Wash. Admin. Code § 182-535-1060

Current through Register Vol. 24-23, December 1, 2024

Section 182-535-1060 - Client eligibility

(1) Refer to WAC 182-501-0060 to see which apple health programs include dental-related services in their benefit package.

(2) Managed care clients are eligible under apple health fee-for-service for covered dental-related services not covered by their managed care organization (MCO), subject to the provisions of this chapter and other applicable agency rules.

(3) See WAC 182-507-0115 for rules for clients eligible under the alien emergency medical program.

(4) Exception to rule procedures as described in WAC 182-501-0160 are not available for services that are excluded from a client's benefit package.

Wash. Admin. Code § 182-535-1060

Amended by WSR 14-08-032, filed 3/25/14, effective 4/30/2014

Amended by WSR 17-20-097, Filed 10/3/2017, effective 11/3/2017

Amended by WSR 19-09-058, Filed 4/15/2019, effective 7/1/2019

Amended by WSR 19-20-047, Filed 9/25/2019, effective 10/26/2019

Statutory Authority: RCW 41.05.021. 12-09-081, §182-535-1060, filed 4/17/12, effective 5/18/12. 11-14-075, recodified as §182-535-1060, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.530, 2003 1st sp.s. c 25, P.L. 104-191. 03-19-077, § 388-535-1060, filed 9/12/03, effective 10/13/03. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520, 42 U.S.C. 1396 d(a), 42 C.F.R. 440.100 and 440.225. 02-13-074, § 388-535-1060, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396 d(a), C.F.R. 440.100 and 440.225. 99-07-023, § 388-535-1060, filed 3/10/99, effective 4/10/99.