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PDFWAC 296-31-085

Can out-of-state providers bill the department?

(1) Providers of mental health diagnostic and treatment services located outside the state of Washington:
(a) May bill us for services that we allow and are authorized by the crime victims compensation program mental health treatment rules;
(b) Must bill us according to the provisions of this chapter;
(c) Must bill their usual and customary fees; and
(d) Will be paid according to the Washington state crime victims compensation program mental health treatment rules and fees.
Exception: Hospitals located outside the state of Washington are paid according to WAC 296-30-081.
(2) Independent medical or mental health examinations must be billed and will be paid according to the examiner’s usual and customary fee.
(3) We will not reimburse a charge for service(s) allowed under any out-of-state crime victims compensation program unless it is allowed in chapters 296-30 and 296-31 WAC. When in doubt, the provider should contact us to verify coverage.
[Statutory Authority: RCW 7.68.030, 7.68.080, 7.68.120, 51.36.010, 51.04.020 (1) and (4) and 51.04.030. WSR 99-07-004, § 296-31-085, filed 3/4/99, effective 4/4/99.]
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