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Prescription Drug Program Billing Guide - Washington State Health Care . . . HCA, the Home Care Association of Washington (HCAW), and the Washington State Pharmacy Association (WSPA) developed the following guidelines in a cooperative effort to improve drug therapy outcomes for the most at-risk segment of the medical assistance population
WA. PHAR. 141- Fill Limits - coordinatedcarehealth. com See Important Reminder at the end of this policy for important regulatory and legal information Outline criteria for when a medication may be dispensed more than allowable fill limit per month as defined by the Washington State Health Care Authority (HCA)
Provider billing guides and fee schedules | Washington State Health . . . Use our billing guides and fee schedules to determine if a PA is required and assist in filing claims Contact Medical Assistance Customer Service Center (MACSC) online or at 1-800-562-3022 For questions about rates or fee schedules, email HCA Professional Rates
2025 Formulary, Criteria and Policy Changes - Washington State Local . . . The following changes will be effective 07 01 25 for all CHPW Apple Health (Medicaid) members Please visit Health Care Authority (HCA) website or CHPW Online Formulary for more details or call CHPW Customer Service at 1-800-440-1561 Monday through Friday from 8am to 5pm
Laws and Rules - Washington State Department of Health Washington Administrative Code (WAC) or rules are adopted by an agency or regulatory body (Pharmacy Quality Assurance Commission) with specific authority granted by the legislature (in statute) to engage in rule making
Pharmacy Benefit Manager Data Submission Guide The law requires issuers of health insurance, pharmacy benefit managers (PBMs), manufacturers, and pharmacy service administrative organizations (PSAOs) to submit data on drug costs and pricing to HCA annually
Chapter 182-530 WAC - Washington "Washington preferred drug list (Washington PDL)" - The list of drugs selected by the appointing authority to be used by applicable state agencies as the basis for purchase of drugs in state-operated health care programs