Statutes, codes, and regulations
Washington Administrative Code
Title 182 - Health Care AuthorityWASHINGTON APPLE HEALTH
Chapter 182-538 - Managed care
Section 182-538-068 - Qualifications to become a primary care case management (PCCM) provider in integrated managed care regional service areas

Wash. Admin. Code § 182-538-068

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Current through Register Vol. 24-23, December 1, 2024
Section 182-538-068 - Qualifications to become a primary care case management (PCCM) provider in integrated managed care regional service areas

A primary care case management (PCCM) provider or the individual providers in a PCCM group or clinic must:

(1) Have a core provider agreement with the medicaid agency;
(2) Be a recognized urban Indian health center or tribal clinic;
(3) Accept the terms and conditions of the agency's PCCM contract;
(4) Be able to meet the quality standards established by the agency; and
(5) Accept the case management rate paid by the agency.

Wash. Admin. Code § 182-538-068

Amended by WSR 15-24-098, Filed 12/1/2015, effective 1/1/2016
Amended by WSR 19-24-063, Filed 11/27/2019, effective 1/1/2020

Statutory Authority: RCW 41.05.021, 42 C.F.R. 438. 13-02-010, §182-538-068, filed 12/19/12, effective 2/1/13. 11-14-075, recodified as §182-538-068, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.522. 08-15-110, § 388-538-068, filed 7/18/08, effective 8/18/08; 06-03-081, § 388-538-068, filed 1/12/06, effective 2/12/06. Statutory Authority: RCW 74.09.080, 74.08.510,[74.08.]522 , 74.09.450, 1115 Waiver, 42 U.S.C. 1396. 02-01-075, § 388-538-068, filed 12/14/01, effective 1/14/02.