Washington · statute · Wash. Rev. Code ch. 74.76 · 8 active provisions
The definitions in this section apply throughout this chapter and chapter 48.208 RCW unless the context clearly requires otherwise.(1) "Authority" means the Washington state health care authority.(2) "Commissioner" means the insurance commissioner or his or her designee.(3) "Covered lives" means all persons residing in…
(1) By September 1, 2030, the authority shall submit any state plan amendments or waiver requests to the centers for medicare and medicaid services that are necessary to implement the medicaid access program established in RCW 74.76.050.(2) The assessment, collection, and disbursement of funds for this program shall be…
(1) All health carriers and medicaid managed care organizations shall pay an annual covered lives assessment beginning January 1st of the plan year following the approval in RCW 74.76.020(2)(a) as follows:(a) For assessments due the first plan year:(i) The authority shall assess a per member per month assessment of $16…
(1) The medicaid access program account is created in the state treasury. All receipts from the assessments, interest, and penalties collected by the authority and commissioner under RCW 74.76.030 and 48.208.010 must be deposited into the account. Moneys in the account may be spent only after appropriation. Expenditure…
(1) The medicaid access program is hereby created.(2) By January 1st of the second plan year after conditions of RCW 74.76.020 are met, professional services rates for anesthesia, diagnostics, intense outpatient, opioid treatment programs, emergency room, inpatient and outpatient surgery, inpatient visits, low-level be…
The authority may adopt rules and undertake actions necessary to carry out RCW 74.76.020, 74.76.030, and 74.76.050 including, but not limited to, rules prescribing the medicaid access program plan of operations, measures to enforce reporting of covered lives, audits of covered lives reporting, and payment of applicable…
The medicaid access program, health carriers and medicaid managed care organizations assessed by the program, the authority, and employees of the authority are not civilly or criminally liable and may not have any penalty or cause of action of any nature arise against them for any action or inaction, including any disc…
Nothing in chapter 359, Laws of 2025 shall be construed to alter the requirements: (1) Under 42 C.F.R. Sec. 438.4 that the rates paid by the state to managed care organizations be actuarially sound; and (2) that the state develop the rates in compliance with standards under 42 C.F.R. Sec. 438.5.