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PDFWAC 388-71-0553

When may the department summarily suspend an individual provider's contract?

The department, AAA, or managed care entity may summarily suspend the contract pending a hearing based on a reasonable, good faith belief that the client's health, safety, or well-being is in imminent jeopardy. Examples of circumstances indicating jeopardy could include, but are not limited to:
(1) The individual provider has committed domestic violence or abuse, neglect, abandonment, or exploitation of a child, as defined in RCW 26.44.020, or a vulnerable adult, as defined in RCW 74.34.020;
(2) The individual provider is engaged in the misuse of alcohol, controlled substances, or legend drugs during working hours;
(3) The individual provider engages in other behavior directed toward the client or other persons involved in the client's life that places the client at risk of harm;
(4) A report from the client's health care provider that the client's health is negatively affected by inadequate care being provided by the individual provider;
(5) A complaint from the client or client's representative that the client is not receiving adequate care from the individual provider;
(6) The individual provider failed to engage in essential interventions identified in the service plan, such as medications or medical supplies;
(7) The individual provider failed to respond appropriately to emergencies; and/or
(8) The department, AAA or department designee may also summarily suspend the individual provider's contract in accordance with the terms of the contract.
[Statutory Authority: RCW 74.08.090, 74.09.520. WSR 13-02-023, ยง 388-71-0553, filed 12/20/12, effective 1/20/13.]
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