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State Health Care Authority.
Law
Revised Code of Washington
Public Employment, Civil Service, and Pensions
State Health Care Authority.
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Section
41.05.004
Intent—Use of word "board."
Section
41.05.006
Purpose.
Section
41.05.008
Duties of employing agencies.
Section
41.05.009
Determination of employee or school employee eligibility for benefits.
Section
41.05.0091
Eligibility exists prior to January 1, 2010.
Section
41.05.011
Definitions.
Section
41.05.013
State purchased health care programs—Uniform policies—Report to the legislature.
Section
41.05.014
Applications, enrollment forms, and eligibility certification documents—Signatures.
Section
41.05.015
Medical director—Appointment of personnel.
Section
41.05.017
Provisions applicable to health plans offered under this chapter.
Section
41.05.018
Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services.
Section
41.05.021
State health care authority—Director—Cost control and delivery strategies—Health information technology—Managed competition—Rules.
Section
41.05.022
State agent for purchasing health services—Single community-rated risk pool.
Section
41.05.023
Chronic care management program—Uniform medical plan—Definitions.
Section
41.05.026
Contracts—Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data—Exemption from public inspection—Executive sessions.
Section
41.05.031
Agencies to establish health care information systems.
Section
41.05.033
Shared decision-making demonstration project—Preference-sensitive care.
Section
41.05.035
Exchange of health information—Pilot—Advisory board, discretionary—Administrator's authority.
Section
41.05.036
Health information—Definitions.
Section
41.05.037
Nurse hotline, when funded.
Section
41.05.039
Health information—Secure access—Lead organization—Administrator's duties.
Section
41.05.042
Health information—Processes, guidelines, and standards.
Section
41.05.046
Health information—Conflict with federal requirements.
Section
41.05.050
Contributions for employees and dependents—Definitions.
Section
41.05.055
Public employees' benefits board—Members.
Section
41.05.065
Public employees' benefits board—Duties—Eligibility—Definitions—Penalties.
Section
41.05.066
Domestic partner benefits.
Section
41.05.068
Federal employer incentive program—Authority to participate.
Section
41.05.074
Public employees—Prior authorization standards and criteria—Health plan requirements—Definitions.
Section
41.05.075
Employee benefit plans—Contracts with insuring entities—Performance measures—Financial incentives—Health information technology.
Section
41.05.080
Participation in insurance plans and contracts—Retired, disabled, or separated employees—Certain surviving spouses, state registered domestic partners, and dependent children.
Section
41.05.085
Retired state employee and retired or disabled school employee health insurance subsidy.
Section
41.05.090
Continuation of coverage of employee, spouse, or covered dependent ineligible under state plan—Exceptions.
Section
41.05.095
Coverage for dependents under the age of twenty-six.
Section
41.05.100
Chapter not applicable to certain employees of Cooperative Extension Service.
Section
41.05.110
Chapter not applicable to officers and employees of state convention and trade center.
Section
41.05.120
Public employees' and retirees' insurance account—School employees' insurance account.
Section
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.
Section
41.05.130
State health care authority administrative account—School employees' insurance administrative account.
Section
41.05.140
Payment of claims—Self-insurance—Insurance reserve fund created.
Section
41.05.143
Uniform medical plan benefits administration account—Uniform dental plan benefits administration account—Public employees' benefits board medical benefits administration account—School employees' benefits board medical benefits administrative account—School employees' benefits board dental benefits administration account.
Section
41.05.160
Rules.
Section
41.05.165
Rules—Insurance benefit reimbursement.
Section
41.05.170
Neurodevelopmental therapies—Employer-sponsored group contracts.
Section
41.05.175
Prescribed, self-administered anticancer medication.
Section
41.05.177
Prostate cancer screening—Required coverage.
Section
41.05.180
Mammograms—Insurance coverage.
Section
41.05.183
General anesthesia services for dental procedures—Public employee benefit plans.
Section
41.05.185
Diabetes benefits—State purchased health care.
Section
41.05.188
Eosinophilic gastrointestinal associated disorder—Elemental formula.
Section
41.05.195
Medicare supplemental insurance policies.
Section
41.05.197
Medicare supplemental insurance policies.
Section
41.05.205
Tricare supplemental insurance policy—Authority to offer—Rules.
Section
41.05.220
Community and migrant health centers—Maternity health care centers—People of color—Underserved populations.
Section
41.05.225
Blind licensees in the business enterprises program—Plan of health insurance.
Section
41.05.240
American Indian health care delivery plan.
Section
41.05.280
Department of corrections—Inmate health care.
Section
41.05.295
Dependent care assistance program—Health care authority—Powers, duties, and functions.
Section
41.05.300
Salary reduction agreements—Authorized.
Section
41.05.310
Salary reduction plan—Policies and procedures—Plan document.
Section
41.05.320
Salary reduction plan—Eligibility—Participation, withdrawal.
Section
41.05.330
Salary reduction plan—Accounts and records.
Section
41.05.340
Salary reduction plan—Termination—Amendment.
Section
41.05.350
Salary reduction plan—Rules.
Section
41.05.360
Salary reduction plan—Construction.
Section
41.05.400
Plan of health care coverage—Available funds—Components—Eligibility—Administrator's duties.
Section
41.05.405
Public option plans—Availability—Hospital contracts—Recommendations.
Section
41.05.410
Qualified health plans—Contract for—Requirements—Cost and quality data.
Section
41.05.413
Qualified health plans—Reimbursement limit—Waiver.
Section
41.05.420
Plan of health care coverage—Prescription insulin drug cost limits—Cost sharing.
Section
41.05.520
Pharmacy connection program—Notice.
Section
41.05.525
Treatment of opioid use disorder—Prior authorization.
Section
41.05.526
Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization review—Medical necessity review.
Section
41.05.527
Opioid overdose reversal medication bulk purchasing and distribution program.
Section
41.05.528
Standard set of criteria—Medical necessity for substance use disorder treatment—Substance use disorder levels of care—Rules.
Section
41.05.530
Prescription drug assistance, education—Rules.
Section
41.05.533
Medication synchronization policy required for health benefit plans covering prescription drugs—Requirements—Definitions.
Section
41.05.540
State employee health program—Requirements—Report.
Section
41.05.550
Prescription drug assistance foundation—Nonprofit and tax-exempt corporation—Definitions—Liability.
Section
41.05.600
Mental health services—Definition—Coverage required, when.
Section
41.05.601
Mental health services—Rules.
Section
41.05.630
Annual report of customer service complaints and appeals.
Section
41.05.650
Community health care collaborative grant program—Grants—Administrative support—Eligibility.
Section
41.05.651
Rules—2009 c 299.
Section
41.05.660
Community health care collaborative grant program—Award and disbursement of grants.
Section
41.05.670
Chronic care management incentives—Provider reimbursement methods.
Section
41.05.680
Report—Chronic care management.
Section
41.05.690
Performance measures committee—Membership—Selection of performance measures—Benchmarks for purchasing decisions—Public process for evaluation of measures.
Section
41.05.700
Reimbursement of health care services provided through telemedicine or store and forward technology—Audio-only telemedicine.
Section
41.05.730
Ground emergency medical transportation services—Medicaid reimbursement—Calculation—Federal approval—Department's duties.
Section
41.05.735
Ground emergency medical transportation services—Medicaid reimbursement—Intergovernmental transfer program—Federal approval—Authority's duties.
Section
41.05.740
School employees' benefits board.
Section
41.05.742
Single enrollment requirement.
Section
41.05.744
School employee eligibility during COVID-19 state of emergency.
Section
41.05.745
School employees' benefits board—Employee-paid, voluntary benefits—Optional benefits.
Section
41.05.750
Problem and pathological gambling treatment program.
Section
41.05.751
Problem gambling account.
Section
41.05.760
Recovery residences—Registry.
Section
41.05.761
Recovery residences—Technical assistance for residences seeking certification.
Section
41.05.762
Recovery residences—Revolving fund.
Section
41.05.765
Insulin drugs—Cap on enrollee's required payment amount—Cost-sharing requirements.
Section
41.05.820
Qualified requirement for health carrier in insurance holding company to offer silver and gold health plans.
Section
41.05.830
Coverage for hearing instruments—Definitions.
Section
41.05.840
Universal health care commission.
Section
41.05.890
Certain health care and financial related data provided to authority—Exempt from disclosure.
Section
41.05.900
Short title.
Section
41.05.901
Implementation—Effective dates—1988 c 107.