Chapter 182-538 WAC

Last Update: 3/27/18

MANAGED CARE

WAC Sections

182-538-040Introduction.
182-538-050Definitions.
182-538-060Managed care choice and assignment.
182-538-067Qualifications to become a managed care organization (MCO).
182-538-068Qualifications to become a primary care case management (PCCM) provider.
182-538-070Payments to managed care organizations (MCOs).
182-538-071Payments for primary care case management (PCCM) providers.
182-538-095Scope of care for managed care enrollees.
182-538-096Scope of service for PCCM enrollees.
182-538-100Managed care emergency services.
182-538-110The grievance and appeal system and agency administrative hearing for managed care organization (MCO) enrollees.
182-538-111The administrative hearing process for primary care case management (PCCM).
182-538-120Enrollee request for a second medical opinion.
182-538-130Exemptions and ending enrollment in managed care.
182-538-140Quality of care.
182-538-150Apple health foster care program.
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