Washington · Regulations
Chapter 182-538 — MANAGED CARE
20 sections
20 sections
- WAC 182-538-040WAC 182-538-040. Introduction
- WAC 182-538-050WAC 182-538-050. Definitions
- WAC 182-538-060WAC 182-538-060. Managed care choice and assignment
- WAC 182-538-067WAC 182-538-067. Qualifications to become a managed care organization (MCO) in integrated managed care
- WAC 182-538-068WAC 182-538-068. Qualifications to become a primary care case management (PCCM) provider in integrated managed care regional service areas
- WAC 182-538-070WAC 182-538-070. Payments, corrective action, and sanctions for managed care organizations (MCOs)
- WAC 182-538-071WAC 182-538-071. Payments for primary care case management (PCCM) providers in the integrated managed care for regional service areas
- WAC 182-538-095WAC 182-538-095. Scope of care for integrated managed care enrollees and managed care organization benefit administration requirements
- WAC 182-538-096WAC 182-538-096. Scope of service for PCCM enrollees
- WAC 182-538-100WAC 182-538-100. Managed care emergency services
- WAC 182-538-110WAC 182-538-110. The grievance and appeal system and agency administrative hearing for managed care organization (MCO) enrollees
- WAC 182-538-111WAC 182-538-111. The administrative hearing process for primary care case management (PCCM)
- WAC 182-538-120WAC 182-538-120. Enrollee request for a second medical opinion
- WAC 182-538-130WAC 182-538-130. Exemptions and ending enrollment in managed care
- WAC 182-538-140WAC 182-538-140. Quality of care
- WAC 182-538-150WAC 182-538-150. Apple health foster care program
- WAC 182-538-170WAC 182-538-170. Notice requirements
- WAC 182-538-180WAC 182-538-180. Rights and protections
- WAC 182-538-190WAC 182-538-190. Behavioral health services only (BHSO)
- WAC 182-538-195WAC 182-538-195. Telemedicine and store and forward technology