reglab/housing_qa huggingface dataset:
WA Rev Code § 74.09.565 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.565 - Medical assistance for institutionalized persons—Treatment of income between spouses.

RCW 74.09.565 Medical assistance for institutionalized persons—Treatment of income between spouses.(1) An agreement between spouses transferring or assigning rights to future income from one spouse to the other shall be invalid for purposes of determining eligibility for medical assistance or the limited casualty program for the medically needy, but this subsection does not affect agreements between spouses transferring or assigning resources, and income produced by transferred or assigned resources shall continue to be recognized as the separate income of the transferee.(2) In determining eligibility for medical assistance or the limited casualty program for the medically needy for a married person in need of institutional care, or care under home and community-based waivers as defined in Title XIX of the social security act, if the community income received in the name of the nonapplicant spouse exceeds the community income received in the name of the applicant spouse, the applicant's interest in that excess shall be considered unavailable to the applicant.(3) The department or authority, as appropriate, shall adopt rules consistent with the provisions of section 1924 of the social security act entitled "Treatment of Income and Resources for Certain Institutionalized Spouses," in determining the allocation of income between an institutionalized and community spouse.(4) The department or authority, as appropriate, shall establish the monthly maintenance needs allowance for the community spouse up to the maximum amount allowed by state appropriation or within available funds and permitted in section 1924 of the social security act. The total monthly needs allowance shall not exceed one thousand five hundred dollars, subject to adjustment provided in section 1924 of the social security act.[ 2011 1st sp.s. c 15 § 35; 1989 c 87 § 4.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.Captions not law—1989 c 87: "Section captions, as found in sections 4 through 8 of this act, constitute no part of the law." [ 1989 c 87 § 10.]Effective dates—1989 c 87: See note following RCW 74.09.510.
WA Rev Code § 74.09.575 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.575 - Medical assistance for institutionalized persons—Treatment of resources.

RCW 74.09.575 Medical assistance for institutionalized persons—Treatment of resources.(1) The department or authority, as appropriate, shall promulgate rules consistent with the treatment of resources provisions of section 1924 of the social security act in determining the allocation of resources between the institutionalized and community spouse.(2) In the interest of supporting the community spouse the department or authority, as appropriate, shall allow the maximum resource allowance amount permissible under the social security act for the community spouse for persons institutionalized before August 1, 2003.(3) For persons institutionalized on or after August 1, 2003, the department or authority, as appropriate, in the interest of supporting the community spouse, shall allow up to a maximum of forty thousand dollars in resources for the community spouse. For the fiscal biennium beginning July 1, 2005, and each fiscal biennium thereafter, the maximum resource allowance amount for the community spouse shall be adjusted for economic trends and conditions by increasing the amount allowable by the consumer price index as published by the federal bureau of labor statistics. However, in no case shall the amount allowable exceed the maximum resource allowance permissible under the social security act.[ 2011 1st sp.s. c 15 § 36; 2003 1st sp.s. c 28 § 1; 1989 c 87 § 5.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.Effective date—2003 1st sp.s. c 28: "This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect July 1, 2003." [ 2003 1st sp.s. c 28 § 2.]Effective dates—1989 c 87: See note following RCW 74.09.510.Captions not law—1989 c 87: See note following RCW 74.09.565.
WA Rev Code § 74.09.585 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.585 - Medical assistance for institutionalized persons—Period of ineligibility for transfer of resources.

RCW 74.09.585 Medical assistance for institutionalized persons—Period of ineligibility for transfer of resources.(1) The department or authority, as appropriate, shall establish standards consistent with section 1917 of the social security act in determining the period of ineligibility for medical assistance due to the transfer of resources.(2) There shall be no penalty imposed for the transfer of assets that are excluded in a determination of the individual's eligibility for medicaid to the extent such assets are protected by the long-term care insurance policy or contract pursuant to chapter 48.85 RCW.(3) The department or authority, as appropriate, may waive a period of ineligibility if the department or authority determines that denial of eligibility would work an undue hardship.[ 2011 1st sp.s. c 15 § 37; 1995 1st sp.s. c 18 § 81; 1989 c 87 § 7.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.Conflict with federal requirements—Severability—Effective date—1995 1st sp.s. c 18: See notes following RCW 74.39A.030.Effective dates—1989 c 87: See note following RCW 74.09.510.Captions not law—1989 c 87: See note following RCW 74.09.565.
WA Rev Code § 74.09.595 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.595 - Medical assistance for institutionalized persons—Due process procedures.

RCW 74.09.595 Medical assistance for institutionalized persons—Due process procedures.The department or authority, as appropriate, shall in compliance with section 1924 of the social security act adopt procedures which provide due process for institutionalized or community spouses who request a fair hearing as to the valuation of resources, the amount of the community spouse resource allowance, or the monthly maintenance needs allowance.[ 2011 1st sp.s. c 15 § 38; 1989 c 87 § 8.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.Effective dates—1989 c 87: See note following RCW 74.09.510.Captions not law—1989 c 87: See note following RCW 74.09.565.
WA Rev Code § 74.09.597 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.597 - Medical assistance—Durable medical equipment and medical supplies—Providers.

RCW 74.09.597 Medical assistance—Durable medical equipment and medical supplies—Providers.The following must be medicare providers in order to be paid under the medicaid program: Providers of durable medical equipment and related supplies and providers of medical supplies and related services.[ 2012 c 241 § 105.]NOTES:Intent—Finding—2012 c 241: See note following RCW 74.66.010.
WA Rev Code § 74.09.600 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.600 - Post audit examinations by state auditor.

RCW 74.09.600 Post audit examinations by state auditor.Nothing in this chapter shall preclude the state auditor from conducting post audit examinations of public funds pursuant to RCW 43.09.330 or other applicable law.[ 1977 ex.s. c 260 § 6.]NOTES:Severability—1977 ex.s. c 260: "If any provision of this act, or its application to any person or circumstance is held invalid, the remainder of the act, or the application of the provision to other persons or circumstances is not affected." [ 1977 ex.s. c 260 § 8.]
WA Rev Code § 74.09.605 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.605 - Incorporation of outcomes/criteria into contracts with managed care organizations.

RCW 74.09.605 Incorporation of outcomes/criteria into contracts with managed care organizations.The authority shall incorporate the expected outcomes and criteria to measure the performance of service coordination organizations as provided in chapter 70.320 RCW into contracts with managed care organizations that provide services to clients under this chapter.[ 2013 c 320 § 7.]
WA Rev Code § 74.09.611 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.611 - Hospital quality incentive payments—Noncritical access hospitals.

RCW 74.09.611 Hospital quality incentive payments—Noncritical access hospitals.(1) If sufficient funds are made available as provided in subsection (2) of this section the authority, in collaboration with the Washington state hospital association, shall design a system of hospital quality incentive payments for noncritical access hospitals. The system must be based upon the following principles:(a) Evidence-based treatment and processes must be used to improve health care outcomes for hospital patients;(b) Effective purchasing strategies to improve the quality of health care services should involve the use of common quality improvement measures by public and private health care purchasers, while recognizing that some measures may not be appropriate for application to specialty pediatric, psychiatric, or rehabilitation hospitals;(c) Quality measures chosen for the system should be consistent with the standards that have been developed by national quality improvement organizations, such as the national quality forum, the federal centers for medicare and medicaid services, or the federal agency for healthcare research and quality. New reporting burdens to hospitals should be minimized by giving priority to measures hospitals are currently required to report to governmental agencies, such as the hospital compare measures collected by the federal centers for medicare and medicaid services;(d) Benchmarks for each quality improvement measure should be set at levels that are feasible for hospitals to achieve, yet represent real improvements in quality and performance for a majority of hospitals in Washington state; and(e) Hospital performance and incentive payments should be designed in a manner such that all noncritical access hospitals are able to receive the incentive payments if performance is at or above the benchmark score set in the system established under this section.(2) If hospital safety net assessment funds under RCW 74.60.020 are made available, such funds must be used to support an additional one percent increase in inpatient hospital rates for noncritical access hospitals that:(a) Meet the quality incentive benchmarks established under this section; and(b) Participate in Washington state hospital association collaboratives related to the benchmarks in order to improve care and promote sharing of best practices with other hospitals.(3) Funds directed from any other lawful source may also be used to support the purposes of this section.[ 2013 2nd sp.s. c 17 § 18.]NOTES:Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
WA Rev Code § 74.09.630 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.630 - Opioid overdose reversal medications—Reimbursement.

RCW 74.09.630 Opioid overdose reversal medications—Reimbursement.Until the opioid overdose reversal medication bulk purchasing and distribution program established in RCW 70.14.170 is operational:(1) Upon initiation or renewal of a contract with the authority to administer a medicaid managed care plan, a managed care organization must reimburse a hospital or behavioral health agency for dispensing or distributing opioid overdose reversal medication to a covered person under RCW 70.41.485 and 71.24.594.(2) If the person is not enrolled in a medicaid managed care plan and does not have any other available insurance coverage, the authority must reimburse a hospital, behavioral health agency, or pharmacy for dispensing or distributing opioid overdose reversal medication under RCW 70.41.485 and 71.24.594.[ 2021 c 273 § 5.]NOTES:Findings—Intent—2021 c 273: See note following RCW 70.41.480.
WA Rev Code § 74.09.632 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.632 - Opioid overdose reversal medications—Technical assistance—Written materials.

RCW 74.09.632 Opioid overdose reversal medications—Technical assistance—Written materials.(1) The authority, in consultation with the department of health, the office of the insurance commissioner, and the addictions, drug, and alcohol institute at the University of Washington, shall provide technical assistance to hospitals and licensed or certified , behavioral health agencies to assist these entities, practitioners, and providers in complying with RCW 70.41.485 and 71.24.594. The technical assistance provided to behavioral health agencies must include:(a) Training nonmedical providers on distributing and providing client education and directions for use of opioid overdose reversal medication;(b) Providing written guidance for billing for opioid overdose reversal medication; and(c) Analyzing the cost of additional behavioral health agency staff time to carry out the activities in RCW 71.24.594, and providing written guidance no later than January 1, 2022, for funding and billing direct service activities related to assisting clients to obtain opioid overdose reversal medication.(2) The authority shall develop written materials in all relevant languages for each hospital and applicable licensed or certified behavioral health agency to comply with RCW 70.41.485 and 71.24.594, including directions for the use of opioid overdose reversal medication, and provide them to all hospitals and behavioral health agencies by January 1, 2022.[ 2021 c 273 § 6.]NOTES:Findings—Intent—2021 c 273: See note following RCW 70.41.480.
WA Rev Code § 74.09.634 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.634 - Opioid overdose reversal medications—Bulk purchasing and distribution program.

RCW 74.09.634 Opioid overdose reversal medications—Bulk purchasing and distribution program.(1) Upon initiation or renewal of a contract with the authority to administer a medicaid managed care plan, a managed health care system must participate in the opioid overdose reversal medication bulk purchasing and distribution program established in RCW 70.14.170 once the program is operational.(2) The health care authority must participate in the opioid overdose reversal medication bulk purchasing and distribution program established in RCW 70.14.170 once the program is operational for purposes of individuals enrolled in medical assistance under this chapter that are not enrolled in a managed care plan and are uninsured individuals.[ 2021 c 273 § 12.]NOTES:Rules—2021 c 273 §§ 7-12: See note following RCW 70.14.170.Findings—Intent—2021 c 273: See note following RCW 70.41.480.
WA Rev Code § 74.09.640 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.640 - Opioid use disorder—Nonpharmacologic treatments.

RCW 74.09.640 Opioid use disorder—Nonpharmacologic treatments.(1) In order to support prevention of potential opioid use disorders, the authority must develop and recommend for coverage nonpharmacologic treatments for acute, subacute, and chronic noncancer pain and must report to the governor and the appropriate committees of the legislature, including any requests for funding necessary to implement the recommendations under this section. The recommendations must contain the following elements:(a) A list of which nonpharmacologic treatments will be covered;(b) Recommendations as to the duration, amount, and type of treatment eligible for coverage;(c) Guidance on the type of providers eligible to provide these treatments; and(d) Recommendations regarding the need to add any provider types to the list of currently eligible medicaid provider types.(2) The authority must ensure only treatments that are evidence-based for the treatment of the specific acute, subacute, and chronic pain conditions will be eligible for coverage recommendations.[ 2019 c 314 § 35.]NOTES:Declaration—2019 c 314: See note following RCW 18.22.810.
WA Rev Code § 74.09.645 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.645 - Opioid use disorder—Coverage without prior authorization.

RCW 74.09.645 Opioid use disorder—Coverage without prior authorization.Upon initiation or renewal of a contract with the authority to administer a medicaid managed care plan, a managed health care system shall provide coverage without prior authorization of at least one federal food and drug administration approved product for the treatment of opioid use disorder in the drug classes opioid agonists, opioid antagonists, and opioid partial agonists.[ 2019 c 314 § 38.]NOTES:Declaration—2019 c 314: See note following RCW 18.22.810.
WA Rev Code § 74.09.653 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.653 - Drug reimbursement policy recommendations.

RCW 74.09.653 Drug reimbursement policy recommendations.A committee or council required by federal law, within the health care authority, that makes policy recommendations regarding reimbursement for drugs under the requirements of federal law or regulations is subject to chapters 42.30 and * 42.32 RCW.[ 2011 1st sp.s. c 15 § 60; 1997 c 430 § 2. Formerly RCW 43.20A.365.]NOTES:*Reviser's note: The only section in chapter 42.32 RCW, RCW 42.32.030, was recodified as RCW 42.30.035 pursuant to 2017 3rd sp.s. c 25 § 30.Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
WA Rev Code § 74.09.655 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.655 - Smoking cessation assistance.

RCW 74.09.655 Smoking cessation assistance.The authority shall provide coverage under this chapter for smoking cessation counseling services, as well as prescription and nonprescription agents when used to promote smoking cessation, so long as such agents otherwise meet the definition of "covered outpatient drug" in 42 U.S.C. Sec. 1396r-8(k). However, the authority may initiate an individualized inquiry and determine and implement by rule appropriate coverage limitations as may be required to encourage the use of effective, evidence-based services and prescription and nonprescription agents. The authority shall track per-capita expenditures for a cohort of clients that receive smoking cessation benefits, and submit a cost-benefit analysis to the legislature on or before January 1, 2012.[ 2011 1st sp.s. c 15 § 39; 2008 c 245 § 1.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
WA Rev Code § 74.09.657 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.657 - Findings—Family planning services expansion.

RCW 74.09.657 Findings—Family planning services expansion.The legislature finds that:(1) Over half of all births in Washington state are covered by public programs;(2) Research has demonstrated that children of unintended pregnancies receive less prenatal care and are at higher risk for premature birth, low birth weight, neurological disorders, and poor academic performance;(3) In Washington state, over fifty percent of unintended pregnancies occur in women age twenty-five years and older;(4) Washington state's take charge program has been successful in helping women avoid unintended pregnancies; however, when the caseload declined due to federally mandated changes, the rate of unintended pregnancies increased dramatically;(5) Expanding family planning services to cover women to two hundred fifty percent of the federal poverty level would align that program's eligibility standard with income eligibility for publicly funded maternity care service; and(6) Such an expansion would reduce unintended pregnancies and associated costs to the state.[ 2011 1st sp.s. c 41 § 1.]NOTES:Funding reduction—2011 1st sp.s. c 41: "Upon implementation of the expansion directed in RCW 74.09.659, the office of financial management shall reduce general fund—state allotments for the medical assistance program by one million five hundred thousand dollars for fiscal year 2012 and by two million three hundred fifty thousand dollars for fiscal year 2013. The amounts reduced from allotments shall be placed in reserve status and remain unexpended." [ 2011 1st sp.s. c 41 § 3.]
WA Rev Code § 74.09.658 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.658 - Home health—Reimbursement—Telemedicine.

RCW 74.09.658 Home health—Reimbursement—Telemedicine.(1) The home health program shall require registered nurse oversight and intervention, as appropriate. In-person contact between a home health care registered nurse and a patient is not required under the state's medical assistance program for home health services that are: (a) Delivered with the assistance of telemedicine and (b) otherwise eligible for reimbursement as a medically necessary skilled home health nursing visit under the program.(2) The department or authority, as appropriate, in consultation with home health care service providers shall develop reimbursement rules and, in rule, define the requirements that must be met for a reimbursable skilled nursing visit when services are rendered without a face-to-face visit and are assisted by telemedicine.(3)(a) The department or authority, as appropriate, shall establish the reimbursement rate for skilled home health nursing services delivered with the assistance of telemedicine that meet the requirements of a reimbursable visit as defined by the department or authority, as appropriate.(b) Reimbursement is not provided for purchase or lease of telemedicine equipment.(4) Any home health agency licensed under chapter 70.127 RCW and eligible for reimbursement under the medical programs authorized under this chapter may be reimbursed for services under this section if the service meets the requirements for a reimbursable skilled nursing visit.(5) Nothing in this section shall be construed to alter the scope of practice of any home health care services provider or authorizes the delivery of home health care services in a setting or manner not otherwise authorized by law.(6) The use of telemedicine is not intended to replace registered nurse health care visits when necessary.(7) For the purposes of this section, "telemedicine" means the use of telemonitoring to enhance the delivery of certain home health medical services through:(a) The provision of certain education related to health care services using audio, video, or data communication instead of a face-to-face visit; or(b) The collection of clinical data and the transmission of such data between a patient at a distant location and the home health provider through electronic processing technologies. Objective clinical data that may be transmitted includes, but is not limited to, weight, blood pressure, pulse, respirations, blood glucose, and pulse oximetry.[ 2011 1st sp.s. c 15 § 40; 2009 c 326 § 1.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.