Chapter 182-501 WAC

Last Update: 10/23/24

ADMINISTRATION OF MEDICAL PROGRAMSGENERAL

WAC Sections

HTMLPDF182-501-0050Health care general coverage.
HTMLPDF182-501-0055Health care coverageHow the agency determines coverage of services for its health care programs using health technology assessments.
HTMLPDF182-501-0060Health care coverageProgram benefit packagesScope of service categories.
HTMLPDF182-501-0065Health care coverageDescription of service categories.
HTMLPDF182-501-0070Health care coverageNoncovered services.
HTMLPDF182-501-0100Subrogation.
HTMLPDF182-501-0125Advance directives.
HTMLPDF182-501-0135Patient review and coordination (PRC).
HTMLPDF182-501-0160Exception to ruleRequest for a noncovered health care service.
HTMLPDF182-501-0163Health care coverageProcess for submitting a valid request for authorization.
HTMLPDF182-501-0165Medical and dental coverageFee-for-service (FFS) prior authorizationDetermination process for payment.
HTMLPDF182-501-0169Health care coverageLimitation extension.
HTMLPDF182-501-0175Medical care provided in bordering cities.
HTMLPDF182-501-0180Health care services provided outside the state of WashingtonGeneral provisions.
HTMLPDF182-501-0182Health care provided in another state or U.S. territoryNonemergency.
HTMLPDF182-501-0184Health care services provided outside of the United States and U.S. territories or in a foreign country.
HTMLPDF182-501-0200Third-party resources.
HTMLPDF182-501-0213Case management services.
HTMLPDF182-501-0215Wraparound with intensive services (WISe).
HTMLPDF182-501-0300Telemedicine and store and forward technology.