Last Update: 4/3/18

Chapter 182-501 WAC

ADMINISTRATION OF MEDICAL PROGRAMSGENERAL

WAC Sections

Health care general coverage.
Health care coverageHow the agency determines coverage of services for its health care programs using health technology assessments.
Health care coverageProgram benefit packagesScope of service categories.
Health care coverageDescription of service categories.
Health care coverageNoncovered services.
Subrogation.
Advance directives.
Patient review and coordination (PRC).
Exception to ruleRequest for a noncovered health care service.
Health care coverageProcess for submitting a valid request for authorization.
Medical and dental coverageFee-for-service (FFS) prior authorizationDetermination process for payment.
Health care coverageLimitation extension.
Medical care provided in bordering cities.
Health care services provided outside the state of WashingtonGeneral provisions.
Health care provided in another state or U.S. territoryNonemergency.
Health care services provided outside of the United States and U.S. territories or in a foreign country.
Third-party resources.
Case management services.
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