PDFWAC 182-538-040

Introduction.

(1) This chapter governs services provided under the Washington apple health integrated managed care (IMC) contract.
(2) IMC provides physical and behavioral health services to medicaid beneficiaries through managed care.
(3) IMC includes enrollees receiving behavioral health services only (BHSO).
(4) IMC medicaid services are available only through a contracted managed care organization (MCO) and its provider network, except as identified in this chapter.
(5) For nonmedicaid funded behavioral health wraparound services, see chapter 182-538B WAC.
(6) For crisis and crisis related behavioral health services, see chapter 182-538C WAC.
(7) For behavioral health services, also see chapter 182-538D WAC.
[Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201. WSR 19-24-063, § 182-538-040, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. Parts 431, 433, 438, 440, 457, and 495. WSR 17-23-199, § 182-538-040, filed 11/22/17, effective 12/23/17. Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-24-098, § 182-538-040, filed 12/1/15, effective 1/1/16.]