REVISED CODE OF WASHINGTON

MEDICAL CARE

PDF of Chapter Digest
PDF of Complete Chapter


Sections
74.09.010	Definitions.
74.09.015	Nurse hotline, when funded.
74.09.035	Medical care services—Eligibility, standards—Limits.
74.09.037	Identification card—Social security number restriction.
74.09.050	Director's powers and duties—Personnel—Medical screeners—Medical director.
74.09.053	Annual reporting requirement.
74.09.055	Copayment, deductible, coinsurance, other cost-sharing requirements authorized.
74.09.075	Employability and disability evaluation—Medical condition—Medical reports—Medical consultations and assistance.
74.09.080	Methods of performing administrative responsibilities.
74.09.120	Purchases of services, care, supplies—Nursing homes—Veterans' homes—Institutions for persons with intellectual disabilities—Institutions for mental diseases.
74.09.150	Personnel to be under existing merit system.
74.09.160	Presentment of charges by contractors.
74.09.171	Contracts for medicaid services—Border communities.
74.09.180	Chapter does not apply if another party is liable—Exception—Subrogation—Lien—Reimbursement—Delegation of lien and subrogation rights.
74.09.185	Third party has legal liability to make payments—State acquires rights—Lien—Equitable subrogation does not apply.
74.09.190	Religious beliefs—Construction of chapter.
74.09.195	Audits of health care providers by the authority—Requirements—Procedure.
74.09.200	Audits and investigations—Legislative declaration—State authority.
74.09.210	Fraudulent practices—Penalties.
74.09.215	Medicaid fraud penalty account.
74.09.220	Liability for receipt of excess payments.
74.09.230	False statements, fraud—Penalties.
74.09.240	Bribes, kickbacks, rebates—Self-referrals—Penalties.
74.09.250	False statements regarding institutions, facilities—Penalties.
74.09.260	Excessive charges, payments—Penalties.
74.09.270	Failure to maintain trust funds in separate account—Penalties.
74.09.280	False verification of written statements—Penalties.
74.09.290	Audits and investigations of providers—Patient records—Penalties.
74.09.295	Disclosure of involuntary commitment information.
74.09.300	Department to report penalties to appropriate licensing agency or disciplinary board.
74.09.315	Whistleblowers—Workplace reprisal or retaliatory action.
74.09.325	Reimbursement of a health care service provided through telemedicine or store and forward technology—Audio-only telemedicine.
74.09.327	Audio-only telemedicine—Fee-for-service reimbursement.
74.09.328	Use of substitute providers—When permitted—Reimbursement requirements.
74.09.330	Reimbursement methodology for ambulance services—Transport of a medical assistance enrollee to a mental health facility or chemical dependency program.
74.09.335	Reimbursement of health care services provided by fire departments—Adoption of standards.
74.09.340	Personal needs allowance, adjusted.
74.09.390	Access to baby and child dentistry program—Coverage for eligible children—Authority's duties—Report to legislature.
74.09.395	Access to baby and child dentistry program—Outreach and engagement—Stakeholder collaboration.
74.09.402	Children's health care—Findings—Intent.
74.09.460	Children's affordable health coverage—Findings—Intent.
74.09.470	Children's affordable health coverage—Authority duties.
74.09.4701	Apple health for kids—Unemployment compensation.
74.09.475	Newborn delivery services to medical assistance clients—Policies and procedures—Reporting.
74.09.480	Performance measures—Provider rate increases—Report.
74.09.490	Children's mental health—Improving medication management and care coordination.
74.09.495	Access to children's behavioral health services—Report to legislature.
74.09.4951	Children and youth behavioral health work group—Advisory groups—Report to governor and legislature.
74.09.497	Authority review of payment codes available to health plans and providers related to primary care and behavioral health—Requirements—Principles considered—Matrices—Reporting.
74.09.500	Medical assistance—Established.
74.09.510	Medical assistance—Eligibility.
74.09.515	Medical assistance—Coverage for youth released from confinement.
74.09.520	Medical assistance—Care and services included—Funding limitations.
74.09.522	Medical assistance—Agreements with managed care organizations for provision of services to medicaid recipients—Principles to be applied in purchasing managed health care.
74.09.5222	Medical assistance—Section 1115 demonstration waiver request.
74.09.5223	Findings—Chronic care management.
74.09.5225	Medical assistance—Payments for services provided by rural hospitals—Participation in Washington rural health access preservation pilot.
74.09.5229	Primary care health homes—Chronic care management—Findings—Intent.
74.09.523	PACE program—Definitions—Requirements.
74.09.530	Medical assistance—Powers and duties of authority.
74.09.540	Medical assistance—Working individuals with disabilities—Intent.
74.09.545	Medical assistance or limited casualty program—Eligibility—Agreements between spouses to transfer future income—Community income.
74.09.555	Medical assistance—Reinstatement upon release from confinement—Expedited eligibility determinations.
74.09.557	Medical assistance—Complex rehabilitation technology products.
74.09.565	Medical assistance for institutionalized persons—Treatment of income between spouses.
74.09.575	Medical assistance for institutionalized persons—Treatment of resources.
74.09.585	Medical assistance for institutionalized persons—Period of ineligibility for transfer of resources.
74.09.595	Medical assistance for institutionalized persons—Due process procedures.
74.09.597	Medical assistance—Durable medical equipment and medical supplies—Providers.
74.09.600	Post audit examinations by state auditor.
74.09.605	Incorporation of outcomes/criteria into contracts with managed care organizations.
74.09.611	Hospital quality incentive payments—Noncritical access hospitals.
74.09.630	Opioid overdose reversal medications—Reimbursement.
74.09.632	Opioid overdose reversal medications—Technical assistance—Written materials.
74.09.634	Opioid overdose reversal medications—Bulk purchasing and distribution program.
74.09.640	Opioid use disorder—Nonpharmacologic treatments.
74.09.645	Opioid use disorder—Coverage without prior authorization.
74.09.650	Prescription drug assistance program.
74.09.653	Drug reimbursement policy recommendations.
74.09.655	Smoking cessation assistance.
74.09.657	Findings—Family planning services expansion.
74.09.658	Home health—Reimbursement—Telemedicine.
74.09.659	Family planning waiver program request.
74.09.660	Prescription drug education for seniors—Grant qualifications.
74.09.670	Medical assistance benefits—Incarcerated or committed persons—Suspension.
74.09.671	Incarcerated persons—Local jails—Behavioral health services—Federal funding.
74.09.672	Inmates of a public institution—Exclusion from medicaid coverage—Work release and partial confinement programs.
74.09.675	Gender-affirming care services—Prohibited discrimination.
74.09.700	Medical care—Limited casualty program.
74.09.710	Chronic care management programs—Medical homes—Definitions.
74.09.715	Access to dental care.
74.09.717	Dental health aide therapist services—Federal funding.
74.09.719	Compact of free association islander dental care program.
74.09.725	Prostate cancer screening.
74.09.730	Disproportionate share hospital adjustment.
74.09.741	Adjudicative proceedings.
74.09.745	Medicaid funding for home visiting services—Recommendations to legislature.
74.09.748	Regional service areas—Certain reimbursements required or allowed upon adoption of fully integrated managed health care system.
74.09.758	Medicaid procurement of services—Value-based contracting for medicaid and public employee purchasing.
MATERNITY CARE ACCESS PROGRAM
74.09.760	Short title—1989 1st ex.s. c 10.
74.09.770	Maternity care access system established.
74.09.780	Reservation of legislative power.
74.09.790	Definitions.
74.09.800	Maternity care access program established.
74.09.810	Alternative maternity care service delivery system established—Remedial action report.
74.09.820	Maternity care provider's loan repayment program.
74.09.825	Donor human milk—Standards—Federal funding.
74.09.830	Postpartum health care coverage.
74.09.840	Prior authorization.
74.09.850	Conflict with federal requirements.
74.09.860	Request for proposals—Foster children—Integrated managed health and behavioral health care—Continuation of health care benefits following reunification.
74.09.870	Regional service areas—Establishment.
74.09.871	Behavioral health services—Contracting process.
74.09.875	Reproductive health care services—Prohibited discrimination.
74.09.877	Statewide plan to implement coordinated specialty care programs providing early identification and intervention for psychosis.
74.09.880	Z code collection—Incentives and funding.
74.09.885	Apple health and homes program—Definitions.
74.09.886	Apple health and homes program—Establishment—Eligibility—Services.
74.09.888	Apple health and homes program—Authority duties—Funding—Reports to legislature.
74.09.890	Medicaid program integrity—Administrative oversight—Strategic plan—Best practices.
74.09.892	Medicaid program integrity—Managed care organizations—Contracts—Best practices.
74.09.900	Other laws applicable.
74.09.920	Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.