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Chapter 182-502A WAC

|Hide DispositionsLast Update: 12/31/19

PROGRAM INTEGRITY

WAC Sections

HTMLPDF182-502A-0101Purpose.
HTMLPDF182-502A-0201Definitions.
HTMLPDF182-502A-0301Authority to conduct program integrity activities.
HTMLPDF182-502A-0401Program integrity activities.
HTMLPDF182-502A-0501Entity self-audits.
HTMLPDF182-502A-0601Extrapolation.
HTMLPDF182-502A-0701Agency outcomes.
HTMLPDF182-502A-0801Dispute resolution process.
HTMLPDF182-502A-0901Administrative hearing (formal appeal) right.
HTMLPDF182-502A-1001Metrics.
HTMLPDF182-502A-1101Managed care organizations.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
182-502A-0100Purpose. [WSR 11-14-075, recodified as § 182-502A-0100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0100, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0200Definitions. [WSR 11-14-075, recodified as § 182-502A-0200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 11-11-014, § 388-502A-0200, filed 5/9/11, effective 6/9/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0200, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0300Authority to audit. [WSR 11-14-075, recodified as § 182-502A-0300, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0300, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0400Audit objectives. [WSR 11-14-075, recodified as § 182-502A-0400, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0400, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0500Audit methods and locations. [WSR 11-14-075, recodified as § 182-502A-0500, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0500, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0600Notification of on-site audits. [WSR 11-14-075, recodified as § 182-502A-0600, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0600, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0700Audit overview. [WSR 11-14-075, recodified as § 182-502A-0700, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0700, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0800Auditing process. [WSR 11-14-075, recodified as § 182-502A-0800, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0800, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-0900Audit sampling, extrapolation, and claim-by-claim review. [WSR 11-14-075, recodified as § 182-502A-0900, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-0900, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-1000Provider audit—Draft report. [WSR 11-14-075, recodified as § 182-502A-1000, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-1000, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-1100Provider audit—Dispute process. [WSR 11-14-075, recodified as § 182-502A-1100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-1100, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-1200Provider audit—Final report/appeal. [WSR 11-14-075, recodified as § 182-502A-1200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-1200, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-502A-1300Audit outcomes. [WSR 11-14-075, recodified as § 182-502A-1300, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.09.200 and 74.08.090. WSR 07-10-022, § 388-502A-1300, filed 4/23/07, effective 6/1/07.] Repealed by WSR 15-01-129, filed 12/19/14, effective 1/19/15. Statutory Authority: RCW 41.05.021 and 41.05.160.
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