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Chapter 182-538 WAC

 Last Update: 12/19/12

MANAGED CARE

WAC Sections

182-538-050 Definitions.
182-538-060 Managed care and choice.
182-538-061 Voluntary enrollment into managed care -- Washington medicaid integration partnership (WMIP).
182-538-063 Managed care for medical care services clients.
182-538-065 Medicaid-eligible basic health (BH) enrollees.
182-538-067 Managed care provided through managed care organizations (MCOs).
182-538-068 Managed care provided through primary care case management (PCCM).
182-538-070 Managed care payment.
182-538-095 Scope of care for managed care enrollees.
182-538-100 Managed care emergency services.
182-538-110 The grievance system for managed care organizations (MCO).
182-538-111 Primary care case management (PCCM) grievances and appeals.
182-538-120 Enrollee request for a second medical opinion.
182-538-130 Exemptions and ending enrollment in managed care.
182-538-140 Quality of care.
DISPOSITIONS OF SECTIONS FORMERLY CODIFIED IN THIS CHAPTER
182-538-112 The department of social and health services' (DSHS) hearing process for enrollee appeals of managed care organization (MCO) actions. [11-14-075, recodified as § 182-538-112, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.522. 08-15-110, § 388-538-112, filed 7/18/08, effective 8/18/08; 06-03-081, § 388-538-112, 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). 05-01-066, § 388-538-112, filed 12/8/04, effective 1/8/05. Statutory Authority: RCW 74.08.090, 74.09.522, and 74.09.450. 04-13-002, § 388-538-112, filed 6/2/04, effective 7/3/04. Statutory Authority: RCW 74.08.090, 74.09.522. 03-18-110, § 388-538-112, filed 9/2/03, effective 10/3/03.]  Repealed by 13-02-010, filed 12/19/12, effective 2/1/13. Statutory Authority: RCW 41.05.021, 42 C.F.R. 438.