RCW 74.09.530
Medical assistance—Powers and duties of authority.
(1)(a) The authority is designated as the single state agency for purposes of Title XIX of the federal social security act.
(b) The amount and nature of medical assistance and the determination of eligibility of recipients for medical assistance shall be the responsibility of the authority.
(c) The authority shall establish reasonable standards of assistance and resource and income exemptions which shall be consistent with the provisions of the social security act and federal regulations for determining eligibility of individuals for medical assistance and the extent of such assistance to the extent that funds are available from the state and federal government. The authority shall not consider resources in determining continuing eligibility for recipients eligible under section 1931 of the social security act.
(d) The authority is authorized to collaborate with other state or local agencies and nonprofit organizations in carrying out its duties under this chapter or other applicable law and, to the extent appropriate, may enter into agreements with such other entities.
(2) Individuals eligible for medical assistance under RCW 74.09.510(3) shall be transitioned into coverage under that subsection immediately upon their termination from coverage under RCW 74.09.510(2)(a). The authority shall use income eligibility standards and eligibility determinations applicable to children placed in foster care. The authority shall provide information regarding basic health plan enrollment and shall offer assistance with the application and enrollment process to individuals covered under RCW 74.09.510(3) who are approaching their twenty-first birthday.
[ 2018 c 201 § 7018; 2011 1st sp.s. c 15 § 32; 2007 c 315 § 2; 2000 c 218 § 2; 1979 c 141 § 345; 1967 ex.s. c 30 § 6.]
NOTES:
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
Conflict with federal requirements—2007 c 315: See note following RCW 74.09.510.
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.