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Chapter 182-502 WAC

Last Update: 1/14/13

ADMINISTRATION OF MEDICAL PROGRAMS — PROVIDERS

WAC Sections

PROVIDER TYPES
182-502-0002 Eligible provider types.
182-502-0003 Noneligible provider types.
ENROLLMENT
182-502-0005 Core provider agreement (CPA).
182-502-0010 When the medicaid agency enrolls.
182-502-0012 When the medicaid agency does not enroll.
182-502-0014 Review and consideration of an applicant's history.
PROVIDER REQUIREMENTS
182-502-0016 Continuing requirements.
182-502-0018 Change of ownership.
182-502-0020 Health care record requirements.
182-502-0025 Electronic health records (EHR) incentive program.
TERMINATION OF PROVIDER
182-502-0030 Termination of a provider agreement--For cause.
182-502-0040 Termination of a provider agreement--For convenience.
INFORMAL DISPUTE RESOLUTION PROCESS
182-502-0050 Provider dispute of a department action.
REAPPLYING FOR PARTICIPATION
182-502-0060 Reapplying for participation.
PAYMENT
182-502-0100 General conditions of payment.
182-502-0110 Conditions of payment -- Medicare deductible and coinsurance.
182-502-0120 Payment for health care services provided outside the state of Washington.
INTEREST PENALTIES
182-502-0130 Interest penalties -- Providers.
TIME LIMITS FOR BILLING
182-502-0150 Time limits for providers to bill the department.
BILLING A CLIENT
182-502-0160 Billing a client.
PROVIDER REPORTS
182-502-0210 Statistical data-provider reports.
APPEAL -- RATE REIMBURSEMENT
182-502-0220 Administrative appeal contractor/provider rate reimbursement.
PROVIDER PAYMENT REVIEWS AND DISPUTE RIGHTS
182-502-0230 Provider payment reviews and dispute rights.
182-502-0260 Appeals and dispute resolution for providers with contracts other than core provider agreements.
182-502-0270 Review of department's provider dispute decision.