RCW 74.09.171
Contracts for medicaid services—Border communities.
(1) The legislature finds that the authority and the department purchase or contract for the delivery of medicaid programs, including medical services with the managed care plans under this chapter, mental health services with regional support networks or other contractors under chapter 71.24 RCW, chemical dependency services under chapters *74.50 and ** 70.96A RCW, and long-term care services under chapter 74.39A RCW.
(2) The authority and department must collaborate and seek opportunities to expand access to care for enrollees in the medicaid programs identified in subsection (1) of this section living in border communities that may require contractual agreements with providers across the state border when care is appropriate, available, and cost-effective.
(3) All authority and department contracts for medicaid services issued or renewed after July 1, 2014, must include provisions that allow for care to be accessed cross-border ensuring timely access to necessary care, including inpatient and outpatient services. The contracts must include reciprocal arrangements that allow Washington, Oregon, and Idaho border residents to access care when care is appropriate, available, and cost-effective.
(4) The agencies must jointly report to the health care committees and fiscal committees of the legislature by November 1, 2014, with an update on the contractual opportunities and the anticipated impacts on patient access to timely care, the impact on the availability of inpatient and outpatient services, and the fiscal implications for the medicaid programs.
[ 2014 c 39 § 1.]
NOTES:
Reviser's note: *(1) Chapter 74.50 RCW was repealed by 2019 c 325 § 6004.
**(2) Chapter 70.96A RCW was repealed and/or recodified in its entirety pursuant to 2016 sp.s. c 29 §§ 301, 601, and 701.
Structure Revised Code of Washington
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.
74.09.080 - Methods of performing administrative responsibilities.
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.
74.09.190 - 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.
74.09.327 - Audio-only telemedicine—Fee-for-service reimbursement.
74.09.328 - Use of substitute providers—When permitted—Reimbursement requirements.
74.09.340 - Personal needs allowance, adjusted.
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.
74.09.480 - 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.
74.09.500 - 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.
74.09.5222 - Medical assistance—Section 1115 demonstration waiver request.
74.09.5223 - Findings—Chronic care management.
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.
74.09.557 - 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.
74.09.595 - 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.
74.09.675 - 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.
74.09.756 - Medicaid and state children's health insurance program demonstration project.
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.
74.09.800 - 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.
74.09.870 - Regional service areas—Establishment.
74.09.871 - Behavioral health services—Contracting process.
74.09.875 - Reproductive health care services—Prohibited discrimination.
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.