reglab/housing_qa huggingface dataset:
WA Rev Code § 74.09.790 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.790 - Definitions.

RCW 74.09.790 Definitions.Unless the context clearly requires otherwise, the definitions in this section apply throughout RCW 74.09.760 through 74.09.820 and 74.09.510:(1) "At-risk eligible person" means an eligible person determined by the authority to need special assistance in applying for and obtaining maternity care, including pregnant women who are substance abusers, pregnant and parenting adolescents, pregnant minority women, and other eligible persons who need special assistance in gaining access to the maternity care system.(2) "Authority" means the Washington state health care authority.(3) "County authority" means the board of county commissioners, county council, or county executive having the authority to participate in the maternity care access program or its designee. Two or more county authorities may enter into joint agreements to fulfill the requirements of this chapter.(4) "Department" means the department of social and health services.(5) "Eligible person" means a woman in need of maternity care or a child, who is eligible for medical assistance pursuant to this chapter or the prenatal care program administered by the authority.(6) "Family planning services" means planning the number of one's children by use of contraceptive techniques.(7) "Maternity care services" means inpatient and outpatient medical care, case management, and support services necessary during prenatal, delivery, and postpartum periods.(8) "Support services" means, at least, public health nursing assessment and follow-up, health and childbirth education, psychological assessment and counseling, outreach services, nutritional assessment and counseling, needed vitamin and nonprescriptive drugs, transportation, family planning services, and child care. Support services may include alcohol and substance abuse treatment for pregnant women who are addicted or at risk of being addicted to alcohol or drugs to the extent funds are made available for that purpose.[ 2011 1st sp.s. c 15 § 49; 1993 c 407 § 9; 1990 c 151 § 4; 1989 1st ex.s. c 10 § 4.]NOTES:Reviser's note: The definitions in this section have been alphabetized pursuant to RCW 1.08.015(2)(k).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 § 74.09.800 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.800 - Maternity care access program established.

RCW 74.09.800 Maternity care access program established.The authority shall, consistent with the state budget act, develop a maternity care access program designed to ensure healthy birth outcomes as follows:(1) Provide maternity care services to low-income pregnant women and health care services to children in poverty to the maximum extent allowable under the medical assistance program, Title XIX of the federal social security act;(2) Provide maternity care services to low-income women who are not eligible to receive such services under the medical assistance program, Title XIX of the federal social security act;(3) Have the following procedures in place to improve access to maternity care services and eligibility determinations for pregnant women applying for maternity care services under the medical assistance program, Title XIX of the federal social security act:(a) Use of a shortened and simplified application form;(b) Outstationing authority staff to make eligibility determinations;(c) Establishing local plans at the county and regional level, coordinated by the authority; and(d) Conducting an interview for the purpose of determining medical assistance eligibility within five working days of the date of an application by a pregnant woman and making an eligibility determination within fifteen working days of the date of application by a pregnant woman;(4) Establish a maternity care case management system that shall assist at-risk eligible persons with obtaining medical assistance benefits and receiving maternity care services, including transportation and child care services;(5) Within available resources, establish appropriate reimbursement levels for maternity care providers;(6) Implement a broad-based public education program that stresses the importance of obtaining maternity care early during pregnancy;(7) Refer persons eligible for maternity care services under the program established by this section to persons, agencies, or organizations with maternity care service practices that primarily emphasize healthy birth outcomes;(8) Provide family planning services including information about the synthetic progestin capsule implant form of contraception, for twelve months immediately following a pregnancy to women who were eligible for medical assistance under the maternity care access program during that pregnancy or who were eligible only for emergency labor and delivery services during that pregnancy; and(9) Within available resources, provide family planning services to women who meet the financial eligibility requirements for services under subsections (1) and (2) of this section.[ 2011 1st sp.s. c 15 § 50; 1993 c 407 § 10; 1989 1st ex.s. c 10 § 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.
WA Rev Code § 74.09.810 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.810 - Alternative maternity care service delivery system established—Remedial action report.

RCW 74.09.810 Alternative maternity care service delivery system established—Remedial action report.(1) The authority shall establish an alternative maternity care service delivery system, if it determines that a county or a group of counties is a maternity care distressed area. A maternity care distressed area shall be defined by the authority, in rule, as a county or a group of counties where eligible women are unable to obtain adequate maternity care. The authority shall include the following factors in its determination:(a) Higher than average percentage of eligible persons in the distressed area who receive late or no prenatal care;(b) Higher than average percentage of eligible persons in the distressed area who go out of the area to receive maternity care;(c) Lower than average percentage of obstetrical care providers in the distressed area who provide care to eligible persons;(d) Higher than average percentage of infants born to eligible persons per obstetrical care provider in the distressed area; and(e) Higher than average percentage of infants that are of low birth weight, five and one-half pounds or two thousand five hundred grams, born to eligible persons in the distressed area.(2) If the authority determines that a maternity care distressed area exists, it shall notify the relevant county authority. The county authority shall, within one hundred twenty days, submit a brief report to the authority recommending remedial action. The report shall be prepared in consultation with the authority and with the department's local community service offices, the local public health officer, community health clinics, health care providers, hospitals, the business community, labor representatives, and low-income advocates in the distressed area. A county authority may contract with a local nonprofit entity to develop the report. If the county authority is unwilling or unable to develop the report, it shall notify the authority within thirty days, and the authority shall develop the report for the distressed area.(3) The authority shall review the report and use it, to the extent possible, in developing strategies to improve maternity care access in the distressed area. The authority may contract with or directly employ qualified maternity care health providers to provide maternity care services, if access to such providers in the distressed area is not possible by other means. In such cases, the authority is authorized to pay that portion of the health care providers' malpractice liability insurance that represents the percentage of maternity care provided to eligible persons by that provider through increased medical assistance payments.[ 2011 1st sp.s. c 15 § 51; 1989 1st ex.s. c 10 § 6.]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 § 74.09.820 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.820 - Maternity care provider's loan repayment program.

RCW 74.09.820 Maternity care provider's loan repayment program.To the extent that federal matching funds are available, the authority or the department of health shall establish, in consultation with the health science programs of the state's colleges and universities, and community health clinics, a loan repayment program that will encourage maternity care providers to practice in medically underserved areas in exchange for repayment of part or all of their health education loans.[ 2011 1st sp.s. c 15 § 52; 1989 1st ex.s. c 10 § 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.Health professional scholarships: Chapter 28B.115 RCW.
WA Rev Code § 74.09.850 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.850 - Conflict with federal requirements.

RCW 74.09.850 Conflict with federal requirements.If any part of this chapter is found to conflict with federal requirements which are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this chapter is hereby declared to be inoperative solely to the extent of the conflict, and such finding or determination shall not affect the operation of the remainder of this chapter.[ 1981 2nd ex.s. c 3 § 7.]NOTES:Severability—1981 2nd ex.s. c 3: See note following RCW 74.09.510.
WA Rev Code § 74.09.860 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.860 - Request for proposals—Foster children—Integrated managed health and behavioral health care—Continuation of health care benefits following reunification.

RCW 74.09.860 Request for proposals—Foster children—Integrated managed health and behavioral health care—Continuation of health care benefits following reunification.(1) The authority shall issue a request for proposals to provide integrated managed health and behavioral health care for foster children receiving care through the medical assistance program. Behavioral health services provided under chapters 71.24 and 71.34 RCW must be integrated into the managed health care plan for foster children beginning January 1, 2019. The request for proposals must address the program elements described in section 110, chapter 225, Laws of 2014, including development of a service delivery system, benefit design, reimbursement mechanisms, incorporation or coordination of services currently provided by the regional support networks, and standards for contracting with health plans. The request for proposals must be issued and completed in time for services under the integrated managed care plan to begin on October 1, 2016.(2) The parent or guardian of a child who is no longer a dependent child pursuant to chapter 13.34 RCW may choose to continue in the transitional foster care eligibility category for up to twelve months following reunification with the child's parents or guardian if the child:(a) Is under eighteen years of age;(b) Was in foster care under the legal responsibility of the department of social and health services, the department of children, youth, and families, or a federally recognized Indian tribe located within the state; and(c) Meets income and other eligibility standards for medical assistance coverage.[ 2018 c 27 § 1; 2015 c 283 § 1.]NOTES:Effective date—2018 c 27: "This act takes effect July 1, 2018." [ 2018 c 27 § 2.]
WA Rev Code § 74.09.870 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.870 - Regional service areas—Establishment.

RCW 74.09.870 Regional service areas—Establishment.(1) Upon receipt of guidance for the creation of common regional service areas from the adult behavioral health system task force established in section 1, chapter 338, Laws of 2013, the authority shall establish regional service areas as provided in this section.(2) Counties, through the Washington state association of counties, must be given the opportunity to propose the composition of regional service areas. Each service area must:(a) Include a sufficient number of medicaid lives to support full financial risk managed care contracting for services included in contracts with the department or the authority;(b) Include full counties that are contiguous with one another; and(c) Reflect natural medical and behavioral health service referral patterns and shared clinical, health care service, behavioral health service, and behavioral health crisis response resources.(3) The Washington state association of counties must submit their recommendations to the department, the authority, and the task force described in section 1, chapter 225, Laws of 2014 on or before August 1, 2014.[ 2018 c 201 § 2006; 2014 c 225 § 2. Formerly RCW 43.20A.893.]NOTES:Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
WA Rev Code § 74.09.877 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.877 - Statewide plan to implement coordinated specialty care programs providing early identification and intervention for psychosis.

RCW 74.09.877 Statewide plan to implement coordinated specialty care programs providing early identification and intervention for psychosis. (Expires June 30, 2024.)(1) Subject to the availability of amounts appropriated for this specific purpose, the authority shall collaborate with the University of Washington and a professional association of licensed community behavioral health agencies to develop a statewide plan to implement evidence-based coordinated specialty care programs that provide early identification and intervention for psychosis in licensed and certified community behavioral health agencies. The authority must submit the statewide plan to the governor and the legislature by March 1, 2020. The statewide plan must include:(a) Analysis of existing benefit packages, payment rates, and resource gaps, including needs for nonmedicaid resources;(b) Development of a discrete benefit package and case rate for coordinated specialty care;(c) Identification of costs for statewide start-up, training, and community outreach;(d) Determination of the number of coordinated specialty care teams needed in each regional service area; and(e) A timeline for statewide implementation.(2) The authority shall ensure that:(a) At least one coordinated specialty care team is starting up or in operation in each regional service area by October 1, 2020; and(b) Each regional service area has an adequate number of coordinated specialty care teams based on incidence and population across the state by December 31, 2023.(3) This section expires June 30, 2024.[ 2019 c 360 § 6.]NOTES:Findings—Intent—2019 c 360: See note following RCW 74.09.4951.
WA Rev Code § 74.09.900 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.900 - Other laws applicable.

RCW 74.09.900 Other laws applicable.All the provisions of Title 74 RCW, not otherwise inconsistent herewith, shall apply to the provisions of this chapter.[ 1959 c 26 § 74.09.900. Prior: 1955 c 273 § 22.]
WA Rev Code § 74.09.920 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09 - Medical Care.|74.09.920 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.

RCW 74.09.920 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.[ 2009 c 521 § 175.]NOTES:Effective dates—2009 c 521 §§ 5-8, 79, 87-103, 107, 151, 165, 166, 173-175, and 190-192: See note following RCW 2.10.900.
WA Rev Code § 74.09A.005 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09A - Medical Assistance—Coordination of Benefits—Information Transfer.|74.09A.005 - Findings.

RCW 74.09A.005 Findings.The legislature finds that:(1) Simplification in the administration of payment of health benefits is important for the state, providers, and health insurers;(2) The state, providers, and health insurers should take advantage of all opportunities to streamline operations through automation and the use of common computer standards;(3) It is in the best interests of the state, providers, and health insurers to identify all third parties that are obligated to cover the cost of health care coverage of joint beneficiaries; and(4) Health insurers, as a condition of doing business in Washington, must increase their effort to share information with the authority and accept the authority's timely claims consistent with 42 U.S.C. 1396a(a)(25).Therefore, the legislature declares that to improve the coordination of benefits between the health care authority and health insurers to ensure that medical insurance benefits are properly utilized, a transfer of information between the authority and health insurers should be instituted, and the process for submitting requests for information and claims should be simplified.[ 2011 1st sp.s. c 15 § 117; 2007 c 179 § 1; 1993 c 10 § 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.Effective date—2007 c 179: "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, 2007." [ 2007 c 179 § 5.]
WA Rev Code § 74.09A.010 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09A - Medical Assistance—Coordination of Benefits—Information Transfer.|74.09A.010 - Definitions.

RCW 74.09A.010 Definitions.For the purposes of this chapter:(1) "Authority" means the Washington state health care authority.(2) "Computerized" means online or batch processing with standardized format via magnetic tape output.(3) "Health insurance coverage" includes any policy, contract, or agreement under which health care items or services are provided, arranged, reimbursed, or paid for by a health insurer.(4) "Health insurer" means any party that is, by statute, policy, contract, or agreement, legally responsible for payment of a claim for a health care item or service, including, but not limited to, a commercial insurance company providing disability insurance under chapter 48.20 or 48.21 RCW, a health care service contractor providing health care coverage under chapter 48.44 RCW, a health maintenance organization providing comprehensive health care services under chapter 48.46 RCW, an employer or union self-insured plan, any private insurer, a group health plan, a service benefit plan, a managed care organization, a pharmacy benefit manager, and a third party administrator.(5) "Joint beneficiary" is an individual who has health insurance coverage and is a recipient of public assistance benefits under chapter 74.09 RCW.[ 2011 1st sp.s. c 15 § 118; 2007 c 179 § 2; 1993 c 10 § 2.]NOTES:Reviser's note: The definitions in this section have been alphabetized pursuant to RCW 1.08.015(2)(k).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—2007 c 179: See note following RCW 74.09A.005.
WA Rev Code § 74.09A.020 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.09A - Medical Assistance—Coordination of Benefits—Information Transfer.|74.09A.020 - Eligibility and coverage information—Provision to health insurers.

RCW 74.09A.020 Eligibility and coverage information—Provision to health insurers.(1) Health insurers shall share all beneficiary eligibility and coverage information with the authority for the purpose of identifying joint beneficiaries. The authority shall use this information to identify joint beneficiaries. The authority shall use this information to improve accuracy and currency of health insurance coverage and to promote improved coordination of benefits.(2) To the maximum extent possible, necessary data elements and a compatible database shall be developed by affected health insurers and the authority. The authority shall establish a representative group of health insurers and state agency representatives to develop necessary technical and file specifications to promote a standardized database. The database shall include elements essential to the authority and its population's health insurance coverage information.(3) If the state and health insurers enter into other agreements regarding the use of common computer standards, the database identified in this section shall be replaced by the new common computer standards.(4) The information provided will be of sufficient detail to promote reliable and accurate benefit coordination and identification of individuals who are also eligible for authority programs.(5) The frequency of updates will be mutually agreed to by each health insurer and the authority based on frequency of change and operational limitations.(6) The health insurers and the authority shall safeguard and properly use the information to protect records as provided by law, including but not limited to chapters 42.48, 74.09, 74.04, 70.02, and 42.56 RCW, and 42 U.S.C. Sec. 1396a and 42 C.F.R. Sec. 43 et seq. The purpose of this exchange of information is to improve coordination and administration of benefits and ensure that medical insurance benefits are properly utilized.(7) The authority shall target implementation of this section to those health insurers with the highest probability of joint beneficiaries.[ 2020 c 183 § 1; 2011 1st sp.s. c 15 § 119; 2007 c 179 § 3; 2005 c 274 § 350; 1993 c 10 § 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.Effective date—2007 c 179: See note following RCW 74.09A.005.