Can a provider limit the number of fee for service Medical Assistance clients they see?
A provider may limit the number of Medical Assistance clients they see as long as they do not limit the practice based on the clients age, race, sex, disability, etc. See WAC 388-502-0020(1)(h). A provider may limit the practice to established clients and not accept new clients. The provider may also limit their practice based on their specialty (e.g. OB/GYNs may restrict their practices to womens health care.)We expect that the provider will abide by this limit and not use the limit as a method to bill clients. For example, if the Medical Assistance practice is limited to 30 percent of the providers total patient load, he/she cannot continue to treat Medical Assistance clients above the 30 percent and bill these clients for their care.
Related Questions
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