Common use of Continuing Requirements Clause in Contracts

Continuing Requirements. To continue eligibility, a nonbil- ling provider must: (a) Only order, refer, or prescribe for clients consistent with the scope of their department of health (DOH) licensure and agency program rules; (b) Provide all services without discriminating on the grounds of race, creed, color, age, sex, sexual orientation, religion, national origin, marital status, the presence of any sensory, mental or physi- cal handicap, or the use of a trained dog guide or service animal by a person with a disability; (c) Document that the client was informed that the provider: (i) May bill the client for any billable item or service. The rules in WAC 182-502-0160 do not apply; and (ii) Is enrolled with the agency for the sole purpose of order- ing, prescribing, or referring items or services for clients. (d) Inform the agency of any changes to the provider's Medicaid Enrollment Application and Agreement for Nonbilling Individual Provid- ers form (HCA 13-002) including, but not limited to, changes in: (i) Address or telephone number; (ii) Business name. (e) Retain a current professional state license, registration, certification and applicable business license for the service being provided, and update the agency of all changes; (f) Inform the agency in writing within seven business days of receiving any informal or formal disciplinary order, decision, disci- plinary action or other action(s) including, but not limited to, re- strictions, limitations, conditions and suspensions resulting from the practitioner's acts, omissions, or conduct against the provider's li- cense, registration, or certification in any state; (g) Maintain professional liability coverage requirements, to the extent the nonbilling provider is not covered by the Federal Tort Claims Act, including related rules and regulations; (h) Not surrender, voluntarily or involuntarily, his or her pro- fessional state license, registration, or certification in any state while under investigation by that state or due to findings by that state resulting from the practitioner's acts, omissions, or conduct; (i) Furnish documentation or other assurances as determined by the agency in cases where a provider has an alcohol or chemical de- pendency problem, to adequately safeguard the health and safety of medical assistance clients that the provider: (i) Is complying with all conditions, limitations, or restric- tions to the provider's practice both public and private; and (ii) Is receiving treatment adequate to ensure that the dependen- cy problem will not affect the quality of the provider's practice. (j) Submit to a revalidation process at least every five years. This process includes, but is not limited to: (i) Updating provider information; (ii) Submitting forms as required by the agency including, but not limited to, a new Medicaid Enrollment Application and Agreement for Nonbilling Individual Providers form (HCA 13-002); and (iii) Passing the agency's screening process as specified in sub- section (4)(a)(vi) of this section. (k) Follow the laws and rules that govern the agency's programs. A nonbilling provider may contact the agency with questions regarding the agency's programs. However, the agency's response is based solely on the information provided to the agency's representative at the time of inquiry, and in no way exempts a nonbilling provider from this re- quirement.