§ 74.09.010 Definitions
§ 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
§ 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
§ 74.09.5229 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
§ 74.09.565 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
§ 74.09.670 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
§ 74.09.710 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
§ 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
§ 74.09.760 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
§ 74.09.840 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
§ 74.09.870 Regional service areas — Establishment
§ 74.09.871 Behavioral health services — Contracting process
§ 74.09.875 Reproductive health care services — Prohibited discrimination
§ 74.09.877 Statewide plan to implement coordinated specialty care programs providing early identification and intervention for psychosis
§ 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

Terms Used In Washington Code > Chapter 74.09 - Medical care

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Concurrent resolution: A legislative measure, designated "S. Con. Res." and numbered consecutively upon introduction, generally employed to address the sentiments of both chambers, to deal with issues or matters affecting both houses, such as a concurrent budget resolution, or to create a temporary joint committee. Concurrent resolutions are not submitted to the President/Governor and thus do not have the force of law.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Dependent: A person dependent for support upon another.
  • Dismissal: The dropping of a case by the judge without further consideration or hearing. Source:
  • Donor: The person who makes a gift.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Minority leader: See Floor Leaders
  • Oath: A promise to tell the truth.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • person: may be construed to include the United States, this state, or any state or territory, or any public or private corporation or limited liability company, as well as an individual. See Washington Code 1.16.080
  • Presiding officer: A majority-party Senator who presides over the Senate and is charged with maintaining order and decorum, recognizing Members to speak, and interpreting the Senate's rules, practices and precedents.
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Statute: A law passed by a legislature.
  • Tort: A civil wrong or breach of a duty to another person, as outlined by law. A very common tort is negligent operation of a motor vehicle that results in property damage and personal injury in an automobile accident.