 74.46 RCW are to ascertain that:(a) Allowable costs for each year for each medicaid nursing facility are accurately reported;(b) Cost reports accurately reflect the true financial condition, rev…

(1) The department must reconcile medicaid resident days to billed days and medicaid payments for each medicaid nursing facility for each calendar year, or for that portion of the calendar year the provider's contract was in effect.(2) The contractor must make any payment owed th…

(1) Contractors must submit with each annual nursing facility cost report a proposed settlement report showing underspending or overspending in each component rate during the cost report year on a per-resident day basis. The department must accept or reject the proposed settlemen…

(1) The department may deny, suspend, or revoke a license or provisional license or, in lieu thereof or in addition thereto, assess monetary penalties of a civil nature not to exceed one thousand dollars per violation in any case in which it finds that the licensee, or any partne…

(1) For each component rate, the department must calculate a proposed, preliminary, or final settlement at the lower of prospective payment rate or audited allowable costs, except as otherwise provided in this chapter or chapter 74.46 RCW.(2) As part of the cost report, the propo…

(1) Any contractor obtaining benefits or payments under the medical assistance program to which such contractor is not entitled or in an amount to which such contractor is not entitled, shall be liable for such benefits or payments received and for interest on the amount of benef…

(1) A nursing facility may not require residents to deposit personal funds with the facility. A facility may hold a resident's personal funds only if the resident or resident's guardian provides written authorization.(2) Once a nursing facility accepts the written authorization o…

(1) The facility shall assure a full and complete separate accounting of each resident's personal funds. Each account record and related supporting information and documentation shall:(a) Be maintained at the facility;(b) Be kept current;(c) Be balanced each month; and(d) Show in…

(1) This petty cash fund shall be an imprest fund limited to one thousand dollars unless the facility demonstrates good cause for the department to grant a higher limit. All moneys over and above the petty cash limit shall be deposited intact in an interest bearing account or acc…

Personal funds shall be held and used for the benefit of the resident and are not to be turned over to anyone other than the resident or the resident's guardian without the written consent of the resident, the resident's designated agent as appointed by power of attorney, or appr…

Funds held for any resident shall be available for the resident's personal and incidental needs when requested by the resident or one of the individuals designated in WAC 388-96-375.[Statutory Authority: RCW 74.46.800, 74.42.620 and 74.09.120. WSR 90-20-075 (Order 3070), § 388-96…

(1) When a resident is discharged or transferred, the balance of the resident's personal funds shall be returned to the individual designated in WAC 388-96-375 within thirty days and a receipt obtained. In some cases it may be advisable to mail the refund to the resident's new re…

(1) Upon the death of a resident, the facility shall convey within thirty days the resident's personal funds held by the facility with a final accounting of such funds to the department of social and health services office of financial recovery (or successor office) or to the ind…

(1) The substance of a transaction will prevail over its form.(2) All documented costs which are ordinary, necessary, related to care of medical care recipients, and not expressly unallowable under this chapter and/or chapter 74.46 RCW are to be allowable.(3) Costs of providing t…