(1)(a) The department shall
not pay a home care agency licensed under chapter 70.127 RCW for
in-home personal care or respite services provided under this
chapter, Title 71A RCW, or chapter 74.39 RCW if the care is
provided to a client by a family member of the client. To the
extent permitted under federal law, the provisions of this
subsection shall not apply if the family member providing care is
older than the client.
(b) The department may, on a case-by-case basis based on the
client's health and safety, make exceptions to (a) of this
subsection to authorize payment or to provide for payment during
a transition period of up to three months.
(2) The department shall take appropriate enforcement action
against a home care agency found to have charged the state for
hours of service for which the department is not authorized to
pay under this section, including requiring recoupment of any
payment made for those hours and, under criteria adopted by the
department by rule, terminating the contract of an agency that
violates a recoupment requirement.
(3) For purposes of this section:
(a) "Client" means a person who has been deemed eligible by
the department to receive in-home personal care or respite
services.
(b) "Family member" shall be liberally construed to include,
but not be limited to, a parent, child, sibling, aunt, uncle,
cousin, grandparent, grandchild, grandniece, or grandnephew, or
such relatives when related by marriage.
(4) The department shall adopt rules to implement this
section. The rules shall not result in affecting the amount,
duration, or scope of the personal care or respite services
benefit to which a client may be entitled pursuant to RCW 74.09.520 or Title XIX of the federal social security act.
[2009 c 571 § 1.]
NOTES:
Conflict with federal requirements -- Effective date -- 2009 c 571: See notes following RCW 74.39A.325.