Eligible provider types.
Noneligible provider types.
Core provider agreement (CPA).
| || |
Enrollment for nonbilling individual providers.
When the medicaid agency enrolls.
When the medicaid agency does not enroll.
Review and consideration of an applicant's history.
Change of ownership.
Health care record requirements.
Provider preventable conditions (PPCs)—Payment policy.
Electronic health records (EHR) incentive program.
Termination of a provider agreement—For cause.
Termination of a provider agreement—For convenience.
INFORMAL DISPUTE RESOLUTION PROCESS
| || |
Provider dispute of an agency action.
REAPPLYING FOR PARTICIPATION
Reapplying for participation.
General conditions of payment.
Conditions of payment—Medicare deductible and coinsurance.
Payment for health care services provided outside the state of Washington.
Time limits for providers to bill the department.
Billing a client.
Statistical data-provider reports.
Administrative appeal contractor/provider rate reimbursement.
PROVIDER PAYMENT REVIEWS AND DISPUTE RIGHTS
Provider payment reviews and dispute rights.
Appeals and dispute resolution for providers with contracts other than core provider agreements.
| || |
Review of agency's provider dispute decision.