Definition WAC "In determining whether services are experimental or Must Be 284-44-043(2)(b) investigational, the plan will consider whether the Included services result in greater benefits for a particular illness or disease than other generally available services, and do not pose a significant risk to health or safety of the patient." Definition Must Be Included (Cont’d) WAC The supporting documentation upon which the criteria are 284-44-043(2)(b) established must be made available for inspection upon written request in all instances and may not be withheld as proprietary.
Definition Must Be Included Definition Must Be Included (Cont’d) WAC 284-44-043(2)(b) "In determining whether services are experimental or investigational, the plan will consider whether the services result in greater benefits for a particular illness or disease than other generally available services, and do not pose a significant risk to health or safety of the patient." WAC 284-44-043(2)(b) The supporting documentation upon which the criteria are established must be made available for inspection upon written request in all instances and may not be withheld as proprietary.
checklist-forms-2017-hcsc-large-group-stand-alone-dental.docx