Wash. Admin. Code § 182-501-0060 - Health care coverage-Program benefit packages-Scope of service categories
Service Categories |
ABP 20- |
ABP 21+ |
CN1 20- |
CN 21+ |
MN 20- |
MN 21+ |
MCS |
Ambulance (ground and air) |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Applied behavior analysis (ABA) |
Y |
Y |
Y |
Y |
Y |
Y |
N |
Behavioral health services |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Blood/blood products/related services |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Dental services |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Diagnostic services (lab and X-ray) |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Early and periodic screening, diagnosis, and treatment (EPSDT) services |
Y |
N |
Y |
N |
Y |
N |
N |
Enteral nutrition program |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Habilitative services |
Y |
Y |
N |
N |
N |
N |
N |
Health care professional services |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Health homes |
Y |
Y |
Y |
Y |
N |
N |
N |
Hearing evaluations |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Hearing aids |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Home health services |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Home infusion therapy/parenteral nutrition program |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Hospice services |
Y |
Y |
Y |
Y |
Y |
Y |
N |
Hospital services Inpatient/outpatient |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Intermediate care facility/services for persons with intellectual disabilities |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Maternity care and delivery services |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Medical equipment, supplies, and appliances |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Medical nutrition therapy |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Nursing facility services |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Organ transplants |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Orthodontic services |
Y |
N |
Y |
N |
Y |
N |
N |
Out-of-state services |
Y |
Y |
Y |
Y |
Y |
Y |
N |
Outpatient rehabilitation services (OT, PT, ST) |
Y |
Y |
Y |
Y |
Y |
N |
Y |
Personal care services |
Y |
Y |
Y |
Y |
N |
N |
N |
Prescription drugs |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Private duty nursing |
Y |
Y |
Y |
Y |
Y |
Y |
N |
Prosthetic/orthotic devices |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Reproductive health services |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Respiratory care (oxygen) |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
School-based medical services |
Y |
N |
Y |
N |
Y |
N |
N |
Vision care Exams, refractions, and fittings |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
Vision hardware Frames and lenses |
Y |
N |
Y |
N |
Y |
N |
N |
1 Clients enrolled in the Washington apple health for kids and Washington apple health for kids with premium programs, which includes the children's health insurance program (CHIP), receive CN-scope of health care services.
Notes
WSR 11-14-075, recodified as § 182-501-0060, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.530, and 74.09.700. WSR 06-24-036, § 388-501-0060, filed 11/30/06, effective 1/1/07.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
Service Categories | ABP 20- | ABP 21+ | CN1 20- | CN 21+ | MN 20- | MN 21+ | MCS |
Ambulance (ground and air) | Y | Y | Y | Y | Y | Y | Y |
Applied behavior analysis (ABA) | Y | Y | Y | Y | Y | Y | N |
Behavioral health services | Y | Y | Y | Y | Y | Y | Y |
Blood/blood products/related services | Y | Y | Y | Y | Y | Y | Y |
Dental services | Y | Y | Y | Y | Y | Y | Y |
Diagnostic services (lab and X-ray) | Y | Y | Y | Y | Y | Y | Y |
Early and periodic screening, diagnosis, and treatment (EPSDT) services | Y | N | Y | N | Y | N | N |
Enteral nutrition program | Y | Y | Y | Y | Y | Y | Y |
Habilitative services | Y | Y | N | N | N | N | N |
Health care professional services | Y | Y | Y | Y | Y | Y | Y |
Health homes | Y | Y | Y | Y | N | N | N |
Hearing evaluations | Y | Y | Y | Y | Y | Y | Y |
Hearing aids | Y | Y | Y | Y | Y | Y | Y |
Home health services | Y | Y | Y | Y | Y | Y | Y |
Home infusion therapy/parenteral nutrition program | Y | Y | Y | Y | Y | Y | Y |
Hospice services | Y | Y | Y | Y | Y | Y | N |
Hospital services Inpatient/outpatient | Y | Y | Y | Y | Y | Y | Y |
Intermediate care facility/services for persons with intellectual disabilities | Y | Y | Y | Y | Y | Y | Y |
Maternity care and delivery services | Y | Y | Y | Y | Y | Y | Y |
Medical equipment, supplies, and appliances | Y | Y | Y | Y | Y | Y | Y |
Medical nutrition therapy | Y | Y | Y | Y | Y | Y | Y |
Nursing facility services | Y | Y | Y | Y | Y | Y | Y |
Organ transplants | Y | Y | Y | Y | Y | Y | Y |
Orthodontic services | Y | N | Y | N | Y | N | N |
Out-of-state services | Y | Y | Y | Y | Y | Y | N |
Outpatient rehabilitation services (OT, PT, ST) | Y | Y | Y | Y | Y | N | Y |
Personal care services | Y | Y | Y | Y | N | N | N |
Prescription drugs | Y | Y | Y | Y | Y | Y | Y |
Private duty nursing | Y | Y | Y | Y | Y | Y | N |
Prosthetic/orthotic devices | Y | Y | Y | Y | Y | Y | Y |
Reproductive health services | Y | Y | Y | Y | Y | Y | Y |
Respiratory care (oxygen) | Y | Y | Y | Y | Y | Y | Y |
School-based medical services | Y | N | Y | N | Y | N | N |
Vision care Exams, refractions, and fittings | Y | Y | Y | Y | Y | Y | Y |
Vision hardware Frames and lenses | Y | N | Y | N | Y | N | N |
1 Clients enrolled in the Washington apple health for kids and Washington apple health for kids with premium programs, which includes the children's health insurance program (CHIP), receive CN-scope of health care services.
Notes
WSR 11-14-075, recodified as § 182-501-0060, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.530, and 74.09.700. WSR 06-24-036, § 388-501-0060, filed 11/30/06, effective 1/1/07.