There is a newer version
of
this Chapter
2020 Revised Code of Washington
Title 41 - Public Employment, Civil Service, and Pensions
Chapter 41.05 - State Health Care Authority.
- 41.05.004 Intent—Use of word "board."
- 41.05.006 Purpose.
- 41.05.008 Duties of employing agencies.
- 41.05.009 Determination of employee or school employee eligibility for benefits.
- 41.05.0091 Eligibility exists prior to January 1, 2010.
- 41.05.011 Definitions.
- 41.05.013 State purchased health care programs—Uniform policies—Report to the legislature.
- 41.05.014 Applications, enrollment forms, and eligibility certification documents—Signatures.
- 41.05.015 Medical director—Appointment of personnel.
- 41.05.017 Provisions applicable to health plans offered under this chapter.
- 41.05.018 Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services.
- 41.05.021 State health care authority—Director—Cost control and delivery strategies—Health information technology—Managed competition—Rules.
- 41.05.022 State agent for purchasing health services—Single community-rated risk pool.
- 41.05.023 Chronic care management program—Uniform medical plan—Definitions.
- 41.05.026 Contracts—Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data—Exemption from public inspection—Executive sessions.
- 41.05.031 Agencies to establish health care information systems.
- 41.05.033 Shared decision-making demonstration project—Preference-sensitive care.
- 41.05.035 Exchange of health information—Pilot—Advisory board, discretionary—Administrator's authority.
- 41.05.036 Health information—Definitions.
- 41.05.037 Nurse hotline, when funded.
- 41.05.039 Health information—Secure access—Lead organization—Administrator's duties.
- 41.05.042 Health information—Processes, guidelines, and standards.
- 41.05.046 Health information—Conflict with federal requirements.
- 41.05.050 Contributions for employees and dependents—Definitions.
- 41.05.055 Public employees' benefits board—Members.
- 41.05.065 Public employees' benefits board—Duties—Eligibility—Definitions—Penalties.
- 41.05.066 Domestic partner benefits.
- 41.05.068 Federal employer incentive program—Authority to participate.
- 41.05.074 Public employees—Prior authorization standards and criteria—Health plan requirements—Definitions.
- 41.05.075 Employee benefit plans—Contracts with insuring entities—Performance measures—Financial incentives—Health information technology.
- 41.05.080 Participation in insurance plans and contracts—Retired, disabled, or separated employees—Certain surviving spouses, state registered domestic partners, and dependent children.
- 41.05.085 Retired state employee and retired or disabled school employee health insurance subsidy.
- 41.05.090 Continuation of coverage of employee, spouse, or covered dependent ineligible under state plan—Exceptions.
- 41.05.095 Coverage for dependents under the age of twenty-six.
- 41.05.100 Chapter not applicable to certain employees of Cooperative Extension Service.
- 41.05.110 Chapter not applicable to officers and employees of state convention and trade center.
- 41.05.120 Public employees' and retirees' insurance account—School employees' insurance account.
- 41.05.123 Flexible spending administrative account—Salary reduction account—School employees' benefits board flexible spending and dependent care administrative account—School employees' benefits board salary reduction account.
- 41.05.130 State health care authority administrative account—School employees' insurance administrative account.
- 41.05.140 Payment of claims—Self-insurance—Insurance reserve fund created.
- 41.05.143 Uniform medical plan benefits administration account—Uniform dental plan benefits administration account—Public employees' benefits board medical benefits administration account—School employees' benefits board medical benefits administrative account—School employees' benefits board dental benefits administration account.
- 41.05.160 Rules.
- 41.05.165 Rules—Insurance benefit reimbursement.
- 41.05.170 Neurodevelopmental therapies—Employer-sponsored group contracts.
- 41.05.175 Prescribed, self-administered anticancer medication.
- 41.05.177 Prostate cancer screening—Required coverage.
- 41.05.180 Mammograms—Insurance coverage.
- 41.05.183 General anesthesia services for dental procedures—Public employee benefit plans.
- 41.05.185 Diabetes benefits—State purchased health care.
- 41.05.188 Eosinophilic gastrointestinal associated disorder—Elemental formula.
- 41.05.195 Medicare supplemental insurance policies.
- 41.05.197 Medicare supplemental insurance policies.
- 41.05.205 Tricare supplemental insurance policy—Authority to offer—Rules.
- 41.05.220 Community and migrant health centers—Maternity health care centers—People of color—Underserved populations.
- 41.05.225 Blind licensees in the business enterprises program—Plan of health insurance.
- 41.05.240 American Indian health care delivery plan.
- 41.05.280 Department of corrections—Inmate health care.
- 41.05.295 Dependent care assistance program—Health care authority—Powers, duties, and functions.
- 41.05.300 Salary reduction agreements—Authorized.
- 41.05.310 Salary reduction plan—Policies and procedures—Plan document.
- 41.05.320 Salary reduction plan—Eligibility—Participation, withdrawal.
- 41.05.330 Salary reduction plan—Accounts and records.
- 41.05.340 Salary reduction plan—Termination—Amendment.
- 41.05.350 Salary reduction plan—Rules.
- 41.05.360 Salary reduction plan—Construction.
- 41.05.400 Plan of health care coverage—Available funds—Components—Eligibility—Administrator's duties.
- 41.05.410 Qualified health plans—Contract for—Requirements.
- 41.05.413 Qualified health plans—Reimbursement limit—Waiver.
- 41.05.420 Plan of health care coverage—Prescription insulin drug cost limits—Cost sharing.
- 41.05.520 Pharmacy connection program—Notice.
- 41.05.525 Treatment of opioid use disorder—Prior authorization.
- 41.05.526 Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization review—Medical necessity review.
- 41.05.528 Standard set of criteria—Medical necessity for substance use disorder treatment—Substance use disorder levels of care—Rules.
- 41.05.530 Prescription drug assistance, education—Rules.
- 41.05.533 Medication synchronization policy required for health benefit plans covering prescription drugs—Requirements—Definitions.
- 41.05.540 State employee health program—Requirements—Report.
- 41.05.550 Prescription drug assistance foundation—Nonprofit and tax-exempt corporation—Definitions—Liability.
- 41.05.600 Mental health services—Definition—Coverage required, when.
- 41.05.601 Mental health services—Rules.
- 41.05.630 Annual report of customer service complaints and appeals.
- 41.05.650 Community health care collaborative grant program—Grants—Administrative support—Eligibility.
- 41.05.651 Rules—2009 c 299.
- 41.05.660 Community health care collaborative grant program—Award and disbursement of grants.
- 41.05.670 Chronic care management incentives—Provider reimbursement methods.
- 41.05.680 Report—Chronic care management.
- 41.05.690 Performance measures committee—Membership—Selection of performance measures—Benchmarks for purchasing decisions—Public process for evaluation of measures.
- 41.05.700 Reimbursement of health care services provided through telemedicine or store and forward technology.
- 41.05.730 Ground emergency medical transportation services—Medicaid reimbursement—Calculation—Federal approval—Department's duties.
- 41.05.735 Ground emergency medical transportation services—Medicaid reimbursement—Intergovernmental transfer program—Federal approval—Authority's duties.
- 41.05.740 School employees' benefits board.
- 41.05.742 Single enrollment requirement.
- 41.05.744 School employee eligibility during COVID-19 state of emergency.
- 41.05.745 School employees' benefits board—Employee-paid, voluntary benefits—Optional benefits.
- 41.05.750 Problem and pathological gambling treatment program.
- 41.05.751 Problem gambling account.
- 41.05.760 Recovery residences—Registry.
- 41.05.761 Recovery residences—Technical assistance for residences seeking certification.
- 41.05.762 Recovery residences—Revolving fund.
- 41.05.765 Insulin drugs—Cap on enrollee's required payment amount—Cost-sharing requirements.
- 41.05.820 Qualified requirement for health carrier in insurance holding company to offer silver and gold health plans.
- 41.05.830 Coverage for hearing instruments—Definitions.
- 41.05.890 Certain health care and financial related data provided to authority—Exempt from disclosure.
- 41.05.900 Short title.
- 41.05.901 Implementation—Effective dates—1988 c 107.
NOTES:
Hospitalization and health care for county, municipal and other political subdivision employees: RCW 41.04.180.
Monitoring enrollee level in basic health plan and medicaid caseload of children—Funding levels adjustment: RCW 43.41.260.
Prepaid chiropractic, pilot projects: RCW 18.25.200.
Disclaimer: These codes may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
