What requirements must an RN, or LPN under the supervision of an RN, meet in order to provide and get paid for my PDN services?
In order to be paid by the department, a private RN under the supervision of a primary care provider or an LPN under the supervision of an RN, must:
(1) Be licensed and in good standing, as provided in RCW
18.79.030 (1) (3);
(2) Have a contract with the medicaid agency to provide PDN services;
(3) Complete a background check which requires fingerprinting if the RN or LPN has lived in Washington state less than three years;
(5) Have no finding of fact and conclusion of law (stipulated or otherwise), agreed order, or final order issued by a disciplining authority, a court of law, or entered into a state registry with a finding of abuse, neglect, abandonment or exploitation of a minor or vulnerable adult;
(6) Provide services according to the care plan under the supervision/direction of the primary care provider;
(9) Complete time sheets on a monthly basis;
(10) Complete the PDN seven-day look back skilled nursing task log and submit it to the CNC or NCC for review for initial eligibility determination, and for ongoing eligibility every six months; and
(11) Submit timely and accurate invoices for payment.
[Statutory Authority: RCW
74.08.090 and
74.09.520. WSR 15-03-038, § 388-106-1040, filed 1/12/15, effective 2/12/15; WSR 11-05-079, § 388-106-1040, filed 2/15/11, effective 3/18/11. Statutory Authority: RCW
74.08.090,
74.09.520 and 42 C.F.R. 440.80. WSR 05-24-091, § 388-106-1040, filed 12/6/05, effective 1/6/06.]