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Chapter 41.05 RCW

STATE HEALTH CARE AUTHORITY

Sections

HTMLPDF 41.05.004Intent—Use of word "board."
HTMLPDF 41.05.006Purpose.
HTMLPDF 41.05.008Duties of employing agencies.
HTMLPDF 41.05.009Determination of public employee eligibility for benefits.
HTMLPDF 41.05.0091Eligibility exists prior to January 1, 2010.
HTMLPDF 41.05.011Definitions.
HTMLPDF 41.05.013State purchased health care programs—Uniform policies.
HTMLPDF 41.05.014Applications, enrollment forms, and eligibility certification documents—Signatures.
HTMLPDF 41.05.015Medical director—Appointment of personnel.
HTMLPDF 41.05.017Provisions applicable to health plans offered under this chapter.
HTMLPDF 41.05.018Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services.
HTMLPDF 41.05.021State health care authority—Director—Cost control and delivery strategies—Health information technology—Managed competition—Rules.
HTMLPDF 41.05.022State agent for purchasing health services—Single community-rated risk pool.
HTMLPDF 41.05.023Chronic care management program—Uniform medical plan—Definitions.
HTMLPDF 41.05.026Contracts—Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data—Exemption from public inspection—Executive sessions.
HTMLPDF 41.05.031Health information technology office—Agencies to establish health care information systems.
HTMLPDF 41.05.035Exchange of health information—Advisory board, discretionary—Director's authority.
HTMLPDF 41.05.036Health information—Definitions.
HTMLPDF 41.05.037Nurse hotline, when funded.
HTMLPDF 41.05.039Health information—Secure access—Lead organization—Director's duties.
HTMLPDF 41.05.042Health information—Processes, guidelines, and standards.
HTMLPDF 41.05.046Health information—Conflict with federal requirements.
HTMLPDF 41.05.050Contributions for employees and dependents.
HTMLPDF 41.05.055Public employees' benefits board—Members.
HTMLPDF 41.05.065Public employees' benefits board—Duties—Eligibility—Definitions—Penalties.
HTMLPDF 41.05.066Domestic partner benefits.
HTMLPDF 41.05.068Federal employer incentive program—Authority to participate.
HTMLPDF 41.05.074Public employees—Prior authorization standards and criteria—Health plan requirements—Definitions.
HTMLPDF 41.05.075Employee benefit plans—Contracts with insuring entities—Performance measures—Financial incentives—Health information technology.
HTMLPDF 41.05.080Participation in insurance plans and contracts—Retired, disabled, or separated employees—Certain surviving spouses, state registered domestic partners, and dependent children.
HTMLPDF 41.05.083Employer groups—Participation in insurance plans and contracts—Termination of agreement—Payment for retired or disabled employees.
HTMLPDF 41.05.085Retired state employee and retired or disabled school employee health insurance subsidy.
HTMLPDF 41.05.095Coverage for dependents under the age of twenty-six.
HTMLPDF 41.05.100Chapter not applicable to certain employees of Cooperative Extension Service.
HTMLPDF 41.05.120Public employees' and retirees' insurance account—School employees' insurance account.
HTMLPDF 41.05.123Flexible spending administrative account—Salary reduction account—School employees' benefits board flexible spending and dependent care administrative account—School employees' benefits board salary reduction account.
HTMLPDF 41.05.130State health care authority administrative account—School employees' insurance administrative account.
HTMLPDF 41.05.140Payment of claims—Self-insurance—Insurance reserve fund created.
HTMLPDF 41.05.143Uniform medical plan benefits administration account—Uniform dental plan benefits administration account—School employees' benefits board medical benefits administrative account—School employees' benefits board dental benefits administration account.
HTMLPDF 41.05.155Fern Lodge maintenance account.
HTMLPDF 41.05.160Rules.
HTMLPDF 41.05.165Rules—Insurance benefit reimbursement.
HTMLPDF 41.05.170Neurodevelopmental therapies—Employer-sponsored group contracts.
HTMLPDF 41.05.175Prescribed, self-administered anticancer medication.
HTMLPDF 41.05.177Prostate cancer screening—Required coverage.
HTMLPDF 41.05.180Mammograms—Insurance coverage.
HTMLPDF 41.05.183General anesthesia services for dental procedures—Public employee benefit plans.
HTMLPDF 41.05.185Diabetes benefits—State purchased health care.
HTMLPDF 41.05.188Eosinophilic gastrointestinal associated disorder—Elemental formula.
HTMLPDF 41.05.195Medicare supplemental insurance policies.
HTMLPDF 41.05.197Medicare supplemental insurance policies.
HTMLPDF 41.05.220Community and migrant health centers—Maternity health care centers—People of color—Underserved populations.
HTMLPDF 41.05.225Blind licensees in the business enterprises program—Plan of health insurance.
HTMLPDF 41.05.295Dependent care assistance program—Health care authority—Powers, duties, and functions.
HTMLPDF 41.05.300Salary reduction agreements—Authorized.
HTMLPDF 41.05.310Salary reduction plan—Policies and procedures—Plan document.
HTMLPDF 41.05.320Salary reduction plan—Eligibility—Participation, withdrawal.
HTMLPDF 41.05.330Salary reduction plan—Accounts and records.
HTMLPDF 41.05.340Salary reduction plan—Termination—Amendment.
HTMLPDF 41.05.350Salary reduction plan—Rules.
HTMLPDF 41.05.360Salary reduction plan—Construction.
HTMLPDF 41.05.400Plan of health care coverage—Available funds—Components—Eligibility—Director's duties.
HTMLPDF 41.05.405Public option plans—Availability—Hospital contracts—Recommendations.
HTMLPDF 41.05.410Qualified health plans—Contract for—Requirements—Cost and quality data.
HTMLPDF 41.05.413Qualified health plans—Reimbursement limit—Waiver.
HTMLPDF 41.05.430Plan of health care coverage—Immediate postpartum contraception devices.
HTMLPDF 41.05.520Pharmacy connection program—Notice.
HTMLPDF 41.05.525Treatment of opioid use disorder—Prior authorization.
HTMLPDF 41.05.526Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization review—Medical necessity review.
HTMLPDF 41.05.527Opioid overdose reversal medication bulk purchasing and distribution program.
HTMLPDF 41.05.528Standard set of criteria—Medical necessity for substance use disorder treatment—Substance use disorder levels of care—Rules.
HTMLPDF 41.05.530Prescription drug assistance, education—Rules.
HTMLPDF 41.05.531Standard set of criteria—Updated versions—Review and use.
HTMLPDF 41.05.533Medication synchronization policy required for health benefit plans covering prescription drugs—Requirements—Definitions.
HTMLPDF 41.05.540State employee health program—Requirements.
HTMLPDF 41.05.550Prescription drug assistance foundation—Nonprofit and tax-exempt corporation—Definitions—Liability.
HTMLPDF 41.05.600Mental health services—Definition—Coverage required, when.
HTMLPDF 41.05.601Mental health services—Rules.
HTMLPDF 41.05.630Annual report of customer service complaints and appeals.
HTMLPDF 41.05.650Community health care collaborative grant program—Grants—Administrative support—Eligibility.
HTMLPDF 41.05.651Rules—2009 c 299.
HTMLPDF 41.05.660Community health care collaborative grant program—Award and disbursement of grants.
HTMLPDF 41.05.670Chronic care management incentives—Provider reimbursement methods.
HTMLPDF 41.05.690Performance measures committee—Membership—Selection of performance measures—Benchmarks for purchasing decisions—Public process for evaluation of measures.
HTMLPDF 41.05.700Reimbursement of health care services provided through telemedicine or store and forward technology—Audio-only telemedicine.
HTMLPDF 41.05.730Ground emergency medical transportation services—Medicaid reimbursement—Calculation—Federal approval—Department's duties.
HTMLPDF 41.05.735Ground emergency medical transportation services—Medicaid reimbursement—Intergovernmental transfer program—Federal approval—Authority's duties.
HTMLPDF 41.05.740School employees' benefits board.
HTMLPDF 41.05.742Single enrollment requirement.
HTMLPDF 41.05.743School board members—Eligibility for health benefits.
HTMLPDF 41.05.744School employee eligibility during COVID-19 state of emergency.
HTMLPDF 41.05.745School employees' benefits board—Employee-paid, voluntary benefits—Optional benefits.
HTMLPDF 41.05.750Problem gambling and gambling disorder treatment program.
HTMLPDF 41.05.751Problem gambling account.
HTMLPDF 41.05.760Recovery residences—Registry.
HTMLPDF 41.05.761Recovery residences—Technical assistance for residences seeking certification.
HTMLPDF 41.05.762Recovery residences—Revolving fund.
HTMLPDF 41.05.810Prenatal substance exposure treatment—Contracting.
HTMLPDF 41.05.812Prenatal substance exposure—Expanded treatment and services.
HTMLPDF 41.05.820Qualified requirement for health carrier in insurance holding company to offer silver and gold health plans.
HTMLPDF 41.05.831Coverage for hearing instruments.
HTMLPDF 41.05.840Universal health care commission.
HTMLPDF 41.05.845Prior authorization.
HTMLPDF 41.05.850Abortion coverage—Cost sharing.
HTMLPDF 41.05.890Certain health care and financial related data provided to authority—Exempt from disclosure.
HTMLPDF 41.05.900Short title.
HTMLPDF 41.05.901Implementation—Effective dates—1988 c 107.
HTMLPDF 41.05.950Retired or disabled public employees—Special health coverage enrollment opportunity.
HTMLPDF 41.05.951Retired or disabled employees of employer groups—Return following termination of employer's agreement—2023 c 312.

NOTES:

Hospitalization and health care for county, municipal and other political subdivision employees: RCW 41.04.180.
Monitoring enrollee level in basic health plan and medicaid caseload of children—Funding levels adjustment: RCW 43.41.260.
Prepaid chiropractic, pilot projects: RCW 18.25.200.