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Chapter 182-538 WAC

Last Update: 12/19/12

MANAGED CARE

WAC Sections

Definitions.
Managed care and choice.
Voluntary enrollment into managed careWashington medicaid integration partnership (WMIP).
Managed care for medical care services clients.
Medicaid-eligible basic health (BH) enrollees.
Managed care provided through managed care organizations (MCOs).
Managed care provided through primary care case management (PCCM).
Managed care payment.
Scope of care for managed care enrollees.
Managed care emergency services.
The grievance system for managed care organizations (MCO).
Primary care case management (PCCM) grievances and appeals.
Enrollee request for a second medical opinion.
Exemptions and ending enrollment in managed care.
Quality of care.