Last Update: 7/9/15

Chapter 182-502 WAC

ADMINISTRATION OF MEDICAL PROGRAMSPROVIDERS

WAC Sections

PROVIDER TYPES
Eligible provider types.
Noneligible provider types.
ENROLLMENT
Core provider agreement (CPA).
Enrollment for nonbilling individual providers.
When the medicaid agency enrolls.
When the medicaid agency does not enroll.
Review and consideration of an applicant's history.
PROVIDER REQUIREMENTS
Continuing requirements.
Change of ownership.
Health care record requirements.
Provider preventable conditions (PPCs)Payment policy.
Electronic health records (EHR) incentive program.
TERMINATION OF PROVIDER
Termination of a provider agreementFor cause.
Termination of a provider agreementFor convenience.
INFORMAL DISPUTE RESOLUTION PROCESS
Provider dispute of an agency action.
REAPPLYING FOR PARTICIPATION
Reapplying for participation.
PAYMENT
General conditions of payment.
Conditions of paymentMedicare deductible and coinsurance.
Payment for health care services provided outside the state of Washington.
INTEREST PENALTIES
Interest penaltiesProviders.
TIME LIMITS FOR BILLING
Time limits for providers to bill the agency.
BILLING A CLIENT
Billing a client.
PROVIDER REPORTS
Statistical data-provider reports.
APPEAL—RATE REIMBURSEMENT
Administrative appeal contractor or provider rate reimbursement.
PROVIDER PAYMENT REVIEWS AND DISPUTE RIGHTS
Provider overpayment disputesGeneral.
Appeals and dispute resolution for providers with contracts other than core provider agreements.
Review of agency's provider dispute decision.