Wash. Admin. Code ch. 182-502 – Administration of Medical Programs — Providers | Midpage

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Washington Administrative Code (WAC)

Chapter 502

Wash. Admin. Code ch. 182-502

Administration of Medical Programs — Providers

HEALTH CARE AUTHORITY

182-502-0002Eligible provider types 182-502-0003Noneligible provider types 182-502-0005Provider enrollment—Core provider agreement (CPA) or nonbilling provider agreement 182-502-0010When the medicaid agency enrolls 182-502-0012When the medicaid agency does not enroll 182-502-0014Review and consideration of an applicant's history 182-502-0016Continuing requirements 182-502-0017Employee education about false claims recovery 182-502-0018Change of ownership 182-502-0020Health care record requirements 182-502-0022Provider preventable conditions (PPCs)—Payment policy 182-502-0025Electronic health records (EHR) incentive program 182-502-0030Termination of provider enrollment—For cause 182-502-0040Termination of provider enrollment—For convenience 182-502-0050Provider dispute of an agency action 182-502-0060Reapplying for participation 182-502-0100General conditions of payment 182-502-0110Conditions of payment and prior authorization requirements—Medicare coinsurance, copayments, and deductibles 182-502-0120Payment for health care services provided outside the state of Washington 182-502-0130Interest penalties—Providers 182-502-0150Time limits for providers to bill the agency 182-502-0160Billing a client 182-502-0210Statistical data-provider reports 182-502-0220Administrative appeal contractor or provider rate reimbursement 182-502-0230Provider overpayment disputes—General 182-502-0260Appeals and dispute resolution for providers with contracts other than core provider agreements 182-502-0270Review of agency's provider dispute decision