# WAC 182-549-1200: WAC 182-549-1200. Rural health clinics — Enrollment

> Washington · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1200

## Section

- **Citation:** WAC 182-549-1200
- **Heading:** WAC 182-549-1200. Rural health clinics — Enrollment
- **Jurisdiction:** Washington
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Washington Administrative Code / Title 182 / Chapter 182-549 / Section 182-549-1200

## Text

(1) To participate in the Title XIX (medicaid) program or the Title XXI (CHIP) program and receive payment for services, a rural health clinic (RHC) must:
(a) Receive RHC certification for participation in the Title XVIII (medicare) program according to 42 C.F.R. 491;
(b) Sign a core provider agreement with the medicaid agency;
(c) Comply with the clinical laboratory improvement amendments (CLIA) of 1988 testing for all laboratory sites per 42 C.F.R. Part 493; and
(d) Operate in accordance with applicable federal, state, and local laws.
(2) An RHC may be a permanent or mobile unit. If an entity owns clinics in multiple locations, each individual site must be certified by the agency in order to receive reimbursement from the agency as an RHC.
(3) The agency uses one of two timeliness standards for determining the effective date of a medicaid-certified RHC.
(a) The agency uses medicare's effective date if the RHC returns a properly completed core provider agreement and a properly completed RHC enrollment packet within 60 calendar days from the date of CMS's written notification to the RHC of the medicare certification.
(b) The agency uses the date the medicare certification letter is received by the agency if the RHC returns either the properly completed core provider agreement or properly completed RHC enrollment packet after 60 calendar days of the date of medicare's letter notifying the clinic of the medicare certification.

## Nearby sections

- [WAC 182-549-1000 WAC 182-549-1000. Rural health clinics — Purpose](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1000.md)
- [WAC 182-549-1100 WAC 182-549-1100. Rural health clinics — Definitions](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1100.md)
- [WAC 182-549-1200 WAC 182-549-1200. Rural health clinics — Enrollment](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1200.md)
- [WAC 182-549-1300 WAC 182-549-1300. Rural health clinics — Services](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1300.md)
- [WAC 182-549-1400 WAC 182-549-1400. Rural health clinics — Reimbursement and limitations](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1400.md)
- [WAC 182-549-1450 WAC 182-549-1450. Rural health clinics — General payment information](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1450.md)
- [WAC 182-549-1500 WAC 182-549-1500. Rural health clinics — Change in scope of service rate adjustment](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1500.md)
- [WAC 182-549-1600 WAC 182-549-1600. Rural health clinics — Appeals related to overpayments](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1600.md)
- [WAC 182-549-1650 WAC 182-549-1650. Rural health clinics — Appeals related to rate setting](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1650.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_182_549_1200. Check the current official text before relying on it. Not legal advice.