Revised Code of Washington
Title 41 - Public Employment, Civil Service, and Pensions
Chapter 41.05 - State Health Care Authority.

41.05.009 - Determination of employee or school employee eligibility for benefits. - RCW 41.05.009 Determination of employee or school employee eligibility for...

41.05.0091 - Eligibility exists prior to January 1, 2010. - RCW 41.05.0091 Eligibility exists prior to January 1, 2010. An...

41.05.011 - Definitions. - RCW 41.05.011 Definitions. The definitions in this section apply throughout...

41.05.013 - State purchased health care programs—Uniform policies—Report to the legislature. - RCW 41.05.013 State purchased health care programs—Uniform policies—Report to the...

41.05.014 - Applications, enrollment forms, and eligibility certification documents—Signatures. - RCW 41.05.014 Applications, enrollment forms, and eligibility certification documents—Signatures. (1)...

41.05.015 - Medical director—Appointment of personnel. - RCW 41.05.015 Medical director—Appointment of personnel. The director shall designate...

41.05.017 - Provisions applicable to health plans offered under this chapter. - RCW 41.05.017 Provisions applicable to health plans offered under this...

41.05.018 - Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services. - RCW 41.05.018 Transfer of certain behavioral health-related powers, duties, and...

41.05.021 - State health care authority—Director—Cost control and delivery strategies—Health information technology—Managed competition—Rules. - RCW 41.05.021 State health care authority—Director—Cost control and delivery strategies—Health...

41.05.022 - State agent for purchasing health services—Single community-rated risk pool. - RCW 41.05.022 State agent for purchasing health services—Single community-rated risk...

41.05.023 - Chronic care management program—Uniform medical plan—Definitions. - RCW 41.05.023 Chronic care management program—Uniform medical plan—Definitions. (1) The...

41.05.026 - Contracts—Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data—Exemption from public inspection—Executive sessions. - RCW 41.05.026 Contracts—Proprietary data, trade secrets, actuarial formulas, statistics, cost...

41.05.031 - Agencies to establish health care information systems. - RCW 41.05.031 Agencies to establish health care information systems. The...

41.05.033 - Shared decision-making demonstration project—Preference-sensitive care. - RCW 41.05.033 Shared decision-making demonstration project—Preference-sensitive care. (1) The legislature...

41.05.035 - Exchange of health information—Pilot—Advisory board, discretionary—Administrator's authority. - RCW 41.05.035 Exchange of health information—Pilot—Advisory board, discretionary—Administrator's authority. (1)...

41.05.036 - Health information—Definitions. - RCW 41.05.036 Health information—Definitions. The definitions in this section apply...

41.05.037 - Nurse hotline, when funded. - RCW 41.05.037 Nurse hotline, when funded. To the extent that...

41.05.039 - Health information—Secure access—Lead organization—Administrator's duties. - RCW 41.05.039 Health information—Secure access—Lead organization—Administrator's duties. (1) By August...

41.05.042 - Health information—Processes, guidelines, and standards. - RCW 41.05.042 Health information—Processes, guidelines, and standards. By December 1,...

41.05.046 - Health information—Conflict with federal requirements. - RCW 41.05.046 Health information—Conflict with federal requirements. If any provision...

41.05.050 - Contributions for employees and dependents—Definitions. - RCW 41.05.050 Contributions for employees and dependents—Definitions. (1) Every: (a)...

41.05.055 - Public employees' benefits board—Members. - RCW 41.05.055 Public employees' benefits board—Members. (1) The public employees'...

41.05.065 - Public employees' benefits board—Duties—Eligibility—Definitions—Penalties. - RCW 41.05.065 Public employees' benefits board—Duties—Eligibility—Definitions—Penalties. (1) The public employees'...

41.05.066 - Domestic partner benefits. - RCW 41.05.066 Domestic partner benefits. A certificate of domestic partnership...

41.05.068 - Federal employer incentive program—Authority to participate. - RCW 41.05.068 Federal employer incentive program—Authority to participate. The authority...

41.05.074 - Public employees—Prior authorization standards and criteria—Health plan requirements—Definitions. - RCW 41.05.074 Public employees—Prior authorization standards and criteria—Health plan requirements—Definitions....

41.05.075 - Employee benefit plans—Contracts with insuring entities—Performance measures—Financial incentives—Health information technology. - RCW 41.05.075 Employee benefit plans—Contracts with insuring entities—Performance measures—Financial incentives—Health...

41.05.080 - Participation in insurance plans and contracts—Retired, disabled, or separated employees—Certain surviving spouses, state registered domestic partners, and dependent children. - RCW 41.05.080 Participation in insurance plans and contracts—Retired, disabled, or...

41.05.085 - Retired state employee and retired or disabled school employee health insurance subsidy. - RCW 41.05.085 Retired state employee and retired or disabled school...

41.05.090 - Continuation of coverage of employee, spouse, or covered dependent ineligible under state plan—Exceptions. - RCW 41.05.090 Continuation of coverage of employee, spouse, or covered...

41.05.095 - Coverage for dependents under the age of twenty-six. - RCW 41.05.095 Coverage for dependents under the age of twenty-six....

41.05.100 - Chapter not applicable to certain employees of Cooperative Extension Service. - RCW 41.05.100 Chapter not applicable to certain employees of Cooperative...

41.05.110 - Chapter not applicable to officers and employees of state convention and trade center. - RCW 41.05.110 Chapter not applicable to officers and employees of...

41.05.120 - Public employees' and retirees' insurance account—School employees' insurance account. - RCW 41.05.120 Public employees' and retirees' insurance account—School employees' insurance...

41.05.123 - Flexible spending administrative account—Salary reduction account—School employees' benefits board flexible spending and dependent care administrative account—School employees' benefits board salary reduction account. - RCW 41.05.123 Flexible spending administrative account—Salary reduction account—School employees' benefits...

41.05.130 - State health care authority administrative account—School employees' insurance administrative account. - RCW 41.05.130 State health care authority administrative account—School employees' insurance...

41.05.140 - Payment of claims—Self-insurance—Insurance reserve fund created. - RCW 41.05.140 Payment of claims—Self-insurance—Insurance reserve fund created. (1) Except...

41.05.143 - Uniform medical plan benefits administration account—Uniform dental plan benefits administration account—School employees' benefits board medical benefits administrative account—School employees' benefits board dental benefits administrat... - RCW 41.05.143 Uniform medical plan benefits administration account—Uniform dental plan...

41.05.160 - Rules. - RCW 41.05.160 Rules. The *administrator may promulgate and adopt rules...

41.05.165 - Rules—Insurance benefit reimbursement. - RCW 41.05.165 Rules—Insurance benefit reimbursement. The authority shall adopt rules...

41.05.170 - Neurodevelopmental therapies—Employer-sponsored group contracts. - RCW 41.05.170 Neurodevelopmental therapies—Employer-sponsored group contracts. (1) Each health plan...

41.05.175 - Prescribed, self-administered anticancer medication. - RCW 41.05.175 Prescribed, self-administered anticancer medication. (1) Each health plan...

41.05.177 - Prostate cancer screening—Required coverage. - RCW 41.05.177 Prostate cancer screening—Required coverage. (1) Each plan offered...

41.05.180 - Mammograms—Insurance coverage. - RCW 41.05.180 Mammograms—Insurance coverage. Each health plan offered to public...

41.05.183 - General anesthesia services for dental procedures—Public employee benefit plans. - RCW 41.05.183 General anesthesia services for dental procedures—Public employee benefit...

41.05.185 - Diabetes benefits—State purchased health care. - RCW 41.05.185 Diabetes benefits—State purchased health care. The legislature finds...

41.05.188 - Eosinophilic gastrointestinal associated disorder—Elemental formula. - RCW 41.05.188 Eosinophilic gastrointestinal associated disorder—Elemental formula. (1) Each health...

41.05.195 - Medicare supplemental insurance policies. - RCW 41.05.195 Medicare supplemental insurance policies. Notwithstanding any other provisions...

41.05.197 - Medicare supplemental insurance policies. - RCW 41.05.197 Medicare supplemental insurance policies. The medicare supplemental insurance...

41.05.205 - Tricare supplemental insurance policy—Authority to offer—Rules. - RCW 41.05.205 Tricare supplemental insurance policy—Authority to offer—Rules. (1) Notwithstanding...

41.05.220 - Community and migrant health centers—Maternity health care centers—People of color—Underserved populations. - RCW 41.05.220 Community and migrant health centers—Maternity health care centers—People...

41.05.225 - Blind licensees in the business enterprises program—Plan of health insurance. - RCW 41.05.225 Blind licensees in the business enterprises program—Plan of...

41.05.240 - American Indian health care delivery plan. - RCW 41.05.240 American Indian health care delivery plan. [ 1993...

41.05.280 - Department of corrections—Inmate health care. - RCW 41.05.280 Department of corrections—Inmate health care. The department of...

41.05.295 - Dependent care assistance program—Health care authority—Powers, duties, and functions. - RCW 41.05.295 Dependent care assistance program—Health care authority—Powers, duties, and...

41.05.300 - Salary reduction agreements—Authorized. - RCW 41.05.300 Salary reduction agreements—Authorized. (1) The state of Washington...

41.05.310 - Salary reduction plan—Policies and procedures—Plan document. - RCW 41.05.310 Salary reduction plan—Policies and procedures—Plan document. The authority...

41.05.320 - Salary reduction plan—Eligibility—Participation, withdrawal. - RCW 41.05.320 Salary reduction plan—Eligibility—Participation, withdrawal. (1) Elected officials and...

41.05.330 - Salary reduction plan—Accounts and records. - RCW 41.05.330 Salary reduction plan—Accounts and records. The authority shall...

41.05.340 - Salary reduction plan—Termination—Amendment. - RCW 41.05.340 Salary reduction plan—Termination—Amendment. (1) The state may terminate...

41.05.350 - Salary reduction plan—Rules. - RCW 41.05.350 Salary reduction plan—Rules. The authority shall adopt rules...

41.05.360 - Salary reduction plan—Construction. - RCW 41.05.360 Salary reduction plan—Construction. RCW 41.05.123, 41.05.300 through 41.05.350,...

41.05.400 - Plan of health care coverage—Available funds—Components—Eligibility—Administrator's duties. - RCW 41.05.400 Plan of health care coverage—Available funds—Components—Eligibility—Administrator's duties. (1)...

41.05.405 - Public option plans—Availability—Hospital contracts—Recommendations. - RCW 41.05.405 Public option plans—Availability—Hospital contracts—Recommendations. (1) If a public...

41.05.410 - Qualified health plans—Contract for—Requirements—Cost and quality data. - RCW 41.05.410 Qualified health plans—Contract for—Requirements—Cost and quality data. (1)...

41.05.413 - Qualified health plans—Reimbursement limit—Waiver. - RCW 41.05.413 Qualified health plans—Reimbursement limit—Waiver. The director may, in...

41.05.420 - Plan of health care coverage—Prescription insulin drug cost limits—Cost sharing. - RCW 41.05.420 Plan of health care coverage—Prescription insulin drug cost...

41.05.430 - Plan of health care coverage—Immediate postpartum contraception devices. - RCW 41.05.430 Plan of health care coverage—Immediate postpartum contraception devices....

41.05.520 - Pharmacy connection program—Notice. - RCW 41.05.520 Pharmacy connection program—Notice. (1) The *administrator shall establish...

41.05.525 - Treatment of opioid use disorder—Prior authorization. - RCW 41.05.525 Treatment of opioid use disorder—Prior authorization. A health...

41.05.526 - Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization review—Medical necessity review. - RCW 41.05.526 Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization...

41.05.527 - Opioid overdose reversal medication bulk purchasing and distribution program. - RCW 41.05.527 Opioid overdose reversal medication bulk purchasing and distribution...

41.05.528 - Standard set of criteria—Medical necessity for substance use disorder treatment—Substance use disorder levels of care—Rules. - RCW 41.05.528 Standard set of criteria—Medical necessity for substance use...

41.05.530 - Prescription drug assistance, education—Rules. - RCW 41.05.530 Prescription drug assistance, education—Rules. The authority may adopt...

41.05.533 - Medication synchronization policy required for health benefit plans covering prescription drugs—Requirements—Definitions. - RCW 41.05.533 Medication synchronization policy required for health benefit plans...

41.05.540 - State employee health program—Requirements—Report. - RCW 41.05.540 State employee health program—Requirements—Report. (1) The health care...

41.05.550 - Prescription drug assistance foundation—Nonprofit and tax-exempt corporation—Definitions—Liability. - RCW 41.05.550 Prescription drug assistance foundation—Nonprofit and tax-exempt corporation—Definitions—Liability. (1)...

41.05.600 - Mental health services—Definition—Coverage required, when. - RCW 41.05.600 Mental health services—Definition—Coverage required, when. (1) For the...

41.05.601 - Mental health services—Rules. - RCW 41.05.601 Mental health services—Rules. The *administrator may adopt rules...

41.05.630 - Annual report of customer service complaints and appeals. - RCW 41.05.630 Annual report of customer service complaints and appeals....

41.05.650 - Community health care collaborative grant program—Grants—Administrative support—Eligibility. - RCW 41.05.650 Community health care collaborative grant program—Grants—Administrative support—Eligibility. (1)...

41.05.651 - Rules—2009 c 299. - RCW 41.05.651 Rules—2009 c 299. The health care authority may...

41.05.660 - Community health care collaborative grant program—Award and disbursement of grants. - RCW 41.05.660 Community health care collaborative grant program—Award and disbursement...

41.05.670 - Chronic care management incentives—Provider reimbursement methods. - RCW 41.05.670 Chronic care management incentives—Provider reimbursement methods. (1) Effective...

41.05.680 - Report—Chronic care management. - RCW 41.05.680 Report—Chronic care management. The authority shall coordinate a...

41.05.690 - Performance measures committee—Membership—Selection of performance measures—Benchmarks for purchasing decisions—Public process for evaluation of measures. - RCW 41.05.690 Performance measures committee—Membership—Selection of performance measures—Benchmarks for purchasing...

41.05.700 - Reimbursement of health care services provided through telemedicine or store and forward technology—Audio-only telemedicine. - RCW 41.05.700 Reimbursement of health care services provided through telemedicine...

41.05.730 - Ground emergency medical transportation services—Medicaid reimbursement—Calculation—Federal approval—Department's duties. - RCW 41.05.730 Ground emergency medical transportation services—Medicaid reimbursement—Calculation—Federal approval—Department's duties....

41.05.735 - Ground emergency medical transportation services—Medicaid reimbursement—Intergovernmental transfer program—Federal approval—Authority's duties. - RCW 41.05.735 Ground emergency medical transportation services—Medicaid reimbursement—Intergovernmental transfer program—Federal...

41.05.740 - School employees' benefits board. - RCW 41.05.740 School employees' benefits board. (1) The school employees'...

41.05.742 - Single enrollment requirement. - RCW 41.05.742 Single enrollment requirement. Beginning with the 2022 plan...

41.05.744 - School employee eligibility during COVID-19 state of emergency. - RCW 41.05.744 School employee eligibility during COVID-19 state of emergency....

41.05.745 - School employees' benefits board—Employee-paid, voluntary benefits—Optional benefits. - RCW 41.05.745 School employees' benefits board—Employee-paid, voluntary benefits—Optional benefits. (1)...

41.05.750 - Problem and pathological gambling treatment program. - RCW 41.05.750 Problem and pathological gambling treatment program. (1) A...

41.05.751 - Problem gambling account. - RCW 41.05.751 Problem gambling account. The problem gambling account is...

41.05.760 - Recovery residences—Registry. - RCW 41.05.760 Recovery residences—Registry. (1) The authority shall establish and...

41.05.761 - Recovery residences—Technical assistance for residences seeking certification. - RCW 41.05.761 Recovery residences—Technical assistance for residences seeking certification. (Expires...

41.05.762 - Recovery residences—Revolving fund. - RCW 41.05.762 Recovery residences—Revolving fund. (Expires July 1, 2025.) (1)...

41.05.765 - Insulin drugs—Cap on enrollee's required payment amount—Cost-sharing requirements. - RCW 41.05.765 Insulin drugs—Cap on enrollee's required payment amount—Cost-sharing requirements....

41.05.820 - Qualified requirement for health carrier in insurance holding company to offer silver and gold health plans. - RCW 41.05.820 Qualified requirement for health carrier in insurance holding...

41.05.830 - Coverage for hearing instruments—Definitions. - RCW 41.05.830 Coverage for hearing instruments—Definitions. (1) Subject to appropriation,...

41.05.840 - Universal health care commission. - RCW 41.05.840 Universal health care commission. (1) The universal health...

41.05.890 - Certain health care and financial related data provided to authority—Exempt from disclosure. - RCW 41.05.890 Certain health care and financial related data provided...

41.05.900 - Short title. - RCW 41.05.900 Short title. This chapter shall be known as...

41.05.901 - Implementation—Effective dates—1988 c 107. - RCW 41.05.901 Implementation—Effective dates—1988 c 107. (1) The state health...

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Revised Code of Washington Title 41 - Public Employment, Civil Service, and Pensions Chapter 41.05 - State Health Care Authority.

Revised Code of Washington
Title 41 - Public Employment, Civil Service, and Pensions
Chapter 41.05 - State Health Care Authority.