WAC "Life threatening condition" means any disease or condition (4)(e) from which the likelihood of death is probable unless the course of the disease or condition is interrupted. Requirement RCW Plan must provide coverage for colorectal cancer exams and lab Colorectal Cancer for Coverage 48.43.043(1) tests consistent with the A and B recommendations of the USPSTF Screening or the CDC. Coverage must be provided: RCW For any of the colorectal screening exams and tests in the 48.43.043 selected recommendations, at a frequency identified therein, as Requirement (1)(a) deemed appropriate by the patient's physician after Colorectal for Coverage RCW consultation with the patient; and To an enrollee who is: Cancer (Cont’d) 48.43.043 At least fifty years old; or Screening (1)(b)(i) (Cont’d) RCW Less than fifty years old and at high risk or very high risk for 48.43.043 colorectal cancer according to such guidelines or (1)(b)(ii) recommendations. Burdensome RCW Plan design must not require patients and providers to meet Requirements 48.43.043(2) burdensome criteria or overcome significant obstacles to secure Prohibited such coverage. Enrollee may not be required to pay an additional deductible or coinsurance for testing greater than a deductible or coinsurance for similar benefits. If the plan does not cover a similar benefit, a deductible or coinsurance may not be set that materially diminishes the value of the colorectal cancer benefit required.
WAC (4)(e) "Life threatening condition" means any disease or condition from which the likelihood of death is probable unless the course of the disease or condition is interrupted. Colorectal Cancer Screening Colorectal Cancer Screening (Cont’d) Requirement for Coverage RCW 48.43.043(1) Plan must provide coverage for colorectal cancer exams and lab tests consistent with the A and B recommendations of the USPSTF or the CDC. Coverage must be provided: Requirement for Coverage (Cont’d) RCW 48.43.043 (1)(a) RCW 48.43.043 (1)(b)(i) For any of the colorectal screening exams and tests in the selected recommendations, at a frequency identified therein, as deemed appropriate by the patient's physician after consultation with the patient; and To an enrollee who is: At least fifty years old; or RCW 48.43.043 (1)(b)(ii) Less than fifty years old and at high risk or very high risk for colorectal cancer according to such guidelines or recommendations. Burdensome Requirements Prohibited RCW 48.43.043(2) Plan design must not require patients and providers to meet burdensome criteria or overcome significant obstacles to secure such coverage. Enrollee may not be required to pay an additional deductible or coinsurance for testing greater than a deductible or coinsurance for similar benefits. If the plan does not cover a similar benefit, a deductible or coinsurance may not be set that materially diminishes the value of the colorectal cancer benefit required.
cl-forms-19-disability-ind-analyst-checklist.docx