Wash. Admin. Code § 182-546-4300 - Ambulance transportation- Behavioral health treatment-Reimbursement
(1) The agency, as
payer of last resort, pays the transportation costs for clients that a
Washington designated crisis responder (DCR) detains under the ITA on a
seventy-two hour initial detention or five-day revocation hold until the client
is discharged from the evaluation and treatment facility or admitted to a
state-managed inpatient facility.
(2) The agency pays only when it determines
that the involuntarily detained client:
(a)
Does not have any other third-party liability (TPL) payment source;
and
(b) When requiring the client
to pay would result in a substantial hardship upon the client or the client's
family. Refer to WAC
182-502-0160.
(3) The DCR must complete and sign
a copy of the agency's authorization of Secure Ambulance Transportation
Services to/from Behavioral Health Services form (HCA 42-0003) and must keep it
in the client's file.
(4) The
agency establishes payment for behavioral health related transportation
services when the transportation provider complies with the agency's
requirements for drivers, driver training, vehicle and equipment standards and
maintenance. Providers must clearly identify ITA transportation on the claim
when billing the agency.
(5) The
agency does not pay for transportation costs to or from out-of-state or
bordering cities for clients under the ITA program under any
circumstance.
Notes
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