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182-538-065  <<  182-538-067 >>   182-538-068

WAC 182-538-067

Agency filings affecting this section

Managed care provided through managed care organizations (MCOs).

(1) Managed care organizations (MCOs) may contract with the agency to provide prepaid health care services to eligible clients. The MCOs must meet the qualifications in this section to be eligible to contract with the agency. The MCO must:
(a) Have a certificate of registration from the office of the insurance commissioner (OIC) that allows the MCO to provide the health care services;
(b) Accept the terms and conditions of the agency's managed care contract;
(c) Be able to meet the network and quality standards established by the agency; and
(d) At the sole option of the agency, be awarded a contract through a competitive process or an application process available to all qualified providers.
(2) The agency reserves the right not to contract with any otherwise qualified MCO.
[Statutory Authority: RCW 41.05.021, 42 C.F.R. 438. WSR 13-02-010, § 182-538-067, filed 12/19/12, effective 2/1/13. WSR 11-14-075, recodified as § 182-538-067, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.522. WSR 08-15-110, § 388-538-067, filed 7/18/08, effective 8/18/08; WSR 06-03-081, § 388-538-067, filed 1/12/06, effective 2/12/06. Statutory Authority: RCW 74.08.090, 74.09.522, 2003 E1 c 25 § 201(4), 2004 c 276 § 201(4), 42 U.S.C. 1396N (section 1915 (b) and (c) of the Social Security Act of 1924). WSR 05-01-066, § 388-538-067, filed 12/8/04, effective 1/8/05. Statutory Authority: RCW 74.08.090, 74.09.522. WSR 03-18-112, § 388-538-067, filed 9/2/03, effective 10/3/03. Statutory Authority: RCW 74.09.080, RCW 74.08.510, [74.08.]522, 74.09.450, 1115 Waiver, 42 U.S.C. 1396. WSR 02-01-075, § 388-538-067, filed 12/14/01, effective 1/14/02.]