PDFWAC 182-531-1250
Physician standby services.
(1) The medicaid agency pays physician standby services only when the standby physician or qualified health care professional (QHCP) does not provide care or services to other clients during this period, and either:
(a) The services are provided in conjunction with newborn care history and examination, or result in an admission to a neonatal intensive care unit on the same day; or
(b) A physician or QHCP requests another physician or QHCP to stand by, resulting in the prolonged attendance by the second physician without face-to-face client contact.
(2) The agency does not pay for physician standby services when any of the following occur:
(a) The standby ends in a surgery or procedure included in a global surgical reimbursement;
(b) The standby period is less than 30 minutes; or
(c) Time is spent proctoring another physician.
(3) The physician or QHCP must clearly document the need for physician standby services in the client's medical record.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 25-18-049, s 182-531-1250, filed 8/27/25, effective 9/27/25. WSR 11-14-075, recodified as § 182-531-1250, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 10-19-057, § 388-531-1250, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 01-01-012, § 388-531-1250, filed 12/6/00, effective 1/6/01.]