Pediatric Oral 42 USC a stand-alone dental plan that includes pediatric dental benefits Services 18022(b)(1)(J) certified as a qualified dental plan. WAC 284-43-5760. Plan must satisfy the requirement in one of two ways: The plan includes pediatric dental benefits as an embedded benefit WAC (issuer must submit the “ALL FILERS Small Group Embedded Pediatric Dental EHB Checklist” in addition to this checklist); or The plan does not have pediatric dental benefits, and the issuer WAC receives reasonable assurance that the applicant has obtained or will obtain pediatric dental benefits through a QDP. This reasonable assurance must be received by the issuer within 60 days. Requirement WAC Pediatric Plan must pediatric vision services as an embedded set of Vision (EHB) for Coverage - 2) services. Requirement 42 USC §18021 Plan must pediatric vision services for enrollees until at for Coverage (a)(1)(B); least the end of the month in which enrollees turn age 42 USC nineteen. 18022(b)(1)(J) Pediatric Required WAC Plan must cover the following services in a manner substantially Vision Services - 2) equal to the base benchmark plan and classify them as pediatric Services (EHB) vision services: (Cont’d) WAC Routine vision screening without cost sharing. WAC
Pediatric Oral Services 42 USC 18022(b)(1)(J) a stand-alone dental plan that includes pediatric dental benefits certified as a qualified dental plan. WAC 284-43-5760. WAC Plan must satisfy the requirement in one of two ways: The plan includes pediatric dental benefits as an embedded benefit (issuer must submit the “ALL FILERS Small Group Embedded Pediatric Dental EHB Checklist” in addition to this checklist); or WAC The plan does not have pediatric dental benefits, and the issuer receives reasonable assurance that the applicant has obtained or will obtain pediatric dental benefits through a QDP. This reasonable assurance must be received by the issuer within 60 days. Pediatric Vision (EHB) Requirement for Coverage WAC - 2) Plan must pediatric vision services as an embedded set of services. Requirement for Coverage 42 USC §18021 (a)(1)(B); 42 USC 18022(b)(1)(J) Plan must pediatric vision services for enrollees until at least the end of the month in which enrollees turn age nineteen. Pediatric Vision Services (EHB) Required Services WAC - 2) Plan must cover the following services in a manner substantially equal to the base benchmark plan and classify them as pediatric vision services: (Cont’d) WAC Routine vision screening without cost sharing. WAC
cl-forms-19-disability-sg-analyst-checklist.docx