Chapter 284-46 WAC

Last Update: 11/30/23

HEALTH MAINTENANCE ORGANIZATIONS

WAC Sections

HTMLPDF284-46-015Discretionary clauses prohibited.
HTMLPDF284-46-025General contents of all rate or forms of contract filings.
HTMLPDF284-46-100PKU formula coverage requirements.
HTMLPDF284-46-110Mammography coverage.
HTMLPDF284-46-500Alternative care—General rules as to minimum standards.
HTMLPDF284-46-506Temporomandibular joint disorders—Specified offer of coverage required—Terms of specified offer defined—Proof of offer must be maintained—Discrimination prohibited—Terms defined.
HTMLPDF284-46-507Experimental and investigational prescriptions, treatments, procedures, or services—Definition required—Standard for definition—Written notice of denial required—Appeal process required.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
284-46-010Assessments for examination costs. [Statutory Authority: RCW 48.46.200. WSR 84-08-002 (Order R 84-2), § 284-46-010, filed 3/22/84.] Repealed by WSR 91-07-053 (Order R 91-1), filed 3/19/91, effective 4/19/91. Statutory Authority: RCW 48.02.060.
284-46-020Form for reporting number of persons entitled to services. [Statutory Authority: RCW 48.46.200. WSR 84-08-002 (Order R 84-2), § 284-46-020, filed 3/22/84.] Repealed by WSR 98-04-005 (Matter No. R 97-3), filed 1/22/98, effective 2/22/98. Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.30.010, 48.44.020, 48.44.050, 48.44.080, 48.46.030, 48.46.060(2), 48.46.200 and 48.46.243.
284-46-060Requirement to file annual statement—Form of annual statement—Requirement to file quarterly statements—Authority to require filing of monthly financial statements—Compliance with NAIC instructions required. [Statutory Authority: RCW 48.02.060(3) and 48.46.200. WSR 92-22-094 (Order R 92-19), § 284-46-060, filed 11/3/92, effective 12/4/92.] Repealed by WSR 96-17-079 (Matter No. R 95-18), filed 8/21/96, effective 9/21/96. Statutory Authority: RCW 48.02.060, 48.44.050 and 48.46.200.
284-46-575Participating provider contracts. [Statutory Authority: RCW 48.46.200, 48.46.243 and 48.02.060. WSR 92-09-044A (Order R 92-3), § 284-46-575, filed 4/10/92, effective 5/11/92.] Repealed by WSR 98-04-005 (Matter No. R 97-3), filed 1/22/98, effective 2/22/98. Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.30.010, 48.44.020, 48.44.050, 48.44.080, 48.46.030, 48.46.060(2), 48.46.200 and 48.46.243.