Chapter 182-538A WAC

Last Update: 11/22/17

WASHINGTON APPLE HEALTH FULLY INTEGRATED MANAGED CARE (FIMC)

WAC Sections

182-538A-040Washington apple health fully integrated managed care.
182-538A-050Definitions.
182-538A-060Fully integrated managed care and choice.
182-538A-067Qualifications to become a managed care organization (MCO) in fully integrated managed care (FIMC) regional service areas.
182-538A-068Qualifications to become a primary care case management (PCCM) provider in fully integrated managed care (FIMC) regional service areas.
182-538A-070Payments to managed care organizations (MCOs) in fully integrated managed care (FIMC) regional service areas.
182-538A-071Payments to primary care case management (PCCM) providers in fully integrated managed care (FIMC) regional service areas.
182-538A-095Scope of care for fully integrated managed care (FIMC) and behavioral health services only (BHSO) enrollees.
182-538A-100Managed care emergency services for fully integrated managed care (FIMC) enrollees.
182-538A-110The grievance and appeal system, and agency administrative hearing for fully integrated managed care (FIMC) managed care organization (MCO) enrollees.
182-538A-111The administrative hearing process for primary care case management (PCCM) enrollees in FIMC regional service areas.
182-538A-120Fully integrated managed care (FIMC) enrollee request for a second medical opinion.
182-538A-130Exemptions and ending enrollment in fully integrated managed care (FIMC).
182-538A-140Fully integrated managed care (FIMC) quality of care.
182-538A-150Apple health foster care program in fully integrated managed care regional service areas.
182-538A-160Program integrity requirements.
182-538A-170Notice requirements.
182-538A-180Rights and protections.
182-538A-190Behavioral health services only (BHSO).
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