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WAC 182-532-790

TAKE CHARGE program—Good cause exemption from billing third party insurance.

(1) Under the TAKE CHARGE program, two groups of clients may request an exemption from the medicaid requirement to bill third-party insurance due to "good cause." The two groups are:
(a) TAKE CHARGE applicants who:
(i) Are eighteen years of age or younger;
(ii) Are covered under their parents' health insurance; and
(iii) Do not want their parents to know that they are seeking and/or receiving family planning services.
(b) Individuals who are domestic violence victims and are covered under the perpetrator's health insurance.
(2) "Good cause" means that the use of the third-party coverage would violate a client's confidentiality because the third party:
(a) Routinely sends verification of services to the third-party subscriber and that subscriber is someone other than the applicant; and/or
(b) Requires the applicant to use a primary care provider who is likely to report the applicant's request for family planning services to the subscriber.
[Statutory Authority: RCW 41.05.021, 74.09.520, 74.09.657, 74.09.659, and 74.09.800. WSR 13-16-008, § 182-532-790, filed 7/25/13, effective 9/1/13. WSR 11-14-075, recodified as § 182-532-790, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.800. WSR 08-11-031, § 388-532-790, filed 5/13/08, effective 6/13/08. Statutory Authority: RCW 74.08.090, 74.09.520, and 74.09.800. WSR 05-24-032, § 388-532-790, filed 11/30/05, effective 12/31/05. Statutory Authority: RCW 74.08.090, 74.09.520, 74.09.800, and SSB 5968, 1999 c 392 § 2(12). WSR 02-21-021, § 388-532-790, filed 10/8/02, effective 11/8/02.]
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