Washington · Regulations
Chapter 182-40 — PEBB/SEBB REIMBURSEMENT METHODOLOGY REQUIREMENTS
15 sections
15 sections
- WAC 182-40-0100WAC 182-40-0100. Purpose
- WAC 182-40-0200WAC 182-40-0200. Definitions
- WAC 182-40-0300WAC 182-40-0300. Hospital reimbursement requirements
- WAC 182-40-0400WAC 182-40-0400. Primary care and behavioral health reimbursement requirements
- WAC 182-40-0500WAC 182-40-0500. Reimbursement using a payment methodology other than fee-for-service
- WAC 182-40-0600WAC 182-40-0600. Reimbursement benchmarking
- WAC 182-40-0700WAC 182-40-0700. Reporting requirements
- WAC 182-40-0800WAC 182-40-0800. Annual compliance measurement
- WAC 182-40-0900WAC 182-40-0900. Hospital overpayments
- WAC 182-40-1000WAC 182-40-1000. Primary care, behavioral health, and critical access hospital underpayments
- WAC 182-40-1100WAC 182-40-1100. Contractor responsibility for ensuring reimbursement to providers and provider networks
- WAC 182-40-1200WAC 182-40-1200. Corrective action plan
- WAC 182-40-1300WAC 182-40-1300. Hospital balance billing
- WAC 182-40-1400WAC 182-40-1400. Written notice of noncompliance, overpayments, and fines
- WAC 182-40-1500WAC 182-40-1500. Appeal of notice of noncompliance