Chapter 182-502 WAC

Last Update: 4/3/18

ADMINISTRATION OF MEDICAL PROGRAMSPROVIDERS

WAC Sections

PROVIDER TYPES
182-502-0002Eligible provider types.
182-502-0003Noneligible provider types.
ENROLLMENT
182-502-0005Core provider agreement (CPA).
182-502-0006Enrollment for nonbilling individual providers.
182-502-0010When the medicaid agency enrolls.
182-502-0012When the medicaid agency does not enroll.
182-502-0014Review and consideration of an applicant's history.
PROVIDER REQUIREMENTS
182-502-0016Continuing requirements.
182-502-0018Change of ownership.
182-502-0020Health care record requirements.
182-502-0022Provider preventable conditions (PPCs)—Payment policy.
182-502-0025Electronic health records (EHR) incentive program.
TERMINATION OF PROVIDER
182-502-0030Termination of a provider agreement—For cause.
182-502-0040Termination of a provider agreement—For convenience.
INFORMAL DISPUTE RESOLUTION PROCESS
182-502-0050Provider dispute of an agency action.
REAPPLYING FOR PARTICIPATION
182-502-0060Reapplying for participation.
PAYMENT
182-502-0100General conditions of payment.
182-502-0110Conditions of payment and prior authorization requirements—Medicare coinsurance, copayments, and deductibles.
182-502-0120Payment for health care services provided outside the state of Washington.
INTEREST PENALTIES
182-502-0130Interest penalties—Providers.
TIME LIMITS FOR BILLING
182-502-0150Time limits for providers to bill the agency.
BILLING A CLIENT
182-502-0160Billing a client.
PROVIDER REPORTS
182-502-0210Statistical data-provider reports.
APPEAL—RATE REIMBURSEMENT
182-502-0220Administrative appeal contractor or provider rate reimbursement.
PROVIDER PAYMENT REVIEWS AND DISPUTE RIGHTS
182-502-0230Provider overpayment disputes—General.
182-502-0260Appeals and dispute resolution for providers with contracts other than core provider agreements.
182-502-0270Review of agency's provider dispute decision.
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