Managed Health Care

Managed Health Care

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Managed Health Care

Revised October 28, 2007

Managed Health Care Options
The following is a list of links to the Managed Care WACs.

388-538-0050 Definitions.

388-538-0060 Managed care and choice.

388-538-0061 Managed care provided through the Washington Medicaid Integration Partnership (WMIP) or Medicare/Medicaid Integration Program (MMIP).

388-538-0063 Mandatory enrollment in managed care for GAU clients.

388-538-0065 Medicaid eligible basic health plan enrollees.

388-538-0067 Managed care provided through managed care organizations (MCOs)

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

388-538-0070 Managed care payment.

388-538-0095 Scope of care for managed care enrollees.

388-538-0100 Managed care emergency services.

388-538-0110 The grievance system for managed care organizations (MCO).

388-538-0111 Primary care case management (PCCM) grievances and appeals.

388-538-0112 The department of social and health services' (DSHS) hearing process for enrollee appeals of managed care organization (MCO) actions.

388-538-0120 Enrollee request for a second medical opinion.

388-538-0130 Exemptions and enrollment in managed care.

388-538-0140 Quality of care.

Click on the links below for special topics in Managed Care:

Patient Requiring Regulation

GAU Managed Care Pilot (King & Pierce)

Washington Medicaid Integrated Partnership Managed Care Pilot (Snohomish)

Medicare/Medicaid Integrated Program (King & Pierce County)

Appendix
GAU Managed Care Zip Codes by County