WAC Chronic disease management services, which typically include, but are not limited to, a treatment plan with regular monitoring, (9)(b)(v) coordination of care between multiple providers and settings, medication management, evidence-based care, measuring care quality and outcomes, and support for patient self-management through education or tools; and WAC Wellness services. 42 Prohibited USC Plan may not include cost sharing requirements with respect to 300gg-13 Limitations the preventive services listed WAC 284-43-5642(9) (b)(i) Prohibited (a) through (iv) that are provided in-network. Limitations on WAC The provider network must include preventive and wellness Preventive and services, including chronic disease management and smoking Wellness cessation services as defined in RCW (37) and WAC (9) and (9). If Services WAC services are provided through a quit-line or help-line, the (Cont’d) issuer must ensure that when follow-up services are medically necessary, the enrollee will have access to sufficient information to access those services within the service area. Contracts with quit-line or help-line services are subject to the same conditions and terms as other provider contracts under this section.
WAC (9)(b)(v) Chronic disease management services, which typically include, but are not limited to, a treatment plan with regular monitoring, coordination of care between multiple providers and settings, medication management, evidence-based care, measuring care quality and outcomes, and support for patient self-management through education or tools; and WAC Wellness services. Prohibited Limitations Prohibited Limitations on Preventive and Wellness Services (Cont’d) 42 USC 300gg-13 (a) Plan may not include cost sharing requirements with respect to the preventive services listed WAC 284-43-5642(9) (b)(i) through (iv) that are provided in-network. WAC WAC The provider network must include preventive and wellness services, including chronic disease management and smoking cessation services as defined in RCW (37) and WAC (9) and (9). If services are provided through a quit-line or help-line, the issuer must ensure that when follow-up services are medically necessary, the enrollee will have access to sufficient information to access those services within the service area. Contracts with quit-line or help-line services are subject to the same conditions and terms as other provider contracts under this section.
checklist-forms-2018-disability-individual-analyst-checklist.docx