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PDFWAC 246-710-010


The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
(1) "Children and youth with special health care needs" or "CYSHCN" means children and youth up to eighteen years of age who have or are at increased risk of developing chronic physical, developmental, behavioral, or emotional conditions which require health and related services of a type or amount beyond that required by children generally.
(2) "Client" means a child or youth with special health care needs who is receiving services from a local CYSHCN agency.
(3) "CYSHCN program" means the program administered in the state of Washington by the department funded through the federal Title V Maternal Child Health block grant and other discretionary funding when available.
(4) "Department" means the Washington state department of health.
(5) "DX/TX funds" means diagnostic and treatment funds managed by the department that are used to pay for medically necessary services which are not covered by the HCA-medicaid program or other funding sources responsible and available for the care of a child or youth participating in the CYSHCN program.
(6) "Health care authority," "HCA," or "authority" means the state agency responsible for the administration of Washington state's medicaid program.
(7) "Local CYSHCN agency" means the local health jurisdiction or other local agency designated by the department to administer the CYSHCN program for the county where the client resides.
(8) "Nonphysician provider" means any medical, behavioral, developmental or social support worker or organization that has been determined by the department to provide services for CYSHCN, that does not hold an allopathic or osteopathic physician's license.
(9) "Services" means health-related interventions including, but not limited to:
(a) Early identification;
(b) Referrals for additional screening and diagnostic services;
(c) Care coordination;
(d) Case management;
(e) Family support;
(f) Health education and life skills;
(g) Medical, habilitative and rehabilitative services; and
(h) Equipment provided in the client's home or community setting by local CYSHCN agencies, physicians and nonphysician providers.
[Statutory Authority: RCW 43.70.040, 43.70.080, and 43.70.120. WSR 20-16-108, § 246-710-010, filed 7/31/20, effective 8/31/20. Statutory Authority: RCW 43.20.140. WSR 99-01-100, § 246-710-010, filed 12/17/98, effective 1/17/99. Statutory Authority: RCW 43.20.050. WSR 91-02-051 (Order 124B), recodified as § 246-710-010, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 43.20.140 and 43.20.050. WSR 83-01-002 (Order 247), § 248-105-020, filed 12/2/82.]
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