A medical respite program may provide medical respite care services when the medical respite program:
(1) Is enrolled as a Washington apple health medicaid provider for claims to be paid and be able to provide documentation of proof of service;
(2) Meets the standards for medical respite care programs set by NIMRC;
(3) Completes all necessary agency forms and attestation and receives agency approval; and
(4) Meets local codes and ordinances for licensing, safety, and occupancy.