WAC 182-538-0067

Effective July 1, 2011

WAC 182-538-0067 Managed care provided through managed care organizations (MCOs)

  1. Managed care organizations (MCOs) may contract with the department to provide prepaid healthcare services to eligible clients.  The MCOs must meet the qualifications in this section to be eligible to contract with DSHS. The MCO must:

    1. Have a certificate of registration from the office of the insurance commissioner (OIC) that allows the MCO to provide the healthcare services: 

    2. Accept the terms and conditions of the department's managed care contract;

    3. Be able to meet the network and quality standards established by the department; and

    4. Accept the prepaid rates published by the department.

  2. The department reserves the right not to contract with any otherwise qualified MCO.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.