HEALTH CARE AUTHORITY
Chapters
| 182-02 | General definitions. |
| 182-04 | Public records. |
PUBLIC EMPLOYEES BENEFITS BOARD (PEBB) PROGRAM | |
| 182-08 | Procedures. |
| 182-12 | Eligible and noneligible employees. |
| 182-13 | State resident—Medicare supplement. |
| 182-16 | Appeals practice and procedure. |
SCHOOL EMPLOYEES BENEFITS BOARD (SEBB) PROGRAM | |
| 182-30 | Procedures. |
| 182-31 | Eligible school employees. |
| 182-32 | Appeals practices and procedures. |
PRESCRIPTION DRUG PROGRAMS | |
| 182-50 | Prescription drug programs. |
| 182-51 | Drug price transparency program. |
| 182-52 | Prescription drug affordability board. |
HEALTH TECHNOLOGY ASSESSMENT PROGRAM | |
| 182-55 | Health technology assessment program. |
PATIENT DECISION AIDS | |
| 182-60 | Patient decision aids. |
ALL PAYER HEALTH CARE CLAIMS DATABASE | |
| 182-70 | All payer health care claims database. |
BEHAVIORAL HEALTH | |
| 182-100 | Problem gambling. |
| 182-110 | Partnership access line and psychiatric consultation line. |
| 182-115 | Certified peer counselor. |
| 182-125 | Tribal-designated crisis responder. |
| 182-130 | Family initiated treatment (FIT). |
| 182-135 | Recovery residence program. |
| 182-140 | Mobile rapid response crisis team endorsement standards. |
| 182-300 | Single bed certification. |
PUBLIC OPTION | |
| 182-400 | Public option plans (Cascade Care Select). |
WASHINGTON APPLE HEALTH | |
| 182-500 | Medical definitions. |
| 182-501 | Administration of medical programs—General. |
| 182-502 | Administration of medical programs—Providers. |
| 182-502A | Program integrity. |
| 182-503 | Persons eligible for medical assistance. |
| 182-504 | Certification periods and change of circumstance. |
| 182-505 | Family, children, pregnancy and adult medical programs. |
| 182-506 | Medical financial responsibility. |
| 182-507 | Medical assistance programs for noncitizens. |
| 182-508 | Classic and state-funded Washington apple health eligibility for adults. |
| 182-509 | Income and resources. |
| 182-510 | Supplemental security income. |
| 182-511 | Apple health for workers with disabilities (HWD). |
| 182-512 | SSI-related medical. |
| 182-513 | Client not in own home—Institutional medical. |
| 182-514 | Long-term care for families and children. |
| 182-515 | Alternate living—Institutional medical. |
| 182-516 | Trusts, annuities, life estates, and promissory notes—Effect on medical programs. |
| 182-517 | Medicare-related medical eligibility. |
| 182-518 | Washington apple health—Letters and notices. |
| 182-519 | Medically needy and spenddown. |
| 182-520 | Fraud referrals and overpayments. |
| 182-521 | Public health emergency rules. |
| 182-523 | Medical extensions. |
| 182-524 | COFA islander health care. |
| 182-526 | Administrative hearing rules for medical services programs. |
| 182-527 | Estate recovery and pre death liens. |
| 182-530 | Prescription drugs (outpatient). |
| 182-531 | Physician-related services. |
| 182-531A | Applied behavior analysis. |
| 182-532 | Reproductive health/family planning only programs. |
| 182-533 | Maternity-related services. |
| 182-534 | Early and periodic screening, diagnosis and treatment (EPSDT). |
| 182-535 | Dental-related services. |
| 182-535A | Orthodontic services. |
| 182-537 | School-based health care services. |
| 182-538 | Managed care. |
| 182-538B | Behavioral health wraparound services. |
| 182-538C | Crisis and noncrisis behavioral health services. |
| 182-538D | Behavioral health services. |
| 182-539 | HIV/AIDS related services. |
| 182-540 | Kidney disease program and kidney center services. |
| 182-543 | Medical equipment, supplies, and appliances. |
| 182-544 | Vision care. |
| 182-545 | Therapies. |
| 182-546 | Transportation services. |
| 182-547 | Hearing aids. |
| 182-548 | Federally qualified health centers. |
| 182-549 | Rural health clinics. |
| 182-550 | Hospital services. |
| 182-551 | Alternatives to hospital services. |
| 182-552 | Respiratory care. |
| 182-553 | Home infusion therapy/parenteral nutrition program. |
| 182-554 | Enteral nutrition program. |
| 182-555 | Medical nutrition therapy. |
| 182-556 | Chiropractic services. |
| 182-557 | Health homes. |
| 182-558 | Premium payment program. |
| 182-559 | Foundational community supports program. |
| 182-560 | Achieving a Better Life Experience (ABLE) Act. |
| 182-561 | Community behavioral health support services benefit. |
DISPOSITION OF CHAPTERS FORMERLY CODIFIED IN THIS TITLE
| Chapter 182-18 | |
| GENERAL REQUIREMENTS FOR ALL ORGAN TRANSPLANT PROGRAMS | |
| 182-18-005 | Purpose. [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. |
| 182-18-010 | Transplant 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. |
| 182-18-020 | New 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. |
| 182-18-030 | Pediatric 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. |
| 182-18-040 | Transplant 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. |
| 182-18-050 | Multiple 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. |
| 182-18-060 | Institutional 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. |
| 182-18-070 | Patient 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. |
| 182-18-080 | General 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. |
| 182-18-090 | Liver 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. |
| 182-18-100 | Liver 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. |
| 182-18-110 | Kidney 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. |
| 182-18-120 | Kidney 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. |
| 182-18-130 | Pancreas 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. |
| 182-18-140 | Pancreas 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. |
| 182-18-150 | Heart 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. |
| 182-18-160 | Heart 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 | |
| 182-20-001 | Purpose. [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. |
| 182-20-010 | Definitions. [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. |
| 182-20-100 | Administration. [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. |
| 182-20-130 | Application 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. |
| 182-20-160 | Eligibility. [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. |
| 182-20-200 | Allocation 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. |
| 182-20-250 | Allocation 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. |
| 182-20-300 | Dispute 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. |
| 182-20-320 | Audit 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. |
| 182-20-400 | Limitations 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. |
| 182-20-500 | Dental 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. |
| 182-20-600 | Community 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. |
| 182-20-610 | Administration. [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. |
| 182-20-620 | Application 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 | |
| 182-22-100 | Authority. [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. |
| 182-22-110 | Definitions. [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. |
| 182-22-210 | Employer 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. |
| 182-22-220 | Home 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. |
| 182-22-230 | Financial 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. |
| 182-22-310 | Where 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. |
| 182-22-320 | How 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. |
| 182-22-330 | How 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. |
| 182-22-340 | How 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. |
| 182-22-410 | Producers. [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. |
| 182-22-420 | Application 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. |
| 182-22-430 | Open 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. |
| 182-22-450 | MHCS 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 | |
| 182-23-010 | Definitions. [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. |
| 182-23-020 | Eligibility. [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. |
| 182-23-040 | Washington 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. |
| 182-23-050 | Premiums 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. |
| 182-23-060 | Enrollment 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. |
| 182-23-070 | Disenrollment 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 | |
| 182-24-010 | Definitions. [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. |
| 182-24-020 | Eligibility. [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. |
| 182-24-025 | How 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. |
| 182-24-030 | Failure 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. |
| 182-24-040 | BHP 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. |
| 182-24-050 | Premiums 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. |
| 182-24-060 | Enrollment 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. |
| 182-24-070 | Disenrollment 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 | |
| 182-25-001 | Authority. [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. |
| 182-25-010 | Definitions. [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. |
| 182-25-020 | BHP 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. |
| 182-25-030 | Eligibility. [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. |
| 182-25-031 | Transition 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. |
| 182-25-040 | Enrollment 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. |
| 182-25-050 | Employer 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. |
| 182-25-060 | Home 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. |
| 182-25-070 | Financial 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. |
| 182-25-080 | Premiums 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. |
| 182-25-085 | Enrollees' 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. |
| 182-25-090 | Disenrollment 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. |
| 182-25-100 | Where 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. |
| 182-25-105 | How 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. |
| 182-25-110 | How 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. |
| 182-25-120 | Basic 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 | |
| 182-26-010 | Authority. [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. |
| 182-26-020 | Definitions—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. |
| 182-26-100 | Definitions. [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. |
| 182-26-200 | Employer 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. |
| 182-26-210 | Minimum 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. |
| 182-26-220 | Minimum 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. |
| 182-26-230 | Small 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. |
| 182-26-300 | Who 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. |
| 182-26-305 | Applying 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. |
| 182-26-310 | Application—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. |
| 182-26-315 | HIP 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. |
| 182-26-320 | Annual 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. |
| 182-26-325 | Making 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. |
| 182-26-330 | Loss 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. |
| 182-26-335 | Recoupment. [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. |
| 182-26-340 | How 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. |
| 182-26-345 | How 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. |
| 182-26-350 | What 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. |
| 182-26-400 | Appeals—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. |
| 182-26-405 | Appeals—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. |
| 182-26-410 | How 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. |
| 182-26-500 | Surcharge 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-040 | Washington 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-050 | Definitions. [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-060 | Fully 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-067 | Qualifications 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-068 | Qualifications 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-070 | Payments 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-071 | Payments 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-095 | Scope 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-100 | Managed 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-110 | The 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-111 | The 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-120 | Fully 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-130 | Exemptions 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-140 | Fully 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-150 | Apple 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-160 | Program 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-170 | Notice 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-180 | Rights 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-190 | Behavioral 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. |