PDFWAC 182-502-0002
Eligible provider types.
The following health care professionals, health care entities, suppliers or contractors of service may request enrollment with the Washington state health care authority (medicaid agency) to provide covered health care services to eligible clients. For the purposes of this chapter, health care services include treatment, equipment, related supplies, and drugs.
(1) Professionals:
(a) Advanced registered nurse practitioners;
(b) Anesthesia providers, as provided in WAC 182-531-0300:
(i) Physician anesthesiologists;
(ii) Anesthesiology residents;
(iii) Certified anesthesiologist assistants; and
(iv) Certified registered nurse anesthetists;
(c) Applied behavior analysis (ABA) professionals, as provided in WAC 182-531A-0800:
(i) Licensed behavior analysts;
(ii) Licensed assistant behavior analysts; and
(iii) Certified behavior technicians;
(d) Audiologists;
(e) Birth doulas;
(f) Certified peer counselors;
(g) Certified behavioral health support specialists;
(h) Certified peer support specialists;
(i) Certified peer support specialist trainees;
(j) Chiropractors;
(k) Community health workers (CHWs);
(l) Dental health aide therapists, as provided in chapter 70.350 RCW;
(m) Dental hygienists;
(n) Dental therapists;
(o) Denturists;
(p) Dentists;
(q) Dietitians or nutritionists;
(r) Hearing aid fitters/dispensers;
(s) Home health aides credentialed with the department of health (DOH) as nursing assistants certified or nursing assistants registered;
(t) Licensed independent clinical social worker associates;
(u) Licensed independent clinical social workers;
(v) Licensed marriage and family therapists;
(w) Licensed marriage and family therapist associates;
(x) Licensed mental health counselors;
(y) Licensed mental health counselor associates;
(z) Licensed practical nurses;
(aa) Licensed social workers advanced;
(bb) Licensed social worker associates advanced;
(cc) Midwives;
(dd) Naturopathic physicians;
(ee) Nurse anesthetists;
(ff) Ocularists;
(gg) Occupational therapists;
(hh) Ophthalmologists;
(ii) Opticians;
(jj) Optometrists;
(kk) Orthodontists;
(ll) Orthotists;
(mm) Osteopathic physicians;
(nn) Osteopathic physician assistants;
(oo) Podiatric physicians;
(pp) Pharmacists;
(qq) Physicians;
(rr) Physician assistants;
(ss) Physical therapists;
(tt) Prosthetists;
(uu) Psychiatrists;
(vv) Psychological associates;
(ww) Psychologists;
(xx) Radiologists;
(yy) Registered nurses;
(zz) Registered nurse delegators;
(aaa) Registered nurse first assistants;
(bbb) Respiratory therapists;
(ccc) Speech/language pathologists; and
(ddd) Substance use disorder professionals.
(2) Agencies, centers, and facilities:
(a) Adult day health centers;
(b) Ambulance services (ground and air);
(c) Ambulatory surgery centers (medicare-certified);
(d) Birthing centers (licensed by DOH);
(e) Cardiac diagnostic centers;
(f) Case management agencies;
(g) Substance use disorder treatment facilities certified by DOH;
(h) Withdrawal management treatment facilities certified by DOH;
(i) Community acquired immune deficiency syndrome (AIDS) services alternative agencies;
(j) Community behavioral health support services provider facilities;
(k) Community mental health centers;
(l) Diagnostic centers;
(m) Family planning clinics;
(n) Federally qualified health centers (designated by the federal department of health and human services);
(o) Genetic counseling agencies;
(p) Health departments;
(q) Health maintenance organizations (HMOs)/managed care organizations (MCOs);
(r) Human immunodeficiency virus (HIV)/AIDS case management agencies;
(s) Home health agencies;
(t) Hospice agencies;
(u) Hospitals;
(v) Independent diagnostic testing facilities;
(w) Indian health service facilities/tribal 638 facilities;
(x) Inpatient psychiatric facilities;
(y) Intermediate care facilities for individuals with intellectual disabilities (ICF-IID);
(z) Kidney centers;
(aa) Laboratories (clinical laboratory improvement amendments (CLIA) certified);
(bb) Maternity support services agencies; maternity case managers; infant case management, first steps providers;
(cc) Neuromuscular and neurodevelopmental centers;
(dd) Nurse services/delegation;
(ee) Nursing facilities (approved by the department of social and health services home and community living administration);
(ff) Pathology laboratories;
(gg) Pharmacies;
(hh) Private duty nursing agencies;
(ii) Radiology - Stand-alone clinics;
(jj) Rural health clinics (medicare-certified);
(kk) School districts and educational service districts;
(ll) Sleep study centers; and
(mm) Tribal or urban Indian clinics.
(3) Suppliers of:
(a) Blood, blood products, and related services;
(b) Complex rehabilitation technologies;
(c) Durable and nondurable medical equipment and supplies;
(d) Hearing aids;
(e) Infusion therapy equipment and supplies;
(f) Prosthetics/orthotics; and
(g) Respiratory care, equipment, and supplies.
(4) Contractors:
(a) Eyeglass and contact lens providers;
(b) Independent sign language interpreters;
(c) Spoken language interpreter services agencies; and
(d) Transportation brokers.
[Statutory Authority: RCW 41.05.021, 41.05.160, 2024 c 371, and chapter 246-929 WAC. WSR 25-22-061, s 182-502-0002, filed 10/30/25, effective 1/1/26. Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 25-12-057, s 182-502-0002, filed 5/29/25, effective 7/1/25; WSR 24-23-096, s 182-502-0002, filed 11/19/24, effective 1/1/25; WSR 24-12-036, § 182-502-0002, filed 5/30/24, effective 7/1/24. Statutory Authority: RCW 41.05.021, 41.05.160, and P.L. 114-255. WSR 23-24-026, § 182-502-0002, filed 11/29/23, effective 1/1/24. Statutory Authority: RCW 41.05.021, 41.05.160, 71A.10.020(11), and chapter 18.205 RCW. WSR 23-04-071, § 182-502-0002, filed 1/30/23, effective 3/2/23. Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 22-15-115, § 182-502-0002, filed 7/20/22, effective 8/20/22; WSR 22-07-105, § 182-502-0002, filed 3/23/22, effective 4/23/22. Statutory Authority: RCW 41.05.021, 41.05.160 and 2019 c 415 § 211(49). WSR 19-20-046, § 182-502-0002, filed 9/25/19, effective 10/26/19. Statutory Authority: RCW 41.05.021, 2013 c 178, and 2013 2nd sp.s. c 4. WSR 14-06-054, § 182-502-0002, filed 2/27/14, effective 3/30/14. WSR 11-14-075, recodified as § 182-502-0002, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.080, and 74.09.290. WSR 11-11-017, § 388-502-0002, filed 5/9/11, effective 6/9/11.]