Revised Code of Washington
Chapter 74.09 - Medical Care.
74.09.053 - Annual reporting requirement (as amended by 2009 c 479).

RCW 74.09.053
Annual reporting requirement (as amended by 2009 c 479).

(1) The department of social and health services, in coordination with the health care authority, shall by November 15th of each year report to the legislature:
(a) The number of medical assistance recipients who: (i) Upon enrollment or recertification had reported being employed, and beginning with the 2008 report, the month and year they reported being hired; or (ii) upon enrollment or recertification had reported being the dependent of someone who was employed, and beginning with the 2008 report, the month and year they reported the employed person was hired. For recipients identified under (a)(i) and (ii) of this subsection, the department shall report the basis for their medical assistance eligibility, including but not limited to family medical coverage, transitional medical assistance, children's medical ((or aged or disabled)) coverage, aged coverage, or coverage for persons with disabilities; member months; and the total cost to the state for these recipients, expressed as general fund-state((, health services account)) and general fund-federal dollars. The information shall be reported by employer (([size])) size for employers having more than fifty employees as recipients or with dependents as recipients. This information shall be provided for the preceding January and June of that year.
(b) The following aggregated information: (i) The number of employees who are recipients or with dependents as recipients by private and governmental employers; (ii) the number of employees who are recipients or with dependents as recipients by employer size for employers with fifty or fewer employees, fifty-one to one hundred employees, one hundred one to one thousand employees, one thousand one to five thousand employees and more than five thousand employees; and (iii) the number of employees who are recipients or with dependents as recipients by industry type.
(([(2)])) (2) For each aggregated classification, the report will include the number of hours worked, the number of department of social and health services covered lives, and the total cost to the state for these recipients. This information shall be for each quarter of the preceding year.

[ 2009 c 479 § 62; 2006 c 264 § 2.]
NOTES:

Effective date—2009 c 479: See note following RCW 2.56.030.


(1) Beginning in November 2012, the department of social and health services, in coordination with the health care authority, shall by November 15th of each year report to the legislature:
(a) The number of medical assistance recipients who: (i) Upon enrollment or recertification had reported being employed, and beginning with the 2008 report, the month and year they reported being hired; or (ii) upon enrollment or recertification had reported being the dependent of someone who was employed, and beginning with the 2008 report, the month and year they reported the employed person was hired. For recipients identified under (a)(i) and (ii) of this subsection, the department shall report the basis for their medical assistance eligibility, including but not limited to family medical coverage, transitional medical assistance, children's medical or aged or ((disabled)) individuals with disabilities coverage; member months; and the total cost to the state for these recipients, expressed as general fund-state, health services account and general fund-federal dollars. The information shall be reported by employer (([size])) size for employers having more than fifty employees as recipients or with dependents as recipients. This information shall be provided for the preceding January and June of that year.
(b) The following aggregated information: (i) The number of employees who are recipients or with dependents as recipients by private and governmental employers; (ii) the number of employees who are recipients or with dependents as recipients by employer size for employers with fifty or fewer employees, fifty-one to one hundred employees, one hundred one to one thousand employees, one thousand one to five thousand employees and more than five thousand employees; and (iii) the number of employees who are recipients or with dependents as recipients by industry type.
(([(2)])) (2) For each aggregated classification, the report will include the number of hours worked, the number of department of social and health services covered lives, and the total cost to the state for these recipients. This information shall be for each quarter of the preceding year.

[ 2009 c 568 § 6; 2006 c 264 § 2.]
NOTES:

Reviser's note: RCW 74.09.053 was amended twice during the 2009 legislative session, each without reference to the other. For rule of construction concerning sections amended more than once during the same legislative session, see RCW 1.12.025.

Structure Revised Code of Washington

Revised Code of Washington

Title 74 - Public Assistance

Chapter 74.09 - Medical Care.

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 (as amended by 2009 c 479).

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 health care systems 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.

74.09.720 - Prevention of blindness 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.

74.09.756 - Medicaid and state children's health insurance program demonstration project.

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.

74.09.850 - 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.

74.09.900 - Other laws applicable.

74.09.920 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.