reglab/housing_qa huggingface dataset:
WA Rev Code § 74.09.390 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.390 - Access to baby and child dentistry program—Coverage for eligible children—Authority's duties—Report to legislature.

RCW 74.09.390 Access to baby and child dentistry program—Coverage for eligible children—Authority's duties—Report to legislature.(1) Subject to the availability of amounts appropriated for this specific purpose, the authority shall expand the access to baby and child dentistry (ABCD) program to include eligible children as clients.(2) Once enrolled in the program, eligible children must be covered until their thirteenth birthday.(3) Eligible children enrolled in the program shall receive all services and benefits received by program clients.(4) The authority shall pay enhanced fees for program services provided to eligible children enrolled in the program to dentists, primary care providers, and dental hygienists certified to provide program services. To receive certification to provide program services to eligible children, a dentist, primary care provider, or dental hygienist must:(a) Be licensed under Title 18 RCW; and(b) Complete a course on treating eligible children as defined by the authority in rule.(5) On or before December 15, 2020, and on or before December 15, 2021, the authority, in consultation with any organizations administering the program, shall provide a report, in compliance with RCW 43.01.036, to the health care and fiscal committees of the legislature, to include:(a) The number of dentists, primary care providers, and dental hygienists participating in the program; and(b) The number of eligible children who received treatment through the program.(6) For purposes of this section:(a) "Eligible children" means all individuals who meet clinical criteria established by the authority, who are under the age of thirteen with a disability attributable to intellectual disability, cerebral palsy, epilepsy, autism, or another neurological condition closely related to an intellectual disability or that requires treatment similar to that required for persons with intellectual disabilities, which has continued or can be expected to continue indefinitely, and which constitutes a substantial limitation to such individual, who are eligible for one of the following medical assistance programs:(i) Categorically needy program;(ii) Limited casualty program-medically needy program;(iii) Children's health program; or(iv) State children's health insurance program.(b) "Program" means the access to baby and child dentistry program as established by WAC 182-535-1245 or successor rule.[ 2020 c 242 § 1; 2018 c 156 § 1.]
WA Rev Code § 74.09.395 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.395 - Access to baby and child dentistry program—Outreach and engagement—Stakeholder collaboration.

RCW 74.09.395 Access to baby and child dentistry program—Outreach and engagement—Stakeholder collaboration.(1) The authority, in consultation with the office of equity, created in chapter 332, Laws of 2020, shall work with the statewide managing partner of the access to baby and child dentistry program to develop a local access to baby and child dentistry program fund allocation formula, key deliverables, and target metrics for increased outreach and provider engagement and support with the goal of reducing racial and ethnic disparities.(2) The authority, in consultation with the office of equity, created in chapter 332, Laws of 2020, shall collaborate with stakeholders to monitor progress toward the goals articulated in subsection (1) of this section and provide support to local access to baby and child dentistry programs and providers.[ 2020 c 293 § 2.]NOTES:Intent—2020 c 293: "The legislature recognizes that oral disease is the most common childhood chronic disease, yet is almost entirely preventable, impacting school readiness, future employability, and overall well-being and quality of life. The access to baby and child dentistry program has made Washington a leader in oral health care access across the nation, providing greater levels of access and utilization for medicaid eligible children under six years old. The legislature further recognizes that the access to baby and child dentistry program connects children to a dental home in their communities, enabling children to get off to a healthy start. While the state has made great strides, children of color continue to experience higher rates of tooth decay than their peers and children under the age of two are not accessing care at the same rate as older children. Therefore, it is the legislature's intent to expand on the program investments the state has already made to provide additional outreach and support to eligible families and providers, increase very young children's access to care, and further reduce racial and ethnic disparities in access to care and oral health outcomes." [ 2020 c 293 § 1.]
WA Rev Code § 74.09.460 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.460 - Children's affordable health coverage—Findings—Intent.

RCW 74.09.460 Children's affordable health coverage—Findings—Intent.(1) The legislature finds that parents have a responsibility to:(a) Enroll their children in affordable health coverage;(b) Ensure that their children receive appropriate well-child preventive care;(c) Link their child with a medical home; and(d) Understand and act upon the health benefits of good nutrition and physical activity.(2) The legislature intends that the programs and outreach and education efforts established in RCW 74.09.470(6), as well as partnerships with the public and private sectors, provide the support and information needed by parents to meet the responsibilities set forth in this section.[ 2007 c 5 § 3.]
WA Rev Code § 74.09.4701 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.4701 - Apple health for kids—Unemployment compensation.

RCW 74.09.4701 Apple health for kids—Unemployment compensation.For apple health for kids, the department shall not count the twenty-five dollar increase paid as part of an individual's weekly benefit amount as provided in *RCW 50.20.1202 when determining family income, eligibility, and payment levels.[ 2011 c 4 § 19.]NOTES:*Reviser's note: RCW 50.20.1202 was repealed by 2021 c 2 § 27.Effective date—2011 c 4 §§ 1-6 and 16-21: See note following RCW 50.20.120.Conflict with federal requirements—2011 c 4: See note following RCW 50.29.021.
WA Rev Code § 74.09.480 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.480 - Performance measures—Provider rate increases—Report.

RCW 74.09.480 Performance measures—Provider rate increases—Report.(1) The authority, in collaboration with the department of health, department of social and health services, health carriers, local public health jurisdictions, children's health care providers including pediatricians, family practitioners, advanced registered nurse practitioners, certified nurse midwives, and pediatric subspecialists, community and migrant health centers, parents, and other purchasers, shall establish a concise set of explicit performance measures that can indicate whether children enrolled in the program are receiving health care through an established and effective medical home, and whether the overall health of enrolled children is improving. Such indicators may include, but are not limited to:(a) Childhood immunization rates;(b) Well child care utilization rates, including the use of behavioral and oral health screening, and validated, structured developmental screens using tools, that are consistent with nationally accepted pediatric guidelines and recommended administration schedule, once funding is specifically appropriated for this purpose;(c) Care management for children with chronic illnesses;(d) Emergency room utilization;(e) Visual acuity and eye health;(f) Preventive oral health service utilization; and(g) Children's mental health status. In defining these measures the authority shall be guided by the measures provided in RCW 71.36.025.Performance measures and targets for each performance measure must be established and monitored each biennium, with a goal of achieving measurable, improved health outcomes for the children of Washington state each biennium.(2) Beginning in calendar year 2009, targeted provider rate increases shall be linked to quality improvement measures established under this section. The authority, in conjunction with those groups identified in subsection (1) of this section, shall develop parameters for determining criteria for increased payment, alternative payment methodologies, or other incentives for those practices and health plans that incorporate evidence-based practice and improve and achieve sustained improvement with respect to the measures.(3) The department shall provide a report to the governor and the legislature related to provider performance on these measures, as well as the information collected under RCW 74.09.475, beginning in September 2010 for 2007 through 2009 and the authority shall provide the report biennially thereafter.[ 2017 c 294 § 4; 2011 1st sp.s. c 15 § 22; 2009 c 463 § 4; 2007 c 5 § 4.]NOTES:Findings—2017 c 294: See note following RCW 74.09.475.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.Findings—Intent—Short title—2009 c 463: See notes following RCW 74.09.470.
WA Rev Code § 74.09.490 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.490 - Children's mental health—Improving medication management and care coordination.

RCW 74.09.490 Children's mental health—Improving medication management and care coordination.(1) The authority, in consultation with the evidence-based practice institute established in RCW 71.24.061, shall develop and implement policies to improve prescribing practices for treatment of emotional or behavioral disturbances in children, improve the quality of children's mental health therapy through increased use of evidence-based and research-based practices and reduced variation in practice, improve communication and care coordination between primary care and mental health providers, and prioritize care in the family home or care which integrates the family where out-of-home placement is required.(2) The authority shall identify those children with emotional or behavioral disturbances who may be at high risk due to off-label use of prescription medication, use of multiple medications, high medication dosage, or lack of coordination among multiple prescribing providers, and establish one or more mechanisms to evaluate the appropriateness of the medication these children are using, including but not limited to obtaining second opinions from experts in child psychiatry.(3) The authority shall review the psychotropic medications of all children under five and establish one or more mechanisms to evaluate the appropriateness of the medication these children are using, including but not limited to obtaining second opinions from experts in child psychiatry.(4) Within existing funds, the authority shall require a second opinion review from an expert in psychiatry for all prescriptions of one or more antipsychotic medications of all children under eighteen years of age in the foster care system. Thirty days of a prescription medication may be dispensed pending the second opinion review. The second opinion feedback must include discussion of the psychosocial interventions that have been or will be offered to the child and caretaker if appropriate in order to address the behavioral issues brought to the attention of the prescribing physician.(5) The authority shall track prescriptive practices with respect to psychotropic medications with the goal of reducing the use of medication.(6) The authority shall promote the appropriate use of cognitive behavioral therapies and other treatments which are empirically supported or evidence-based, in addition to or in the place of prescription medication where appropriate and such interventions are available.[ 2015 c 283 § 2; 2011 1st sp.s. c 15 § 23; 2007 c 359 § 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.Captions not law—2007 c 359: See note following RCW 71.36.005.
WA Rev Code § 74.09.500 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.500 - Medical assistance—Established.

RCW 74.09.500 Medical assistance—Established.There is hereby established a new program of federal-aid assistance to be known as medical assistance to be administered by the authority. The authority is authorized to comply with the federal requirements for the medical assistance program provided in the social security act and particularly Title XIX of Public Law (89-97), as amended, in order to secure federal matching funds for such program.[ 2011 1st sp.s. c 15 § 24; 1979 c 141 § 343; 1967 ex.s. c 30 § 3.]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 § 74.09.515 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.515 - Medical assistance—Coverage for youth released from confinement.

RCW 74.09.515 Medical assistance—Coverage for youth released from confinement.(1) The authority shall adopt rules and policies providing that when youth who were enrolled in a medical assistance program immediately prior to confinement are released from confinement, their medical assistance coverage will be fully reinstated on the day of their release, subject to any expedited review of their continued eligibility for medical assistance coverage that is required under federal or state law.(2) The authority, in collaboration with the department, county juvenile court administrators, managed care organizations, the department of children, youth, and families, and behavioral health administrative services organizations, shall establish procedures for coordination among field offices, juvenile rehabilitation institutions, and county juvenile courts that result in prompt reinstatement of eligibility and speedy eligibility determinations for youth who are likely to be eligible for medical assistance services upon release from confinement. Procedures developed under this subsection must address:(a) Mechanisms for receiving medical assistance services' applications on behalf of confined youth in anticipation of their release from confinement;(b) Expeditious review of applications filed by or on behalf of confined youth and, to the extent practicable, completion of the review before the youth is released; and(c) Mechanisms for providing medical assistance services' identity cards to youth eligible for medical assistance services immediately upon their release from confinement.(3) For purposes of this section, "confined" or "confinement" means detained in a juvenile rehabilitation facility operated by or under contract with the department of children, youth, and families, or detained in a juvenile detention facility operated under chapter 13.04 RCW.(4) The authority shall adopt standardized statewide screening and application practices and forms designed to facilitate the application of a confined youth who is likely to be eligible for a medical assistance program.[ 2019 c 325 § 4003; 2014 c 225 § 100; 2011 1st sp.s. c 15 § 26; 2007 c 359 § 8.]NOTES:Effective date—2019 c 325: See note following RCW 71.24.011.Effective date—2014 c 225: See note following RCW 71.24.016.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—2007 c 359: See note following RCW 71.36.005.
WA Rev Code § 74.09.5223 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.5223 - Findings—Chronic care management.

RCW 74.09.5223 Findings—Chronic care management.The legislature finds that chronic care management, including comprehensive medication management services, provided by licensed pharmacists and qualified providers is a critical component of a collaborative, multidisciplinary, inter-professional approach to the treatment of chronic diseases for targeted individuals, to improve the quality of care and reduce overall cost in the treatment of such diseases.[ 2013 c 261 § 1.]
WA Rev Code § 74.09.5229 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.5229 - Primary care health homes—Chronic care management—Findings—Intent.

RCW 74.09.5229 Primary care health homes—Chronic care management—Findings—Intent.The legislature finds that:(1) Health care costs are growing rapidly, exceeding the consumer price index year after year. Consequently, state health programs are capturing a growing share of the state budget, even as state revenues have declined. Sustaining these critical health programs will require actions to effectively contain health care cost increases in the future; and(2) The primary care health home model has been demonstrated to successfully constrain costs, while improving quality of care. Chronic care management, occurring within a primary care health home, has been shown to be especially effective at reducing costs and improving quality. However, broad adoption of these models has been impeded by a fee-for-service system that reimburses volume of services and does not adequately support important primary care health home services, such as case management and patient outreach. Furthermore, successful implementation will require a broad adoption effort by private and public payers, in coordination with providers.Therefore the legislature intends to promote the adoption of primary care health homes for children and adults and, within them, advance the practice of chronic care management to improve health outcomes and reduce unnecessary costs. To facilitate the best coordination and patient care, primary care health homes are encouraged to collaborate with other providers currently outside the medical insurance model. Successful chronic care management for persons receiving long-term care services in addition to medical care will require close coordination between primary care providers, long-term care workers, and other long-term care service providers, including area agencies on aging. Primary care providers also should consider oral health coordination through collaboration with dental providers and, when possible, delivery of oral health prevention services. The legislature also intends that the methods and approach of the primary care health home become part of basic primary care medical education.[ 2011 c 316 § 1.]
WA Rev Code § 74.09.530 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.530 - Medical assistance—Powers and duties of authority.

RCW 74.09.530 Medical assistance—Powers and duties of authority.(1)(a) The authority is designated as the single state agency for purposes of Title XIX of the federal social security act.(b) The amount and nature of medical assistance and the determination of eligibility of recipients for medical assistance shall be the responsibility of the authority.(c) The authority shall establish reasonable standards of assistance and resource and income exemptions which shall be consistent with the provisions of the social security act and federal regulations for determining eligibility of individuals for medical assistance and the extent of such assistance to the extent that funds are available from the state and federal government. The authority shall not consider resources in determining continuing eligibility for recipients eligible under section 1931 of the social security act.(d) The authority is authorized to collaborate with other state or local agencies and nonprofit organizations in carrying out its duties under this chapter or other applicable law and, to the extent appropriate, may enter into agreements with such other entities.(2) Individuals eligible for medical assistance under RCW 74.09.510(3) shall be transitioned into coverage under that subsection immediately upon their termination from coverage under RCW 74.09.510(2)(a). The authority shall use income eligibility standards and eligibility determinations applicable to children placed in foster care. The authority shall provide information regarding basic health plan enrollment and shall offer assistance with the application and enrollment process to individuals covered under RCW 74.09.510(3) who are approaching their twenty-first birthday.[ 2018 c 201 § 7018; 2011 1st sp.s. c 15 § 32; 2007 c 315 § 2; 2000 c 218 § 2; 1979 c 141 § 345; 1967 ex.s. c 30 § 6.]NOTES:Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.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—2007 c 315: See note following RCW 74.09.510.
WA Rev Code § 74.09.545 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.545 - Medical assistance or limited casualty program—Eligibility—Agreements between spouses to transfer future income—Community income.

RCW 74.09.545 Medical assistance or limited casualty program—Eligibility—Agreements between spouses to transfer future income—Community income.(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; and(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.[ 1986 c 220 § 1.]