Wash. Admin. Code § 182-546-4200 - Ambulance transportation- Behavioral health treatment-Coverage
(1) To be
considered an Involuntary Treatment Act (ITA) transport, a client's involuntary
status must have resulted from:
(a) A
petition for initial detention filed by a DCR (seventy-two hour hold);
and
(b) Continued hospitalization
(fourteen-day, ninety-day, or one hundred eighty-day holds) under order of the
superior court in a community hospital (not for clients residing in western or
eastern state hospitals); or
(c) A
petition for revocation of a conditional release or less restrictive treatment
agreement.
(2) ITA
transportation for a client is covered:
(a)
From:
(i) The site of initial detention;
(ii) A court competency hearing;
(iii) A local emergency room
department;
(iv) An evaluation and
treatment facility;
(v) A state
hospital; and
(vi) A secured
detoxification facility or crisis response center.
(b) To:
(i)
A state hospital;
(ii) A less
restrictive alternative setting (except home);
(iii) A court competency hearing;
(iv) A local emergency room
department;
(v) An evaluation and
treatment facility; and
(vi) A
secured detoxification facility or crisis response center.
(c) When provided by an ambulance
transportation provider or law enforcement.
(d) When transported to the closest and most
appropriate destination or a place designated by the DCR and/or courts. The
reason for a diversion to a more distant facility must be clearly documented in
the client's file.
(3)
Children's long-term inpatient program (CLIP) -Transportation
provided to a children's long-term inpatient program (CLIP) facility is
considered a form of nonemergency medical transportation and requires a
physician certification statement (PCS) or nonphysician certification statement
(NPCS).
(4)
Parent initiated
treatment (PIT) - Use of nonemergency ambulance transportation to an
inpatient psychiatric facility for voluntary inpatient admission must be
medically necessary at the time of transport. The agency requires a PCS or NPCS
signed by a psychiatric registered nurse, psychiatric advanced registered nurse
practitioner (ARNP), or psychiatric physician's assistant (PA). The PCS or NPCS
form documents the client's medical condition at the time of the
transport.
(5)
Persons
without apple health or other coverage -If the person does not have
apple health or any third-party health insurance, and the person or the
person's family cannot pay for transportation related to services in
RCW
71.05.150 through
71.05.310
and
71.05.340:
(a) The ambulance provider may submit a claim
to the agency for that person; and
(b) The claim must be accompanied by back-up
documentation consistent with Washington superior court mental proceeding Rule
2.2 and show that the transport occurred within three days of the person's
detention.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) To be considered an Involuntary Treatment Act (ITA) transport, a client's involuntary status must have resulted from:
(a) A petition for initial detention filed by a DCR (seventy-two hour hold); and
(b) Continued hospitalization (fourteen-day, ninety-day, or one hundred eighty-day holds) under order of the superior court in a community hospital (not for clients residing in western or eastern state hospitals); or
(c) A petition for revocation of a conditional release or less restrictive treatment agreement.
(2) ITA transportation for a client is covered:
(a) From:
(i) The site of initial detention ;
(ii) A court competency hearing;
(iii) A local emergency room department;
(iv) An evaluation and treatment facility;
(v) A state hospital; and
(vi) A secured detoxification facility or crisis response center.
(b) To:
(i) A state hospital;
(ii) A less restrictive alternative setting (except home);
(iii) A court competency hearing;
(iv) A local emergency room department;
(v) An evaluation and treatment facility; and
(vi) A secured detoxification facility or crisis response center.
(c) When provided by an ambulance transportation provider or law enforcement.
(d) When transported to the closest and most appropriate destination or a place designated by the DCR and/or courts. The reason for a diversion to a more distant facility must be clearly documented in the client's file.
(3) Children's long-term inpatient program (CLIP) -Transportation provided to a children's long-term inpatient program (CLIP) facility is considered a form of nonemergency medical transportation and requires a physician certification statement (PCS) or nonphysician certification statement (NPCS).
(4) Parent initiated treatment (PIT) - Use of nonemergency ambulance transportation to an inpatient psychiatric facility for voluntary inpatient admission must be medically necessary at the time of transport. The agency requires a PCS or NPCS signed by a psychiatric registered nurse, psychiatric advanced registered nurse practitioner (ARNP), or psychiatric physician's assistant (PA). The PCS or NPCS form documents the client's medical condition at the time of the transport.
(5) Persons without apple health or other coverage -If the person does not have apple health or any third-party health insurance, and the person or the person's family cannot pay for transportation related to services in RCW 71.05.150 through 71.05.310 and 71.05.340:
(a) The ambulance provider may submit a claim to the agency for that person; and
(b) The claim must be accompanied by back-up documentation consistent with Washington superior court mental proceeding Rule 2.2 and show that the transport occurred within three days of the person's detention.