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Wash. Rev. Code ch. 74.09 – Medical care. | Midpage
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Revised Code of Washington
Title 74
Chapter 74.09
Wash. Rev. Code ch. 74.09
Medical care.
74.09.010
Definitions. (Effective until June 30, 2027.)
74.09.015
Nurse hotline, when funded.
74.09.035
Medical care services—Eligibility, standards—Limits.
74.09.037
Identification card—Social security number restriction.
74.09.050
Director's powers and duties—Personnel—Medical screeners—Medical director.
74.09.053
Annual reporting requirement.
74.09.055
Copayment, deductible, coinsurance, other cost-sharing requirements authorized.
74.09.075
Employability and disability evaluation—Medical condition—Medical reports—Medical consultations and assistance.
74.09.080
Methods of performing administrative responsibilities.
74.09.120
Purchases of services, care, supplies—Nursing homes—Veterans' homes—Institutions for persons with intellectual disabilities—Institutions for mental diseases.
74.09.150
Personnel to be under existing merit system.
74.09.160
Presentment of charges by contractors.
74.09.171
Contracts for medicaid services—Border communities.
74.09.180
Chapter does not apply if another party is liable—Exception—Subrogation—Lien—Reimbursement—Delegation of lien and subrogation rights.
74.09.185
Third party has legal liability to make payments—State acquires rights—Lien—Equitable subrogation does not apply.
74.09.190
Religious beliefs—Construction of chapter.
74.09.195
Audits of health care providers by the authority—Requirements—Procedure.
74.09.200
Audits and investigations—Legislative declaration—State authority.
74.09.210
Fraudulent practices—Penalties.
74.09.215
Medicaid fraud penalty account.
74.09.220
Liability for receipt of excess payments.
74.09.230
False statements, fraud—Penalties.
74.09.240
Bribes, kickbacks, rebates—Self-referrals—Penalties.
74.09.250
False statements regarding institutions, facilities—Penalties.
74.09.260
Excessive charges, payments—Penalties.
74.09.270
Failure to maintain trust funds in separate account—Penalties.
74.09.280
False verification of written statements—Penalties.
74.09.290
Audits and investigations of providers—Patient records—Penalties.
74.09.295
Disclosure of involuntary commitment information.
74.09.300
Department to report penalties to appropriate licensing agency or disciplinary board.
74.09.315
Whistleblowers—Workplace reprisal or retaliatory action.
74.09.325
Reimbursement of a health care service provided through telemedicine or store and forward technology—Audio-only telemedicine.
74.09.327
Audio-only telemedicine—Fee-for-service reimbursement.
74.09.328
Use of substitute providers—When permitted—Reimbursement requirements.
74.09.330
Reimbursement methodology for ambulance services—Transport of a medical assistance enrollee to a mental health facility or chemical dependency program.
74.09.335
Reimbursement of health care services provided by fire departments—Adoption of standards.
74.09.340
Personal needs allowance, adjusted.
74.09.390
Access to baby and child dentistry program—Coverage for eligible children—Authority's duties—Report to legislature.
74.09.395
Access to baby and child dentistry program—Outreach and engagement—Stakeholder collaboration.
74.09.402
Children's health care—Findings—Intent.
74.09.460
Children's affordable health coverage—Findings—Intent.
74.09.470
Children's affordable health coverage—Authority duties.
74.09.4701
Apple health for kids—Unemployment compensation.
74.09.475
Newborn delivery services to medical assistance clients—Policies and procedures—Reporting.
74.09.480
Performance measures—Provider rate increases—Report.
74.09.490
Children's mental health—Improving medication management and care coordination.
74.09.495
Access to children's behavioral health services—Report to legislature.
74.09.4951
Children and youth behavioral health work group—Advisory groups—Report to governor and legislature. (Expires December 30, 2029.)
74.09.497
Authority review of payment codes available to health plans and providers related to primary care and behavioral health—Requirements—Principles considered—Matrices—Reporting.
74.09.500
Medical assistance—Established.
74.09.510
Medical assistance—Eligibility.
74.09.515
Medical assistance—Coverage for youth released from confinement.
74.09.520
Medical assistance—Care and services included—Funding limitations.
74.09.522
Medical assistance—Agreements with managed care organizations for provision of services to medicaid recipients—Principles to be applied in purchasing managed health care.
74.09.5222
Medical assistance—Section 1115 demonstration waiver request.
74.09.5223
Findings—Chronic care management.
74.09.5225
Medical assistance—Payments for services provided by rural hospitals—Participation in Washington rural health access preservation pilot.
74.09.5228
Primary care health homes—Children with medically complex conditions.
74.09.5229
Primary care health homes—Chronic care management—Findings—Intent.
74.09.523
PACE program—Definitions—Requirements.
74.09.530
Medical assistance—Powers and duties of authority.
74.09.540
Medical assistance—Working individuals with disabilities—Intent.
74.09.545
Medical assistance or limited casualty program—Eligibility—Agreements between spouses to transfer future income—Community income.
74.09.555
Medical assistance—Reinstatement upon release from confinement—Expedited eligibility determinations.
74.09.557
Medical assistance—Complex rehabilitation technology products.
74.09.559
Long-acting injectable buprenorphine—Billing codes—Reimbursement.
74.09.565
Medical assistance for institutionalized persons—Treatment of income between spouses.
74.09.575
Medical assistance for institutionalized persons—Treatment of resources.
74.09.585
Medical assistance for institutionalized persons—Period of ineligibility for transfer of resources.
74.09.595
Medical assistance for institutionalized persons—Due process procedures.
74.09.597
Medical assistance—Durable medical equipment and medical supplies—Providers.
74.09.600
Post audit examinations by state auditor.
74.09.605
Incorporation of outcomes/criteria into contracts with managed care organizations.
74.09.611
Hospital quality incentive payments—Noncritical access hospitals.
74.09.630
Opioid overdose reversal medications—Reimbursement.
74.09.632
Opioid overdose reversal medications—Technical assistance—Written materials.
74.09.634
Opioid overdose reversal medications—Bulk purchasing and distribution program.
74.09.640
Opioid use disorder—Nonpharmacologic treatments.
74.09.645
Opioid use disorder—Coverage without prior authorization.
74.09.650
Prescription drug assistance program.
74.09.653
Drug reimbursement policy recommendations.
74.09.655
Smoking cessation assistance.
74.09.657
Findings—Family planning services expansion.
74.09.658
Home health—Reimbursement—Telemedicine.
74.09.659
Family planning waiver program request.
74.09.660
Prescription drug education for seniors—Grant qualifications.
74.09.665
Human immunodeficiency virus postexposure prophylaxis drugs—Coverage—Reimbursement.
74.09.667
Human immunodeficiency virus antiviral drugs—Coverage.
74.09.670
Medical assistance benefits—Incarcerated or committed persons—Suspension.
74.09.671
Incarcerated persons—Local jails—Behavioral health services—Federal funding.
74.09.672
Inmates of a public institution—Exclusion from medicaid coverage—Work release and partial confinement programs.
74.09.675
Gender-affirming care services—Prohibited discrimination.
74.09.700
Medical care—Limited casualty program.
74.09.705
Family medicine workforce development account.
74.09.710
Chronic care management programs—Medical homes—Definitions.
74.09.715
Access to dental care.
74.09.717
Dental health aide therapist services—Federal funding.
74.09.719
Compact of free association islander dental care program.
74.09.725
Prostate cancer screening. (Effective until June 30, 2027.)
74.09.730
Disproportionate share hospital adjustment.
74.09.741
Adjudicative proceedings.
74.09.745
Medicaid funding for home visiting services—Recommendations to legislature.
74.09.748
Regional service areas—Certain reimbursements required or allowed upon adoption of fully integrated managed health care system.
74.09.758
Medicaid procurement of services—Value-based contracting for medicaid and public employee purchasing.
74.09.7585
Changes in services—Adjustments to medicaid managed care rates.
74.09.760
Short title—1989 1st ex.s. c 10.
74.09.770
Maternity care access system established.
74.09.780
Reservation of legislative power.
74.09.790
Definitions.
74.09.800
Maternity care access program established.
74.09.810
Alternative maternity care service delivery system established—Remedial action report.
74.09.820
Maternity care provider's loan repayment program.
74.09.825
Donor human milk—Standards—Federal funding.
74.09.830
Postpartum health care coverage.
74.09.835
Postdelivery and transitional care program—Contracting—Funding.
74.09.837
Maternity support services program—Updates—Rule making.
74.09.839
Apple health pregnancy coverage.
74.09.840
Prior authorization.
74.09.850
Conflict with federal requirements.
74.09.860
Request for proposals—Foster children—Integrated managed health and behavioral health care—Continuation of health care benefits following reunification.
74.09.865
Postinpatient housing program for young adults.
74.09.870
Regional service areas—Establishment.
74.09.871
Behavioral health services—Contracting process.
74.09.875
Reproductive health care services—Prohibited discrimination.
74.09.880
Z code collection—Incentives and funding.
74.09.885
Apple health and homes program—Definitions.
74.09.886
Apple health and homes program—Establishment—Eligibility—Services.
74.09.888
Apple health and homes program—Authority duties—Funding—Reports to legislature.
74.09.890
Medicaid program integrity—Administrative oversight—Strategic plan—Best practices.
74.09.892
Medicaid program integrity—Managed care organizations—Contracts—Best practices.
74.09.900
Other laws applicable.
74.09.920
Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.