| (a) Primary health care services, as described in Title
25, Part 1, Chapter 39 (relating to Primary Health Care Services Program)
will be delivered through a network of contractors.
(b) Services may be limited as to frequency, duration,
and cost for budgetary and administrative reasons.
(c) In order to conserve funds and effectively administer
the program, the department shall contract on a Request for Proposal
basis for primary health care services.
(d) The Department of State Health Services (DSHS)
shall publish public notice of Requests for Proposal, release the
applications, and select providers in accordance with state law and
department policy.
(e) DSHS may deny, modify, suspend, or terminate the
approval of providers for submitting false or fraudulent claims or
failing to provide and maintain quality services according to medically
acceptable standards. A provider's performance under its contract
may subject the provider to review, fraud referral to the appropriate
authority, and/or administrative sanctions.
(f) An applicant and/or a current contractor who is
aggrieved in connection with the award of a department contract to
provide primary health care services may file a protest in accordance
with DSHS policy.
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