RCW 74.09.5229
Primary care health homes—Chronic care management—Findings—Intent.
The legislature finds that:
(1) Health care costs are growing rapidly, exceeding the consumer price index year after year. Consequently, state health programs are capturing a growing share of the state budget, even as state revenues have declined. Sustaining these critical health programs will require actions to effectively contain health care cost increases in the future; and
(2) The primary care health home model has been demonstrated to successfully constrain costs, while improving quality of care. Chronic care management, occurring within a primary care health home, has been shown to be especially effective at reducing costs and improving quality. However, broad adoption of these models has been impeded by a fee-for-service system that reimburses volume of services and does not adequately support important primary care health home services, such as case management and patient outreach. Furthermore, successful implementation will require a broad adoption effort by private and public payers, in coordination with providers.
Therefore the legislature intends to promote the adoption of primary care health homes for children and adults and, within them, advance the practice of chronic care management to improve health outcomes and reduce unnecessary costs. To facilitate the best coordination and patient care, primary care health homes are encouraged to collaborate with other providers currently outside the medical insurance model. Successful chronic care management for persons receiving long-term care services in addition to medical care will require close coordination between primary care providers, long-term care workers, and other long-term care service providers, including area agencies on aging. Primary care providers also should consider oral health coordination through collaboration with dental providers and, when possible, delivery of oral health prevention services. The legislature also intends that the methods and approach of the primary care health home become part of basic primary care medical education.
[ 2011 c 316 § 1.]
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.