WASHINGTON ADMINISTRATIVE CODE ARCHIVE

Washington Administrative Code
2023 Archive

Chapter 182-502A WAC

Last Update: 12/31/19

PROGRAM INTEGRITY

PDF of Chapter Digest


WAC Sections
182-502A-0101	Purpose.
182-502A-0201	Definitions.
182-502A-0301	Authority to conduct program integrity activities.
182-502A-0401	Program integrity activities.
182-502A-0501	Entity self-audits.
182-502A-0601	Extrapolation.
182-502A-0701	Agency outcomes.
182-502A-0801	Dispute resolution process.
182-502A-0901	Administrative hearing (formal appeal) right.
182-502A-1001	Metrics.
182-502A-1101	Managed care organizations.

DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE


182-502A-0100	Purpose. [WSR 11-14-075, recodified as § 182-502A-0100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0100, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0200	Definitions. [WSR 11-14-075, recodified as § 182-502A-0200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 11-11-014, § 388-502A-0200, filed 5/9/11, effective 6/9/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0200, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0300	Authority to audit. [WSR 11-14-075, recodified as § 182-502A-0300, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0300, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0400	Audit objectives. [WSR 11-14-075, recodified as § 182-502A-0400, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0400, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0500	Audit methods and locations. [WSR 11-14-075, recodified as § 182-502A-0500, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0500, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0600	Notification of on-site audits. [WSR 11-14-075, recodified as § 182-502A-0600, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0600, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0700	Audit overview. [WSR 11-14-075, recodified as § 182-502A-0700, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0700, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0800	Auditing process. [WSR 11-14-075, recodified as § 182-502A-0800, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0800, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0900	Audit sampling, extrapolation, and claim-by-claim review. [WSR 11-14-075, recodified as § 182-502A-0900, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0900, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-1000	Provider audit—Draft report. [WSR 11-14-075, recodified as § 182-502A-1000, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-1000, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-1100	Provider audit—Dispute process. [WSR 11-14-075, recodified as § 182-502A-1100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-1100, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-1200	Provider audit—Final report/appeal. [WSR 11-14-075, recodified as § 182-502A-1200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-1200, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-1300	Audit outcomes. [WSR 11-14-075, recodified as § 182-502A-1300, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-1300, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.