WAC 182-20-160   Eligibility.  Applicants shall:

     (1) Demonstrate private, nonprofit, tax exempt status incorporated in Washington state or public agency status under the jurisdiction of a local or county government;

     (2) Receive other funds from at least one of the following sources:

     (a) Section 329 of the Public Health Services Act;

     (b) Section 330 of the Public Health Services Act;

     (c) Community development block grant funds;

     (d) Title V Urban Indian Health Service funds;

     (e) Tribal governments; or

     (f) Other public or private funds providing the clinic demonstrates:

     (i) Fifty-one percent of total clinic population are low income;

     (ii) Fifty-one percent or greater of funds come from sources other than programs under WAC 182-20-160;

     (3) Operate as a community health clinic providing primary health care for at least eighteen months prior to applying for funding;

     (4) Provide primary health care services with:

     (a) Twenty-four-hour coverage of the clinic including provision or arrangement for medical and/or dental services after clinic hours;

     (b) Direct clinical services provided by one or more of the following:

     (i) Physician licensed under chapters 18.57 and 18.71 RCW;

     (ii) Physician's assistant licensed under chapters 18.71A and 18.57A RCW;

     (iii) Advanced registered nurse practitioner under chapter 18.79 RCW;

     (iv) Dentist under chapter 18.32 RCW;

     (v) Dental hygienist under chapter 18.29 RCW;

     (c) Provision or arrangement for services as follows:

     (i) Preventive health services on-site or elsewhere including:

     (A) Eye and ear examinations for children;

     (B) Perinatal services;

     (C) Well-child services; and

     (D) Family planning services;

     (ii) Diagnostic and treatment services of physicians and where feasible a physician's assistant and/or advanced registered nurse practitioner, on-site;

     (iii) Services of a dental professional licensed under Title 18 RCW on-site or elsewhere;

     (iv) Diagnostic laboratory and radiological services on-site or elsewhere;

     (v) Emergency medical services on-site or elsewhere;

     (vi) Arrangements for transportation services;

     (vii) Preventive dental services on-site or elsewhere; and

     (viii) Pharmaceutical services, as appropriate, on-site or elsewhere;

     (5) Demonstrate eligibility to receive and receipt of reimbursement from:

     (a) Public insurance programs; and

     (b) Public assistant programs, where feasible and possible;

     (6) Have established for at least eighteen months an operating sliding scale fee schedule for adjustment of charges, based upon the individual's ability to pay for low-income individuals;

     (7) Provide health care regardless of the individual's ability to pay; and

     (8) Establish policies and procedures reflecting sensitivity to cultural and linguistic differences of individuals served and provide sufficient staff with the ability to communicate with the individuals.



[Statutory Authority: RCW 41.05.160, 41.05.220, and 41.05.230. 10-05-046 (Order 09-04), § 182-20-160, filed 2/10/10, effective 3/13/10. Statutory Authority: RCW 41.05.160. 01-04-080 (Order 00-06), § 182-20-160, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. 95-12-010, § 182-20-160, filed 5/26/95, effective 6/26/95.]