Prescription WAC Plan must cover prescription medications associated with an Drugs emergency medical condition including those purchased in a foreign country. Emergency Services (EHB) (Cont’d) Every Category Requirements 42 U.S.C. Plan and Issuer must not discriminate with respect to of Provider §300gg-5(a) participation under the plan against any provider acting within See the scope of that provider’s license or certification under applicable State law. (Reimbursement rates may vary based on quality or performance measures.) RCW Every category of provider must be permitted to provide covered 48.43.045 services, if the treatment is within the scope of the provider’s (1)(a)(i); licensure. Each enrollee must have adequate choice among RCW providers. WAC 284-170-200(2); WAC 284-170-270(1) 48.43.515(1) WAC Each health plan’s defined service area must have a comprehensive range of primary, specialty, institutional, and ancillary services available without unreasonable delay to all
Emergency Services (EHB) (Cont’d) Prescription Drugs WAC Plan must cover prescription medications associated with an emergency medical condition including those purchased in a foreign country. Every Category of Provider Requirements 42 U.S.C. §300gg-5(a) See Plan and Issuer must not discriminate with respect to participation under the plan against any provider acting within the scope of that provider’s license or certification under applicable State law. (Reimbursement rates may vary based on quality or performance measures.) RCW 48.43.045 (1)(a)(i); RCW 48.43.515(1) Every category of provider must be permitted to provide covered services, if the treatment is within the scope of the provider’s licensure. Each enrollee must have adequate choice among providers. WAC 284-170-200(2); WAC 284-170-270(1) WAC Each health plan’s defined service area must have a comprehensive range of primary, specialty, institutional, and ancillary services available without unreasonable delay to all
cl-forms-19-hcsc-ind-analyst-checklist.docx