WAC 388-538-0068 Managed care provided through primary care case management (PCCM).

1. A provider may contract with DSHS as a primary care case management (PCCM) provider to provide health care services to eligible medical assistance administration (MAA) clients under MAA's managed care program. The PCCM provider or the individual providers in a PCCM group or clinic must: 

   1. Have a core provider agreement with DSHS;

   2. Hold a current license to practice as a physician, certified nurse midwife, or advanced registered nurse practitioner in the state of Washington;

   3. Accept the terms and conditions of DSHS' PCCM contract;

   4. Be able to meet the quality standards established by DSHS; and

   5. Accept PCCM rates published by DSHS.

2. DSHS reserves the right not to contract for PCCM with an otherwise qualified provider.