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182-538-067  <<  182-538-068 >>   182-538-070

Managed care provided through primary care case management (PCCM).

A provider may contract with the agency as a primary care case management (PCCM) provider to coordinate health care services to eligible clients under the agency's managed care program. The PCCM provider or the individual providers in a PCCM group or clinic must:
(1) Have a core provider agreement with the agency;
(2) Be a recognized urban Indian health center or tribal clinic;
(3) Accept the terms and conditions of the agency's PCCM contract;
(4) Be able to meet the quality standards established by the agency; and
(5) Accept PCCM rates published by the agency.
[Statutory Authority: RCW 41.05.021, 42 C.F.R. 438. WSR 13-02-010, § 182-538-068, filed 12/19/12, effective 2/1/13. WSR 11-14-075, recodified as § 182-538-068, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.522. WSR 08-15-110, § 388-538-068, filed 7/18/08, effective 8/18/08; WSR 06-03-081, § 388-538-068, filed 1/12/06, effective 2/12/06. Statutory Authority: RCW 74.09.080, 74.08.510, [74.08.]522, 74.09.450, 1115 Waiver, 42 U.S.C. 1396. WSR 02-01-075, § 388-538-068, filed 12/14/01, effective 1/14/02.]