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Chapter 41.05 RCW


Duties of employing agencies.
Determination of employee eligibility for benefits.
Eligibility exists prior to January 1, 2010.
State purchased health care programsUniform policiesReport to the legislature.
Applications and enrollment formsSignatures.
Medical directorAppointment of personnel.
Provisions applicable to health plans offered under this chapter.
Direct patient-provider primary care practicesPlan.
State health care authorityDirectorCost control and delivery strategiesHealth information technologyManaged competitionRules.
State agent for purchasing health servicesSingle community-rated risk pool.
Chronic care management programUniform medical planDefinitions.
ContractsProprietary data, trade secrets, actuarial formulas, statistics, cost and utilization dataExemption from public inspectionExecutive sessions.
Agencies to establish health care information systems.
Shared decision-making demonstration projectPreference-sensitive care.
Exchange of health informationPilotAdvisory board, discretionaryAdministrator's authority.
Health informationDefinitions.
Nurse hotline, when funded.
Health informationSecure accessLead organizationAdministrator's duties.
Health informationProcesses, guidelines, and standards.
Health informationConflict with federal requirements.
Contributions for employees and dependentsDefinitions.
Public employees' benefits boardMembers.
Public employees' benefits boardDutiesEligibilityDefinitionsPenalties.
Domestic partner benefits.
Federal employer incentive programAuthority to participate.
Public employeesPrior authorization standards and criteriaHealth plan requirementsDefinitions.
Employee benefit plansContracts with insuring entitiesPerformance measuresFinancial incentivesHealth information technology.
Participation in insurance plans and contractsRetired, disabled, or separated employeesCertain surviving spouses, state registered domestic partners, and dependent children.
Retired or disabled school employee health insurance subsidy.
Continuation of coverage of employee, spouse, or covered dependent ineligible under state planExceptions.
Coverage for dependents under the age of twenty-six.
Chapter not applicable to certain employees of Cooperative Extension Service.
Chapter not applicable to officers and employees of state convention and trade center.
Public employees' and retirees' insurance account.
Flexible spending administrative accountSalary reduction account.
State health care authority administrative account.
Payment of claimsSelf-insuranceInsurance reserve fund created.
Uniform medical plan benefits administration accountUniform dental plan benefits administration accountPublic employees' benefits board medical benefits administration account.
RulesInsurance benefit reimbursement.
Neurodevelopmental therapiesEmployer-sponsored group contracts.
Prescribed, self-administered anticancer medication.
Prostate cancer screeningRequired coverage.
MammogramsInsurance coverage.
General anesthesia services for dental proceduresPublic employee benefit plans.
Diabetes benefitsState purchased health care.
Eosinophilic gastrointestinal associated disorderElemental formula.
Medicare supplemental insurance policies.
Medicare supplemental insurance policies.
Tricare supplemental insurance policyAuthority to offerRules.
Community and migrant health centersMaternity health care centersPeople of colorUnderserved populations.
Blind licensees in the business enterprises programPlan of health insurance.
Multicultural health care technical assistance program.
American Indian health care delivery plan.
Department of correctionsInmate health care.
Dependent care assistance programHealth care authorityPowers, duties, and functions.
Salary reduction agreementsAuthorized.
Salary reduction planPolicies and proceduresPlan document.
Salary reduction planEligibilityParticipation, withdrawal.
Salary reduction planAccounts and records.
Salary reduction planTerminationAmendment.
Salary reduction planRules.
Salary reduction planConstruction.
Plan of health care coverageAvailable fundsComponentsEligibilityAdministrator's duties.
Pharmacy connection programNotice.
Prescription drug assistance, educationRules.
Medication synchronization policy required for health benefit plans covering prescription drugsRequirementsDefinitions.
State employee health programRequirementsReport.
Prescription drug assistance foundationNonprofit and tax-exempt corporationDefinitionsLiability.
Mental health servicesDefinitionCoverage required, when.
Mental health servicesRules.
Annual report of customer service complaints and appeals.
Community health care collaborative grant programGrantsAdministrative supportEligibility.
Rules2009 c 299.
School district health benefitsReport.
Community health care collaborative grant programAward and disbursement of grants.
Chronic care management incentivesProvider reimbursement methods.
ReportChronic care management.
Performance measures committeeMembershipSelection of performance measuresBenchmarks for purchasing decisionsPublic process for evaluation of measures.
Reimbursement of health care services provided through telemedicine or store and forward technology.
Ground emergency medical transportation servicesMedicaid reimbursementCalculationFederal approvalDepartment's duties.
Ground emergency medical transportation servicesMedicaid reimbursementIntergovernmental transfer programFederal approvalAuthority's duties.
Community of health pilot projectsDesignationGrantsRules.
Short title.
ImplementationEffective dates1988 c 107.
Hospitalization and health care for county, municipal and other political subdivision employees: RCW 41.04.180.
Monitoring enrollee level in basic health plan and medicaid caseload of childrenFunding levels adjustment: RCW 43.41.260.
Prepaid chiropractic, pilot projects: RCW 18.25.200.