Last Update: 12/1/15

Chapter 182-538 WAC

MANAGED CARE

WAC Sections

Introduction.
Definitions.
Managed care choice and assignment.
Qualifications to become a managed care organization (MCO).
Qualifications to become a primary care case management (PCCM) provider.
Payments to managed care organizations (MCOs).
Payments for primary care case management (PCCM) providers.
Scope of care for managed care enrollees.
Scope of service for PCCM enrollees.
Managed care emergency services.
The grievance system for managed care organizations (MCO).
The administrative hearing process for primary care case management (PCCM).
Enrollee request for a second medical opinion.
Exemptions and ending enrollment in managed care.
Quality of care.
Apple health foster care program.
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