| WAC Sections | ||
PROVIDER TYPES | ||
| 182-502-0002 | Eligible provider types. | |
| 182-502-0003 | Noneligible provider types. | |
ENROLLMENT | ||
| 182-502-0005 | Provider enrollment—Core provider agreement (CPA) or nonbilling provider agreement. | |
| 182-502-0010 | When the medicaid agency enrolls. | |
| 182-502-0012 | When the medicaid agency does not enroll. | |
| 182-502-0014 | Review and consideration of an applicant's history. | |
PROVIDER REQUIREMENTS | ||
| 182-502-0016 | Continuing requirements. | |
| 182-502-0017 | Employee education about false claims recovery. | |
| 182-502-0018 | Change of ownership. | |
| 182-502-0020 | Health care record requirements. | |
| 182-502-0022 | Provider preventable conditions (PPCs)—Payment policy. | |
| 182-502-0025 | Electronic health records (EHR) incentive program. | |
TERMINATION OF PROVIDER | ||
| 182-502-0030 | Termination of provider enrollment—For cause. | |
| 182-502-0040 | Termination of provider enrollment—For convenience. | |
INFORMAL DISPUTE RESOLUTION PROCESS | ||
| 182-502-0050 | Provider dispute of an agency action. | |
REAPPLYING FOR PARTICIPATION | ||
| 182-502-0060 | Reapplying for participation. | |
PAYMENT | ||
| 182-502-0100 | General conditions of payment. | |
| 182-502-0110 | Conditions of payment and prior authorization requirements—Medicare coinsurance, copayments, and deductibles. | |
| 182-502-0120 | Payment for health care services provided outside the state of Washington. | |
INTEREST PENALTIES | ||
| 182-502-0130 | Interest penalties—Providers. | |
TIME LIMITS FOR BILLING | ||
| 182-502-0150 | Time limits for providers to bill the agency. | |
BILLING A CLIENT | ||
| 182-502-0160 | Billing a client. | |
PROVIDER REPORTS | ||
| 182-502-0210 | Statistical data-provider reports. | |
APPEAL—RATE REIMBURSEMENT | ||
| 182-502-0220 | Administrative appeal contractor or provider rate reimbursement. | |
PROVIDER PAYMENT REVIEWS AND DISPUTE RIGHTS | ||
| 182-502-0230 | Provider overpayment disputes—General. | |
| 182-502-0260 | Appeals and dispute resolution for providers with contracts other than core provider agreements. | |
| 182-502-0270 | Review of agency's provider dispute decision. | |
| 182-502-0006 | Enrollment for nonbilling individual providers. [Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. 455.432. WSR 15-10-003, § 182-502-0006, filed 4/22/15, effective 5/23/15. Statutory Authority: 42 C.F.R. 455.410, RCW 41.05.021. WSR 13-19-037, § 182-502-0006, filed 9/11/13, effective 10/12/13.] Repealed by WSR 24-23-009, filed 11/8/24, effective 12/9/24. Statutory Authority: RCW 41.05.021 and 41.05.160. |