Specialist RCW 48.43.515 (3) Does the contract or certificate of coverage explain that you may request a standing referral to Standing WAC 284-43-251(2) a specialist for an extended period of time if you have a complex or serious medical or Referral psychiatric condition? Must be consistent with the enrollee’s medical or psychiatric and plan benefits. Provider Requirements (Cont’d)
Provider Requirements (Cont’d) Specialist Standing Referral RCW 48.43.515 (3) WAC 284-43-251(2) Does the contract or certificate of coverage explain that you may request a standing referral to a specialist for an extended period of time if you have a complex or serious medical or psychiatric condition? Must be consistent with the enrollee’s medical or psychiatric and plan benefits.
checklist-forms-hmo-large-group.docx