No Required RCW Issuer may not require a provider to provide a discount from Discounts 48.43.016(5) and customary rates for health care services not covered under a health plan, policy, or other agreement, to which the provider is a party. Prior Authorization (Cont’d) Provider Access to RCW Plan must allow enrollee to choose a primary care provider who Requirements Primary Care 48.43.515(2) is accepting new enrollees from a list of participating providers. Providers WAC 284-170-360(1) Access to RCW Plan must allow enrollees to change primary care providers at Primary Care 48.43.515(2) any time with the change becoming effective no later than the Providers beginning of the month following the enrollee's request for the (Cont’d) change. WAC 284-170-360(1)(a) Provider WAC Plan must an enrolled child direct access to a pediatrician Requirements from a list of in-network pediatricians who are accepting new (Cont’d) patients. WAC Plan must allow enrollees to change pediatricians at any time, with the change becoming effective not later than the beginning of the month following the enrollee's request for the change.
Prior Authorization (Cont’d) No Required Discounts RCW 48.43.016(5) Issuer may not require a provider to provide a discount from and customary rates for health care services not covered under a health plan, policy, or other agreement, to which the provider is a party. Provider Requirements Provider Requirements (Cont’d) Access to Primary Care Providers Access to Primary Care Providers (Cont’d) RCW 48.43.515(2) Plan must allow enrollee to choose a primary care provider who is accepting new enrollees from a list of participating providers. WAC 284-170-360(1) RCW 48.43.515(2) Plan must allow enrollees to change primary care providers at any time with the change becoming effective no later than the beginning of the month following the enrollee's request for the change. WAC 284-170-360(1)(a) WAC Plan must an enrolled child direct access to a pediatrician from a list of in-network pediatricians who are accepting new patients. WAC Plan must allow enrollees to change pediatricians at any time, with the change becoming effective not later than the beginning of the month following the enrollee's request for the change.
cl-forms-19-disability-ind-analyst-checklist.docx