Title 182 WAC

Last Update: 12/28/22

HEALTH CARE AUTHORITY

Chapters

182-02General definitions.
182-04Public records.
PUBLIC EMPLOYEES BENEFITS BOARD (PEBB) PROGRAM
182-08Procedures.
182-12Eligible and noneligible employees.
182-13State resident—Medicare supplement.
182-16Appeals practice and procedure.
SCHOOL EMPLOYEES BENEFITS BOARD (SEBB) PROGRAM
182-30Procedures.
182-31Eligible school employees.
182-32Appeals practices and procedures.
PRESCRIPTION DRUG PROGRAMS
182-50Prescription drug programs.
182-51Drug price transparency program.
HEALTH TECHNOLOGY ASSESSMENT PROGRAM
182-55Health technology assessment program.
PATIENT DECISION AIDS
182-60Patient decision aids.
ALL PAYER HEALTH CARE CLAIMS DATABASE
182-70All payer health care claims database.
BEHAVIORAL HEALTH
182-100Problem gambling.
182-110Partnership access line and psychiatric consultation line.
182-115Certified peer counselor.
182-125Tribal-designated crisis responder.
182-130Family initiated treatment (FIT).
182-135Recovery residence revolving loan.
182-300Single bed certification.
PUBLIC OPTION
182-400Public option plans (Cascade Care Select).
WASHINGTON APPLE HEALTH
182-500Medical definitions.
182-501Administration of medical programs—General.
182-502Administration of medical programs—Providers.
182-502AProgram integrity.
182-503Persons eligible for medical assistance.
182-504Certification periods and change of circumstance.
182-505Family, children, pregnancy and adult medical programs.
182-506Medical financial responsibility.
182-507Medical assistance programs for noncitizens.
182-508Classic and state-funded Washington apple health eligibility for adults.
182-509Income and resources.
182-510Supplemental security income.
182-511Apple health for workers with disabilities (HWD).
182-512SSI-related medical.
182-513Client not in own home—Institutional medical.
182-514Long-term care for families and children.
182-515Alternate living—Institutional medical.
182-516Trusts, annuities, life estates, and promissory notes—Effect on medical programs.
182-517Medicare-related medical eligibility.
182-518Washington apple health—Letters and notices.
182-519Medically needy and spenddown.
182-520Fraud referrals and overpayments.
182-521Public health emergency rules.
182-523Medical extensions.
182-524COFA islander health care.
182-526Administrative hearing rules for medical services programs.
182-527Estate recovery and pre death liens.
182-530Prescription drugs (outpatient).
182-531Physician-related services.
182-531AApplied behavior analysis.
182-532Reproductive health/family planning only programs.
182-533Maternity-related services.
182-534Early and periodic screening, diagnosis and treatment (EPSDT).
182-535Dental-related services.
182-535AOrthodontic services.
182-537School-based health care services.
182-538Managed care.
182-538BBehavioral health wraparound services.
182-538CCrisis and noncrisis behavioral health services.
182-538DBehavioral health services.
182-539HIV/AIDS related services.
182-540Kidney disease program and kidney center services.
182-543Medical equipment, supplies, and appliances.
182-544Vision care.
182-545Therapies.
182-546Transportation services.
182-547Hearing aids.
182-548Federally qualified health centers.
182-549Rural health clinics.
182-550Hospital services.
182-551Alternatives to hospital services.
182-552Respiratory care.
182-553Home infusion therapy/parenteral nutrition program.
182-554Enteral nutrition program.
182-555Medical nutrition therapy.
182-556Medical care—Other services provided.
182-557Health homes.
182-558Premium payment program.
182-559Foundational community supports program.
182-560Achieving a Better Life Experience (ABLE) Act.
DISPOSITION OF CHAPTERS FORMERLY CODIFIED IN THIS TITLE
Chapter 182-18
GENERAL REQUIREMENTS FOR ALL ORGAN TRANSPLANT PROGRAMS
182-18-005Purpose. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-005, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-010Transplant program. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-010, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-020New programs. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-020, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-030Pediatric programs. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-030, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-040Transplant team training and experience. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-040, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-050Multiple organ transplants. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-050, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-060Institutional commitment. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-060, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-070Patient management. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-070, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-080General recipient selection criteria for all organs. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-080, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-090Liver transplant program. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-090, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-100Liver transplant team training and experience. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-100, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-110Kidney transplant program. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-110, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-120Kidney transplant team training and experience. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-120, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-130Pancreas transplant program. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-130, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-140Pancreas transplant team training and experience. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-140, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-150Heart and/or heart-lung transplant program. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-150, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
182-18-160Heart and/or heart-lung transplant team training and experience. [Statutory Authority: Chapter 41.05 RCW. WSR 91-17-043, § 182-18-160, filed 8/20/91, effective 9/20/91.] Repealed by WSR 97-21-129, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.160.
Chapter 182-20
STANDARDS FOR COMMUNITY HEALTH CLINICS
182-20-001Purpose. [Statutory Authority: RCW 41.05.160, 41.05.220, 41.05.230, and 2006 c 67. WSR 07-02-055 (Order 06-07), § 182-20-001, filed 12/28/06, effective 1/28/07. Statutory Authority: RCW 41.05.160. WSR 01-04-080 (Order 00-06), § 182-20-001, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-001, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-010Definitions. [Statutory Authority: RCW 41.05.160. WSR 01-04-080 (Order 00-06), § 182-20-010, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-010, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-100Administration. [Statutory Authority: RCW 41.05.160, 41.05.220, and 41.05.230. WSR 10-05-046 (Order 09-04), § 182-20-100, filed 2/10/10, effective 3/13/10. Statutory Authority: RCW 41.05.160. WSR 01-04-080 (Order 00-06), § 182-20-100, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-100, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-130Application for funds. [Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-130, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-160Eligibility. [Statutory Authority: RCW 41.05.160, 41.05.220, and 41.05.230. WSR 10-05-046 (Order 09-04), § 182-20-160, filed 2/10/10, effective 3/13/10. Statutory Authority: RCW 41.05.160. WSR 01-04-080 (Order 00-06), § 182-20-160, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-160, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-200Allocation of state funds. [Statutory Authority: RCW 41.05.160. WSR 01-04-080 (Order 00-06), § 182-20-200, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-200, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-250Allocation of state noncitizen immigrant funds. [Statutory Authority: RCW 41.05.220. WSR 02-18-089 (Order 02-04), § 182-20-250, filed 9/3/02, effective 10/1/02.] Repealed by WSR 07-01-107 (Order 06-03), filed 12/19/06, effective 1/19/07. Statutory Authority: RCW 41.05.220.
182-20-300Dispute resolution procedures. [Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-300, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-320Audit review. [Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-320, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-400Limitations on awards. [Statutory Authority: RCW 41.05.220. WSR 04-03-006 (Order 03-03), § 182-20-400, filed 1/8/04, effective 2/8/04. Statutory Authority: RCW 41.05.160. WSR 01-04-080 (Order 00-06), § 182-20-400, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. WSR 95-12-010, § 182-20-400, filed 5/26/95, effective 6/26/95.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-500Dental residency pilot project. [Statutory Authority: RCW 41.05.220. WSR 06-07-101 (Order 05-07), § 182-20-500, filed 3/15/06, effective 7/1/06.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-600Community health care collaborative program. [Statutory Authority: RCW 41.05.220 and 41.05.230. WSR 09-23-100 (Order 09-03), § 182-20-600, filed 11/17/09, effective 12/18/09. Statutory Authority: RCW 41.05.160, 41.05.220, 41.05.230, and 2006 c 67. WSR 07-02-055 (Order 06-07), § 182-20-600, filed 12/28/06, effective 1/28/07.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-610Administration. [Statutory Authority: RCW 41.05.220 and 41.05.230. WSR 09-23-100 (Order 09-03), § 182-20-610, filed 11/17/09, effective 12/18/09. Statutory Authority: RCW 41.05.160, 41.05.220, 41.05.230, and 2006 c 67. WSR 07-02-055 (Order 06-07), § 182-20-610, filed 12/28/06, effective 1/28/07.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-20-620Application process. [Statutory Authority: RCW 41.05.220 and 41.05.230. WSR 09-23-100 (Order 09-03), § 182-20-620, filed 11/17/09, effective 12/18/09. Statutory Authority: RCW 41.05.160, 41.05.220, 41.05.230, and 2006 c 67. WSR 07-02-055 (Order 06-07), § 182-20-620, filed 12/28/06, effective 1/28/07.] Repealed by WSR 19-15-147, filed 7/24/19, effective 8/24/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
Chapter 182-22
WASHINGTON HEALTH PLAN AND BASIC HEALTH PLAN ADMINISTRATION
182-22-100Authority. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-100, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-110Definitions. [Statutory Authority: Chapter 70.47 RCW. WSR 11-15-020, § 182-22-110, filed 7/8/11, effective 8/8/11; WSR 10-24-062 (Order 10-03), § 182-22-110, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-210Employer groups. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-210, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-220Home care agencies. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-220, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-230Financial sponsors. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-230, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-310Where to find instructions for filing an appeal. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-310, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-320How to appeal health care authority (HCA) decisions. [Statutory Authority: RCW 70.47.050 and 2011 1st sp.s. c 15 § 53. WSR 12-15-043, § 182-22-320, filed 7/13/12, effective 8/13/12. Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-320, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-330How to appeal a managed health care system (MHCS) decision nonsubsidized enrollees. [Statutory Authority: Chapter 70.47 RCW. WSR 11-15-020, § 182-22-330, filed 7/8/11, effective 8/8/11; WSR 10-24-062 (Order 10-03), § 182-22-330, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-340How to appeal a managed health care system (MHCS) decision—Subsidized enrollees and federal Health Coverage Tax Credit enrollees. [Statutory Authority: Chapter 70.47 RCW. WSR 11-15-020, § 182-22-340, filed 7/8/11, effective 8/8/11.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-410Producers. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-410, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-420Application processing. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-420, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-430Open enrollment. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-22-430, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-22-450MHCS duties. [Statutory Authority: Chapter 70.47 RCW. WSR 11-15-020, § 182-22-450, filed 7/8/11, effective 8/8/11; WSR 10-24-062 (Order 10-03), § 182-22-450, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
Chapter 182-23
WASHINGTON HEALTH PLAN
182-23-010Definitions. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-23-010, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-23-020Eligibility. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-23-020, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-23-040Washington health benefits. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-23-040, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-23-050Premiums and cost sharing. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-23-050, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-23-060Enrollment in the plan. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-23-060, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-23-070Disenrollment from WHP. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-23-070, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
Chapter 182-24
BASIC HEALTH PLAN
182-24-010Definitions. [Statutory Authority: Chapter 70.47 RCW. WSR 11-15-020, § 182-24-010, filed 7/8/11, effective 8/8/11; WSR 10-24-062 (Order 10-03), § 182-24-010, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-24-020Eligibility. [Statutory Authority: Chapter 70.47 RCW. WSR 11-15-020, § 182-24-020, filed 7/8/11, effective 8/8/11; WSR 10-24-062 (Order 10-03), § 182-24-020, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-24-025How is income calculated? [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-24-025, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-24-030Failure to report correct income. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-24-030, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-24-040BHP benefits. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-24-040, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-24-050Premiums and copayments. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-24-050, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-24-060Enrollment in the plan. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-24-060, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-24-070Disenrollment from BHP. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-24-070, filed 11/30/10, effective 12/31/10.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
Chapter 182-25
WASHINGTON BASIC HEALTH PLAN
182-25-001Authority. [Statutory Authority: RCW 70.47.050. WSR 96-15-024, § 182-25-001, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-010Definitions. [Statutory Authority: RCW 70.47.050. WSR 07-20-079 (Order 07-04), § 182-25-010, filed 10/1/07, effective 11/1/07; WSR 06-11-158 (Order 05-06), § 182-25-010, filed 5/24/06, effective 7/1/06. Statutory Authority: RCW 70.47.050 and 2005 c 188. WSR 05-17-078 (Order 05-03), § 182-25-010, filed 8/12/05, effective 9/12/05. Statutory Authority: RCW 70.47.050 and 2004 c 192. WSR 04-23-012 (Order 04-03), § 182-25-010, filed 11/5/04, effective 1/1/05. Statutory Authority: RCW 70.47.050, 70.47.020(4) and 70.47.060 (5) and (9). WSR 03-18-039 (Order 02-01), § 182-25-010, filed 8/27/03, effective 10/1/03. Statutory Authority: RCW 70.47.050, 70.47.020 (4) and (5), 70.47.060 (9) and (10), 74.08A.100 and 2002 c 371. WSR 02-24-051 (Order 02-06), § 182-25-010, filed 12/3/02, effective 1/1/03. Statutory Authority: RCW 70.47.050. WSR 01-09-001 (Order 00-08), § 182-25-010, filed 4/4/01, effective 5/5/01. Statutory Authority: RCW 70.47.050 and 70.47.020 as revised by E2SSB 6067. WSR 01-01-134 (Order 00-04), § 182-25-010, filed 12/20/00, effective 1/20/01. Statutory Authority: RCW 70.47.050, 70.47.060 and 70.47.100. WSR 99-24-005 (Order 99-06), § 182-25-010, filed 11/18/99, effective 12/19/99. Statutory Authority: RCW 70.47.050, 70.47.060(9) and SHB 2556. WSR 98-15-018, § 182-25-010, filed 7/6/98, effective 8/6/98. Statutory Authority: RCW 70.47.050. WSR 98-07-002, § 182-25-010, filed 3/5/98, effective 4/5/98; WSR 97-15-003, § 182-25-010, filed 7/3/97, effective 8/3/97; WSR 96-15-024, § 182-25-010, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-020BHP benefits. [Statutory Authority: RCW 70.47.050 and 70.47.090. WSR 02-19-053 (Order 01-08), § 182-25-020, filed 9/12/02, effective 10/13/02. Statutory Authority: RCW 70.47.050 and 70.47.060. WSR 00-23-037, § 182-25-020, filed 11/9/00, effective 1/1/01. Statutory Authority: RCW 70.47.050. WSR 98-07-002, § 182-25-020, filed 3/5/98, effective 4/5/98; WSR 97-15-003, § 182-25-020, filed 7/3/97, effective 8/3/97; WSR 96-15-024, § 182-25-020, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-030Eligibility. [Statutory Authority: RCW 70.47.050. WSR 07-23-109 (Order 07-07), § 182-25-030, filed 11/21/07, effective 11/21/07. Statutory Authority: RCW 70.47.050 and 2006 c 343. WSR 06-18-055 (Order 06-05), § 182-25-030, filed 8/31/06, effective 10/1/06. Statutory Authority: RCW 70.47.050 and 2004 c 192. WSR 04-23-012 (Order 04-03), § 182-25-030, filed 11/5/04, effective 1/1/05. Statutory Authority: RCW 70.47.050 and 70.47.020 as revised by E2SSB 6067. WSR 01-01-134 (Order 00-04), § 182-25-030, filed 12/20/00, effective 1/20/01. Statutory Authority: RCW 70.47.050, 70.47.060 and 70.47.100. WSR 99-24-005 (Order 99-06), § 182-25-030, filed 11/18/99, effective 12/19/99. Statutory Authority: RCW 70.47.050 and 70.47.060. WSR 99-16-022 (Order 99-02), § 182-25-030, filed 7/26/99, effective 8/26/99. Statutory Authority: RCW 70.47.050. WSR 98-07-002, § 182-25-030, filed 3/5/98, effective 4/5/98; WSR 97-15-003, § 182-25-030, filed 7/3/97, effective 8/3/97; WSR 96-15-024, § 182-25-030, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-031Transition coverage. [Statutory Authority: RCW 70.47.050, 70.47.060 and 70.47.100. WSR 99-24-005 (Order 99-06), § 182-25-031, filed 11/18/99, effective 12/19/99.] Repealed by WSR 03-24-041 (Order 03-04), filed 11/26/03, effective 12/27/03. Statutory Authority: RCW 70.47.050.
182-25-040Enrollment in the plan. [Statutory Authority: RCW 70.47.050. WSR 07-23-109 (Order 07-07), § 182-25-040, filed 11/21/07, effective 11/21/07; WSR 06-11-158 (Order 05-06), § 182-25-040, filed 5/24/06, effective 7/1/06. Statutory Authority: RCW 70.47.050 and 2005 c 188. WSR 05-17-078 (Order 05-03), § 182-25-040, filed 8/12/05, effective 9/12/05. Statutory Authority: RCW 70.47.050 and 2004 c 192. WSR 04-23-012 (Order 04-03), § 182-25-040, filed 11/5/04, effective 1/1/05. Statutory Authority: RCW 70.47.050. WSR 04-15-109 (Order 04-05), § 182-25-040, filed 7/20/04, effective 8/20/04. Statutory Authority: RCW 70.47.050, 70.47.060(9), and 2002 c 371 § 212(5). WSR 02-19-054 (Order 01-07), § 182-25-040, filed 9/12/02, effective 10/13/02. Statutory Authority: RCW 70.47.050, 70.47.060 and 70.47.100. WSR 99-24-005 (Order 99-06), § 182-25-040, filed 11/18/99, effective 12/19/99. Statutory Authority: RCW 70.47.050 and 70.47.060. WSR 99-16-022 (Order 99-02), § 182-25-040, filed 7/26/99, effective 8/26/99. Statutory Authority: RCW 70.47.050. WSR 98-07-002, § 182-25-040, filed 3/5/98, effective 4/5/98; WSR 97-15-003, § 182-25-040, filed 7/3/97, effective 8/3/97; WSR 96-15-024, § 182-25-040, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-050Employer groups. [Statutory Authority: RCW 70.47.050. WSR 96-15-024, § 182-25-050, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-060Home care agencies. [Statutory Authority: RCW 70.47.050. WSR 96-15-024, § 182-25-060, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-070Financial sponsors. [Statutory Authority: RCW 70.47.050. WSR 98-07-002, § 182-25-070, filed 3/5/98, effective 4/5/98; WSR 96-15-024, § 182-25-070, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-080Premiums and copayments. [Statutory Authority: RCW 70.47.050. WSR 07-20-079 (Order 07-04), § 182-25-080, filed 10/1/07, effective 11/1/07. Statutory Authority: RCW 70.47.050 and 2004 c 192. WSR 04-23-012 (Order 04-03), § 182-25-080, filed 11/5/04, effective 1/1/05. Statutory Authority: RCW 70.47.050 and 70.47.090. WSR 02-19-053 (Order 01-08), § 182-25-080, filed 9/12/02, effective 10/13/02. Statutory Authority: RCW 70.47.050. WSR 98-07-002, § 182-25-080, filed 3/5/98, effective 4/5/98; WSR 96-15-024, § 182-25-080, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-085Enrollees' failure to report correct income. [Statutory Authority: RCW 70.47.050, 70.47.060(9), and 2002 c 371 § 212(5). WSR 02-19-054 (Order 01-07), § 182-25-085, filed 9/12/02, effective 10/13/02. Statutory Authority: RCW 70.47.050, 70.47.060 and 70.47.090. WSR 99-12-033 (Order 99-01), § 182-25-085, filed 5/26/99, effective 6/26/99.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-090Disenrollment from BHP. [Statutory Authority: RCW 70.47.050. WSR 09-21-008 (Order 09-01), § 182-25-090, filed 10/8/09, effective 11/8/09. Statutory Authority: RCW 70.47.050 and 2004 c 192. WSR 04-23-012 (Order 04-03), § 182-25-090, filed 11/5/04, effective 1/1/05. Statutory Authority: RCW 70.47.050. WSR 03-24-040 (Order 03-05), § 182-25-090, filed 11/26/03, effective 12/27/03. Statutory Authority: RCW 70.47.050, 70.47.060(9), and 2002 c 371 § 212(5). WSR 02-19-054 (Order 01-07), § 182-25-090, filed 9/12/02, effective 10/13/02. Statutory Authority: RCW 70.47.050, 70.47.060 and 70.47.100. WSR 99-24-005 (Order 99-06), § 182-25-090, filed 11/18/99, effective 12/19/99. Statutory Authority: RCW 70.47.050, 70.47.060 and 70.47.090. WSR 99-12-033 (Order 99-01), § 182-25-090, filed 5/26/99, effective 6/26/99. Statutory Authority: RCW 70.47.050. WSR 98-07-002, § 182-25-090, filed 3/5/98, effective 4/5/98; WSR 97-15-003, § 182-25-090, filed 7/3/97, effective 8/3/97; WSR 96-15-024, § 182-25-090, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-100Where to find instructions for filing an appeal. [Statutory Authority: RCW 70.47.050. WSR 99-07-078, § 182-25-100, filed 3/18/99, effective 4/18/99; WSR 98-07-002, § 182-25-100, filed 3/5/98, effective 4/5/98; WSR 96-15-024, § 182-25-100, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-105How to appeal health care authority (HCA) decisions. [Statutory Authority: RCW 70.47.050. WSR 01-23-095 (Order 00-01), § 182-25-105, filed 11/21/01, effective 1/1/02; WSR 99-07-078, § 182-25-105, filed 3/18/99, effective 4/18/99; WSR 98-07-002, § 182-25-105, filed 3/5/98, effective 4/5/98; WSR 96-15-024, § 182-25-105, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-110How to appeal a managed health care system (MHCS) decision. [Statutory Authority: RCW 70.47.050. WSR 01-23-095 (Order 00-01), § 182-25-110, filed 11/21/01, effective 1/1/02; WSR 99-07-078, § 182-25-110, filed 3/18/99, effective 4/18/99; WSR 96-15-024, § 182-25-110, filed 7/9/96, effective 8/9/96.] Repealed by WSR 10-24-062 (Order 10-03), filed 11/30/10, effective 12/31/10. Statutory Authority: Chapter 70.47 RCW.
182-25-120Basic health plan coverage for health coverage tax credit eligible enrollees. [Statutory Authority: Chapter 70.47 RCW. WSR 10-24-062 (Order 10-03), § 182-25-120, filed 11/30/10, effective 12/31/10. Statutory Authority: RCW 70.47.050 and 2004 c 192. WSR 04-23-012 (Order 04-03), § 182-25-120, filed 11/5/04, effective 1/1/05.] Repealed by WSR 18-18-012, filed 8/23/18, effective 9/23/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
Chapter 182-26
WASHINGTON HEALTH INSURANCE PARTNERSHIP (HIP) PROGRAM
182-26-010Authority. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-010, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-020Definitions—Generally. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-020, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-100Definitions. [Statutory Authority: RCW 41.05.160 and chapter 70.47A RCW. WSR 10-22-039 (Order 10-04), § 182-26-100, filed 10/27/10, effective 11/27/10. Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-100, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-200Employer eligibility for the HIP. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-200, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-210Minimum employer contribution. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-210, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-220Minimum participation. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-220, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-230Small employer one-time exception to monthly group premium payment deadline. [Statutory Authority: RCW 41.05.160 and chapter 70.47A RCW. WSR 10-22-039 (Order 10-04), § 182-26-230, filed 10/27/10, effective 11/27/10.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-300Who can receive a premium subsidy? [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-300, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-305Applying for a HIP premium subsidy. [Statutory Authority: RCW 41.05.160 and chapter 70.47A RCW. WSR 10-22-039 (Order 10-04), § 182-26-305, filed 10/27/10, effective 11/27/10. Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-305, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-310Application—Supporting documents. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-310, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-315HIP application review. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-315, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-320Annual subsidy application and renewal. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-320, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-325Making changes to a HIP account. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-325, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-330Loss of subsidy eligibility. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-330, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-335Recoupment. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-335, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-340How does the HIP determine the premium subsidy amount? [Statutory Authority: RCW 41.05.160 and chapter 70.47A RCW. WSR 10-22-039 (Order 10-04), § 182-26-340, filed 10/27/10, effective 11/27/10. Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-340, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-345How does the HIP calculate income? [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-345, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-350What does the HIP count as income? [Statutory Authority: RCW 41.05.160 and chapter 70.47A RCW. WSR 10-22-039 (Order 10-04), § 182-26-350, filed 10/27/10, effective 11/27/10. Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-350, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-400Appeals—Grounds. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-400, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-405Appeals—Who may appeal a HIP decision? [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-405, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-410How to appeal a HIP decision. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-410, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-26-500Surcharge applicability. [Statutory Authority: RCW 70.47A.060. WSR 08-22-041 (Order 08-02), § 182-26-500, filed 10/31/08, effective 12/1/08.] Repealed by WSR 18-03-013, filed 1/5/18, effective 2/5/18. Statutory Authority: RCW 41.05.021 and 41.05.160.
Chapter 182-538A
WASHINGTON APPLE HEALTH FULLY INTEGRATED MANAGED CARE (FIMC)
182-538A-040Washington apple health fully integrated managed care. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-040, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-050Definitions. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-050, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-060Fully integrated managed care and choice. [Statutory Authority: RCW 41.05.021, 41.05.160, and 74.09.873. WSR 19-11-080, § 182-538A-060, filed 5/17/19, effective 6/17/19. Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-060, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-067Qualifications to become a managed care organization (MCO) in fully integrated managed care (FIMC) regional service areas. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-067, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-068Qualifications to become a primary care case management (PCCM) provider in fully integrated managed care (FIMC) regional service areas. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-068, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-070Payments to managed care organizations (MCOs) in fully integrated managed care (FIMC) regional service areas. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-070, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-071Payments to primary care case management (PCCM) providers in fully integrated managed care (FIMC) regional service areas. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-071, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-095Scope of care for fully integrated managed care (FIMC) and behavioral health services only (BHSO) enrollees. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-095, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-100Managed care emergency services for fully integrated managed care (FIMC) enrollees. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-100, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-110The grievance and appeal system, and agency administrative hearing for fully integrated managed care (FIMC) managed care organization (MCO) enrollees. [Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. Parts 431, 433, 438, 440, 457, and 495. WSR 17-23-199, § 182-538A-110, filed 11/22/17, effective 12/23/17. Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-110, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-111The administrative hearing process for primary care case management (PCCM) enrollees in FIMC regional service areas. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-111, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-120Fully integrated managed care (FIMC) enrollee request for a second medical opinion. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-120, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-130Exemptions and ending enrollment in fully integrated managed care (FIMC). [Statutory Authority: RCW 41.05.021, 41.05.160, and 74.09.873. WSR 19-11-080, § 182-538A-130, filed 5/17/19, effective 6/17/19. Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 17-07-087, § 182-538A-130, filed 3/20/17, effective 4/20/17; WSR 16-05-051, § 182-538A-130, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-140Fully integrated managed care (FIMC) quality of care. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-140, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-150Apple health foster care program in fully integrated managed care regional service areas. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-150, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-160Program integrity requirements. [Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 16-05-051, § 182-538A-160, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-19-042, filed 9/12/19, effective 10/13/19. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-538A-170Notice requirements. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-170, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-180Rights and protections. [Statutory Authority: RCW 41.05.021, 41.05.160. WSR 16-05-051, § 182-538A-180, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.
182-538A-190Behavioral health services only (BHSO). [Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 17-07-087, § 182-538A-190, filed 3/20/17, effective 4/20/17; WSR 16-05-051, § 182-538A-190, filed 2/11/16, effective 4/1/16.] Repealed by WSR 19-24-063, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201.