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Chapter 182-110
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Chapter 182-110 WAC
Last Update: 3/4/21
PARTNERSHIP ACCESS LINE AND PSYCHIATRIC CONSULTATION LINE
WAC Sections
HTML
PDF
182-110-0100
General.
HTML
PDF
182-110-0200
Definitions.
HTML
PDF
182-110-0300
Registration requirements.
HTML
PDF
182-110-0400
Data reporting.
HTML
PDF
182-110-0500
Assessment.
PDF
182-110-0100
General.
(1) The Washington state health care authority (authority), the University of Washington department of psychiatry and behavioral sciences, and Seattle children's hospital administer the partnership access lines described in RCW
71.24.061
, relating to mental health services for children and the treatment of depression in pregnant women and new mothers.
(2) The authority and the University of Washington department of psychiatry and behavioral sciences administer the psychiatric consultation line described in RCW
71.24.062
to give certain providers on-demand access to psychiatric and substance use disorder clinical consultation for adult patients.
(3) The authority or its designee:
(a) Determines the administrative costs for each program identified in subsections (1) and (2) of this section;
(b) Calculates the proportion of clients that are covered by programs administered under chapter
74.09
RCW; and
(c) Collects a proportionate share of program costs that are not for covered lives from the assessed entities under contract with the authority as medicaid managed care organizations.
[Statutory Authority: RCW
41.05.021
,
41.05.160
,
71.24.061
, and
71.24.062
. WSR 21-07-013, § 182-110-0100, filed 3/4/21, effective 4/4/21.]
PDF
182-110-0200
Definitions.
For the purposes of this chapter:
(1) "Assessed entity" means:
(a) Health carriers, as defined in RCW
48.43.005
;
(b) Self-funded multiple employer welfare arrangements, as defined in RCW
48.125.010
; and
(c) Employers or other entities that provide health care in Washington, including self-funding entities or employee welfare benefit plans.
(2) "Covered lives" means a Washington resident who is covered by an assessed entity, including an enrollee, subscriber, policyholder, beneficiary of a group plan, or person covered by any other health plan.
[Statutory Authority: RCW
41.05.021
,
41.05.160
,
71.24.061
, and
71.24.062
. WSR 21-07-013, § 182-110-0200, filed 3/4/21, effective 4/4/21.]
PDF
182-110-0300
Registration requirements.
(1) An assessed entity must register with the authority or its designee and provide the required contact information. Reporting entities must comply with the authority's or its designee's processes for registering and submitting data, as outlined in the data submission guide published on the authority's or its designee's website.
(2) Reregistration is required only if there is a change in the contact information previously provided. Assessed entities are responsible for maintaining current and accurate contact information with the authority or its designee.
(3) Failure to register and provide or maintain accurate contact information with the authority or its designee may result in an assessed entity's inability to submit required data in compliance with this chapter.
[Statutory Authority: RCW
41.05.021
,
41.05.160
,
71.24.061
, and
71.24.062
. WSR 21-07-013, § 182-110-0300, filed 3/4/21, effective 4/4/21.]
PDF
182-110-0400
Data reporting.
(1) Beginning July 1, 2021, no later than the end of forty-five calendar days after the end of each calendar quarter, an assessed entity must submit to the authority or its designee, in the required format, the total number of Washington resident covered lives for each calendar month from the prior quarter.
(2) An assessed entity must immediately notify the authority or its designee if it identifies a covered lives reporting error.
(3) Each assessed entity must collect and maintain the data in a manner consistent with applicable state and federal health information privacy laws.
(4) Failure to report accurate data to the authority or its designee may result in an assessed entity's inability to maintain compliance with this chapter.
[Statutory Authority: RCW
41.05.021
,
41.05.160
,
71.24.061
, and
71.24.062
. WSR 21-07-013, § 182-110-0400, filed 3/4/21, effective 4/4/21.]
PDF
182-110-0500
Assessment.
Each assessed entity receives a quarterly invoice for its share of the total amount of program costs that are for the proportion of the entity's covered lives. Entities must timely send payment to fund the partnership access lines described in RCW
71.24.061
and the psychiatric consultation line described in RCW
71.24.062
.
[Statutory Authority: RCW
41.05.021
,
41.05.160
,
71.24.061
, and
71.24.062
. WSR 21-07-013, § 182-110-0500, filed 3/4/21, effective 4/4/21.]
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