Optional WAC Plan may, but is not required to, include procurement and storage Laboratory of personal blood supplies provided by a member of the Services enrollee's family when this service is not medically indicated. If an issuer includes this benefit in a health plan, the issuer may not include this benefit in establishing the health plan's actuarial Laboratory value. Services (EHB) (Cont’d) Maternity and Requirement 42 USC §18021 Plan must cover "maternity and newborn services" in a manner Newborn to cover (a)(1)(B) substantially equal to the base-benchmark plan. For purposes of Services (EHB) 42 USC determining a plan's actuarial value, an issuer must classify as 18022(b)(1)(D) maternity and newborn services the medically necessary care and services delivered to women during pregnancy and in relation to delivery and recovery from delivery and to newborn children. WAC 284-43-5642(4) WAC Required Plan must cover the following services which are specifically Maternity and covered by the base-benchmark plan and classify them as Newborn maternity and newborn services: Maternity and Services In utero treatment for the fetus; Newborn Required WAC Vaginal or cesarean childbirth delivery in a hospital or birthing Services (EHB) Services center, including facility fees; (Cont’d) (Cont’d) WAC Nursery services and supplies for newborns, including newly adopted children; (4)(a)(iv) Infertility diagnosis; (4)(a)(v) Prenatal and postnatal care and services, including screening;
Laboratory Services (EHB) (Cont’d) Optional Laboratory Services WAC Plan may, but is not required to, include procurement and storage of personal blood supplies provided by a member of the enrollee's family when this service is not medically indicated. If an issuer includes this benefit in a health plan, the issuer may not include this benefit in establishing the health plan's actuarial value. Maternity and Newborn Services (EHB) Maternity and Newborn Services (EHB) (Cont’d) Requirement to cover 42 USC §18021 (a)(1)(B) 42 USC 18022(b)(1)(D) Plan must cover "maternity and newborn services" in a manner substantially equal to the base-benchmark plan. For purposes of determining a plan's actuarial value, an issuer must classify as maternity and newborn services the medically necessary care and services delivered to women during pregnancy and in relation to delivery and recovery from delivery and to newborn children. WAC 284-43-5642(4) Required Maternity and Newborn Services Required Services (Cont’d) WAC Plan must cover the following services which are specifically covered by the base-benchmark plan and classify them as maternity and newborn services: In utero treatment for the fetus; WAC Vaginal or cesarean childbirth delivery in a hospital or birthing center, including facility fees; WAC Nursery services and supplies for newborns, including newly adopted children; (4)(a)(iv) Infertility diagnosis; (4)(a)(v) Prenatal and postnatal care and services, including screening;
cl-forms-19-hcsc-ind-analyst-checklist.docx