2025年2月14日 · This section contains information about the grievance and appeal system and the right to an agency administrative hearing for MCO enrollees. See WAC 182-538-111 for …

2019年11月27日 · 182-538B-110 Grievance and appeal system and agency adminis-trative hearing. (1) Introduction. This section contains information about the managed care …

These guidelines determine the daily rate or tier for Community Behavioral Health Support (CBHS) services and In Lieu of Services Supportive Supervision and Oversight in both the …

Client is in an in-home setting receiving wraparound services: The MCO is only responsible for the state funded portion of the total rate (50% or less depending on the program). • CFC only or …

Qualifications to become a primary care case manage-ment (PCCM) provider. Payments to managed care organizations (MCOs). Payments for primary care case management (PCCM) …

All contracted managed care organizations (MCOs) in Washington State that provide Medicaid benefits must have an appeal process for their enrollees. This is formally documented in …

Purpose: The health care authority (agency) is amending WAC 182-538-110 to align it with applicable federal government regulations and simplify the managed care organization (MCO) …

WAC 182-538-110 The grievance and appeal system and agency ad-ministrative hearing for managed care organization (MCO) enrollees. (1) Introduction. This section contains …

This section contains information about the grievance and appeal system and the right to an agency administrative hearing for MCO enrollees. See WAC 182-538-111 for information …

Scope of care for integrated managed care enrollees and managed care organization benefit administration requirements. Scope of Care. (1) An enrollee in integrated managed care (IMC) …