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Chapter 182-531 WAC

|Hide DispositionsLast Update: 10/23/24

PHYSICIAN-RELATED SERVICES

WAC Sections

HTMLPDF182-531-0050Physician-related services definitions.
HTMLPDF182-531-0100Scope of coverage for physician-related and health care professional services—General and administrative.
HTMLPDF182-531-0150Noncovered physician-related and health care professional services—General and administrative.
HTMLPDF182-531-0200Physician-related and health care professional services requiring prior authorization.
HTMLPDF182-531-0250Who can provide and bill for physician-related and health care professional services.
HTMLPDF182-531-0300Anesthesia providers and covered physician-related services.
HTMLPDF182-531-0350Anesthesia services—Reimbursement for physician-related services.
HTMLPDF182-531-0375Audiology services.
HTMLPDF182-531-0400Client responsibility for reimbursement for physician-related services.
HTMLPDF182-531-0425Collaborative care.
HTMLPDF182-531-0450Critical care—Physician-related services.
HTMLPDF182-531-0500Emergency physician-related services.
HTMLPDF182-531-0550Experimental and investigational services.
HTMLPDF182-531-0600HIV/AIDS counseling and testing as physician-related services.
HTMLPDF182-531-0650Hospital physician-related services not requiring authorization when provided in agency-approved centers of excellence or hospitals authorized to provide the specific services.
HTMLPDF182-531-0700Inpatient chronic pain management physician-related services.
HTMLPDF182-531-0750Inpatient hospital physician-related services.
HTMLPDF182-531-0800Laboratory and pathology physician-related services.
HTMLPDF182-531-0850Laboratory and pathology physician-related services reimbursement.
HTMLPDF182-531-0900Neonatal intensive care unit (NICU) physician-related services.
HTMLPDF182-531-0950Office and other outpatient physician-related services.
HTMLPDF182-531-1000Ophthalmic services.
HTMLPDF182-531-1050Manipulative therapy.
HTMLPDF182-531-1100Out-of-state physician services.
HTMLPDF182-531-1150Physician care plan oversight services.
HTMLPDF182-531-1200Physician office medical supplies.
HTMLPDF182-531-1250Physician standby services.
HTMLPDF182-531-1300Foot care services for clients 21 years of age and older.
HTMLPDF182-531-1350Prolonged physician-related service.
HTMLPDF182-531-1400Psychiatric physician-related services and other professional mental health services.
HTMLPDF182-531-1450Radiology physician-related services.
HTMLPDF182-531-1500Sleep studies.
HTMLPDF182-531-1550Sterilization physician-related services.
HTMLPDF182-531-1600Bariatric surgery.
HTMLPDF182-531-1625Outpatient hemophilia treatment requirements—Center of excellence.
HTMLPDF182-531-1650Substance abuse detoxification physician-related services.
HTMLPDF182-531-1675Washington apple health—Gender affirming interventions for gender dysphoria.
HTMLPDF182-531-1700Surgical physician-related services.
HTMLPDF182-531-1710Alcohol and substance misuse counseling.
HTMLPDF182-531-1720Tobacco/nicotine cessation counseling.
HTMLPDF182-531-1740Treat and refer services.
HTMLPDF182-531-1750Transplant coverage for physician-related services.
HTMLPDF182-531-1800Transplant coverage—Medical criteria to receive transplants.
HTMLPDF182-531-1850Payment methodology for physician-related services—General and billing modifiers.
HTMLPDF182-531-1900Payment—General requirements for physician-related services.
HTMLPDF182-531-2000Increased payments for physician-related services for qualified trauma cases.
HTMLPDF182-531-2010Enhanced reimbursement—Independent advanced registered nurse practitioners (ARNPs).
HTMLPDF182-531-2020Enhanced reimbursement—Long-acting reversible contraception (LARC).
HTMLPDF182-531-2030Enhanced rates for pediatric care services and administration of vaccines.
HTMLPDF182-531-2040Enhanced reimbursement—Medication assisted treatment for opioid use disorder.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
182-531-1025Oral health care services provided by dentists for clients age twenty-one and older—General. [WSR 11-14-075, recodified as § 182-531-1025, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 11-14-055, § 388-531-1025, filed 6/29/11, effective 7/30/11.] Repealed by WSR 15-03-041, filed 1/12/15, effective 2/12/15. Statutory Authority: RCW 41.05.021, 41.05.160.
182-531-1730Telemedicine. [Statutory Authority: RCW 41.05.021 and 41.05.160, and 41.05.700. WSR 19-11-122, § 182-531-1730, filed 5/22/19, effective 6/22/19. Statutory Authority: RCW 41.05.021, 41.05.160. WSR 15-20-063, § 182-531-1730, filed 10/1/15, effective 11/1/15.] Repealed by WSR 23-04-048, filed 1/26/23, effective 2/26/23. Statutory Authority: RCW 41.05.021, 41.05.160, and 2021 c 157.