Title 74 — Title 74 PUBLIC ASSISTANCE
41 chapters · 927 sections in this title.
RCW 74.09.741 Adjudicative proceedings.
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(1) The following persons have the right to an adjudicative proceeding:(a) Any applicant or recipient who is aggrieved by a decision of the authority or an authorized agency of the authority; or(b) A current or former recipient who is aggrieved by the authority's claim that he or…
RCW 74.09.745 Medicaid funding for home visiting services—Recommendations to legislature.
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(1) The authority shall collaborate with the department of children, youth, and families to identify opportunities to leverage medicaid funding for home visiting services.(2) The authority must provide a set of recommendations relevant to subsection (1) of this section to the leg…
RCW 74.09.748 Regional service areas—Certain reimbursements required or allowed upon adoption of fully integrated managed health care system.
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Upon adoption of a fully integrated managed health care system pursuant to chapter 71.24 RCW, regional service areas:(1) Must allow reimbursement for time spent supervising persons working toward satisfying supervision requirements established for the relevant practice areas purs…
RCW 74.09.758 Medicaid procurement of services—Value-based contracting for medicaid and public employee purchasing.
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(1) The authority and the department may restructure medicaid procurement of health care services and agreements with managed care systems on a phased basis to better support integrated physical health, mental health, and substance use disorder treatment, consistent with assumpti…
RCW 74.09.7585 Changes in services—Adjustments to medicaid managed care rates.
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(1) The authority shall consult with the department of commerce and the department of health quarterly for all agencies to plan and prepare for new or expanded services in each regional service area, which must include, but are not limited to, incorporating regional capacity chan…
RCW 74.09.760 Short title—1989 1st ex.s. c 10.
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This act may be known and cited as the "maternity care access act of 1989."[ 1989 1st ex.s. c 10 s 1.]
RCW 74.09.770 Maternity care access system established.
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(1) The legislature finds that Washington state and the nation as a whole have a high rate of infant illness and death compared with other industrialized nations. This is especially true for minority and low-income populations. Premature and low weight births have been directly l…
RCW 74.09.780 Reservation of legislative power.
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The legislature reserves the right to amend or repeal all or any part of this subchapter at any time and there shall be no vested private right of any kind against such amendment or repeal. All rights, privileges, or immunities conferred by this subchapter or any acts done pursua…
RCW 74.09.790 Definitions.
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Unless the context clearly requires otherwise, the definitions in this section apply throughout RCW 74.09.760 through 74.09.820 and 74.09.510:(1) "At-risk eligible person" means an eligible person determined by the authority to need special assistance in applying for and obtainin…
RCW 74.09.800 Maternity care access program established.
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The authority shall, consistent with the state budget act, develop a maternity care access program designed to ensure healthy birth outcomes as follows:(1) Provide maternity care services to low-income pregnant women and health care services to children in poverty to the maximum …
RCW 74.09.810 Alternative maternity care service delivery system established—Remedial action report.
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(1) The authority shall establish an alternative maternity care service delivery system, if it determines that a county or a group of counties is a maternity care distressed area. A maternity care distressed area shall be defined by the authority, in rule, as a county or a group …
RCW 74.09.820 Maternity care provider's loan repayment program.
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To the extent that federal matching funds are available, the authority or the department of health shall establish, in consultation with the health science programs of the state's colleges and universities, and community health clinics, a loan repayment program that will encourag…
RCW 74.09.825 Donor human milk—Standards—Federal funding.
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(1) The authority shall provide coverage under this chapter for medically necessary donor human milk for inpatient use when ordered by a licensed health care provider with prescriptive authority or an international board certified lactation consultant certified by the internation…
RCW 74.09.830 Postpartum health care coverage.
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(1) The authority shall extend health care coverage from 60 days postpartum to one year postpartum for pregnant or postpartum persons who, on or after the expiration date of the federal public health emergency declaration related to COVID-19, are receiving postpartum coverage pro…
RCW 74.09.835 Postdelivery and transitional care program—Contracting—Funding.
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(1) By no later than January 1, 2026, the authority shall create a postdelivery and transitional care program that allows for extended postdelivery hospital care for people with a substance use disorder at the time of delivery. The authority shall:(a) Allow for up to five additio…
RCW 74.09.837 Maternity support services program—Updates—Rule making.
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(1) Subject to the amounts appropriated for this specific purpose, the authority shall update the maternity support services program to address perinatal outcomes and increase equity and healthier birth outcomes. By January 1, 2026, the authority shall:(a) Update current screenin…
RCW 74.09.839 Apple health pregnancy coverage.
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By November 1, 2024, the income standards for a pregnant person eligible for Washington apple health pregnancy coverage shall have countable income equal to or below 210 percent of the federal poverty level.[ 2024 c 213 s 3.]
RCW 74.09.840 Prior authorization.
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(1) Beginning January 1, 2024, the authority shall require each managed care organization to comply with the following standards related to prior authorization for health care services and prescription drugs:(a) The managed care organization shall meet the following time frames f…
RCW 74.09.850 Conflict with federal requirements.
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If any part of this chapter is found to conflict with federal requirements which are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this chapter is hereby declared to be inoperative solely to the extent of the conflict, and such fi…
RCW 74.09.860 Request for proposals—Foster children—Integrated managed health and behavioral health care—Continuation of health care benefits following reunification.
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(1) The authority shall issue a request for proposals to provide integrated managed health and behavioral health care for foster children receiving care through the medical assistance program. Behavioral health services provided under chapters 71.24 and 71.34 RCW must be integrat…
RCW 74.09.865 Postinpatient housing program for young adults.
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(1) Subject to the availability of amounts appropriated for this specific purpose, the postinpatient housing program for young adults is established to provide supportive transitional housing with behavioral health support focused on securing long-term housing for young adults ex…
RCW 74.09.870 Regional service areas—Establishment.
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(1) Upon receipt of guidance for the creation of common regional service areas from the adult behavioral health system task force established in section 1, chapter 338, Laws of 2013, the authority shall establish regional service areas as provided in this section.(2) Counties, th…
RCW 74.09.871 Behavioral health services—Contracting process.
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(1) Any agreement or contract by the authority to provide behavioral health services as defined under RCW 71.24.025 to persons eligible for benefits under medicaid, Title XIX of the social security act, and to persons not eligible for medicaid must include the following:(a) Contr…
RCW 74.09.875 Reproductive health care services—Prohibited discrimination.
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(1) In the provision of reproductive health care services through programs under this chapter, the authority, managed care plans, and providers that administer or deliver such services may not discriminate in the delivery of a service provided through a program of the authority b…
RCW 74.09.880 Z code collection—Incentives and funding.
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To improve health outcomes and address health inequities, the authority shall evaluate incentive approaches and recommend funding options to increase the collection of Z codes on individual medicaid claims, in accordance with standard billing guidance and regulations.[ 2022 c 215…
RCW 74.09.885 Apple health and homes program—Definitions.
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The definitions in this section apply throughout RCW 74.09.886 and 74.09.888 unless the context clearly requires otherwise.(1) "Community support services" means active search and promotion of access to, and choice of, appropriate, safe, and affordable housing and ongoing support…
RCW 74.09.886 Apple health and homes program—Establishment—Eligibility—Services.
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(1) Subject to the availability of amounts appropriated for this specific purpose, the apple health and homes program is established to provide a permanent supportive housing benefit and a community support services benefit through a network of community support services provider…
RCW 74.09.888 Apple health and homes program—Authority duties—Funding—Reports to legislature.
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(1) To establish and administer RCW 74.09.886, the authority shall:(a)(i) Establish or amend a contract with a coordinating entity to:(A) Assure the availability of access to eligibility determinations services for community support services benefits and permanent supportive hous…
RCW 74.09.890 Medicaid program integrity—Administrative oversight—Strategic plan—Best practices.
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(1) The authority shall provide administrative oversight for all funds received under the medical assistance program, as codified in Title XIX of the federal social security act, the state children's health insurance program, as codified in Title XXI of the federal social securit…
RCW 74.09.892 Medicaid program integrity—Managed care organizations—Contracts—Best practices.
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(1) Beginning January 1, 2024, the authority's contracts with managed care organizations must clearly detail each party's requirements for maintaining program integrity and the consequences the managed care organizations face if they do not meet the requirements. The contract mus…
RCW 74.09.900 Other laws applicable.
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All the provisions of Title 74 RCW, not otherwise inconsistent herewith, shall apply to the provisions of this chapter.[ 1959 c 26 s 74.09.900. Prior: 1955 c 273 s 22.]
RCW 74.09.920 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
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For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to …