Chapter 182-531. Physician-related services.  


Section 182-531-0050. Physician-related services definitions.
Section 182-531-0100. Scope of coverage for physician-related and health care professional services—General and administrative.
Section 182-531-0150. Noncovered physician-related and health care professional services—General and administrative.
Section 182-531-0200. Physician-related and health care professional services requiring prior authorization.
Section 182-531-0250. Who can provide and bill for physician-related and health care professional services.
Section 182-531-0300. Anesthesia providers and covered physician-related services.
Section 182-531-0350. Anesthesia services—Reimbursement for physician-related services.
Section 182-531-0375. Audiology services.
Section 182-531-0400. Client responsibility for reimbursement for physician-related services.
Section 182-531-0450. Critical care—Physician-related services.
Section 182-531-0500. Emergency physician-related services.
Section 182-531-0550. Experimental and investigational services.
Section 182-531-0600. HIV/AIDS counseling and testing as physician-related services.
Section 182-531-0650. Hospital physician-related services not requiring authorization when provided in department-approved centers of excellence or hospitals authorized to provide the specific services.
Section 182-531-0700. Inpatient chronic pain management physician-related services.
Section 182-531-0750. Inpatient hospital physician-related services.
Section 182-531-0800. Laboratory and pathology physician-related services.
Section 182-531-0850. Laboratory and pathology physician-related services reimbursement.
Section 182-531-0900. Neonatal intensive care unit (NICU) physician-related services.
Section 182-531-0950. Office and other outpatient physician-related services.
Section 182-531-1000. Ophthalmic services.
Section 182-531-1050. Manipulative therapy.
Section 182-531-1100. Out-of-state physician services.
Section 182-531-1150. Physician care plan oversight services.
Section 182-531-1200. Physician office medical supplies.
Section 182-531-1250. Physician standby services.
Section 182-531-1300. Foot care services for clients twenty-one years of age and older.
Section 182-531-1350. Prolonged physician-related service.
Section 182-531-1400. Psychiatric physician-related services and other professional mental health services.
Section 182-531-1450. Radiology physician-related services.
Section 182-531-1500. Sleep studies.
Section 182-531-1550. Sterilization physician-related services.
Section 182-531-1600. Bariatric surgery.
Section 182-531-1625. Outpatient hemophilia treatment requirements—Center of excellence.
Section 182-531-1650. Substance abuse detoxification physician-related services.
Section 182-531-1675. Washington apple health—Gender dysphoria treatment program.
Section 182-531-1700. Surgical physician-related services.
Section 182-531-1710. Alcohol and substance misuse counseling.
Section 182-531-1720. Tobacco cessation counseling.
Section 182-531-1730. Telemedicine.
Section 182-531-1750. Transplant coverage for physician-related services.
Section 182-531-1800. Transplant coverage—Medical criteria to receive transplants.
Section 182-531-1850. Payment methodology for physician-related services—General and billing modifiers.
Section 182-531-1900. Payment—General requirements for physician-related services.
Section 182-531-2000. Increased payments for physician-related services for qualified trauma cases.
Section 182-531-2010. Enhanced reimbursement—Independent advanced registered nurse practitioners (ARNPs).
Section 182-531-2020. Enhanced reimbursement—Long-acting reversible contraception (LARC).