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Washington Administrative Code (Last Updated: November 23, 2016) |
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Title 182. Health Care Authority |
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Chapter 182-543. Durable medical equipment and related supplies, complex rehabilitation technology, prosthetics, orthotics, medical supplies and related services. |
Section 182-543-8200. Billing for clients eligible for medicare and medicaid.
Latest version.
- If a client is eligible for both medicare and medicaid, the following apply:(1) The medicaid agency requires a provider to accept medicare assignment before any medicaid reimbursement;(2) In accordance with WAC 182-502-0110(3):(a) If the service provided is covered by medicare and medicaid, the agency pays only the deductible and/or coinsurance up to medicare's or medicaid's allowed amount, whichever is less.(b) If the service provided is covered by medicare but is not covered by the agency, the agency pays only the deductible and/or coinsurance up to medicare's allowed amount.[Statutory Authority: RCW 41.05.021 and 2013 c 178. WSR 14-08-035, § 182-543-8200, filed 3/25/14, effective 4/25/14. WSR 11-14-075, recodified as § 182-543-8200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. WSR 11-14-052, § 388-543-8200, filed 6/29/11, effective 8/1/11.]
Rules
182-502-0110,