Chapter 41.05 - STATE HEALTH CARE AUTHORITY
- Section 41.05.004 - Intent-Use of word "board."
- Section 41.05.006 - Purpose
- Section 41.05.008 - Duties of employing agencies
- Section 41.05.009 - Determination of public employee eligibility for benefits
- Section 41.05.0091 - Eligibility exists prior to January 1, 2010
- Section 41.05.011 - Definitions
- Section 41.05.013 - State purchased health care programs-Uniform policies
- Section 41.05.014 - Applications, enrollment forms, and eligibility certification documents-Signatures
- Section 41.05.015 - Medical director-Appointment of personnel
- Section 41.05.017 - [Effective Until 1/1/2025] Provisions applicable to health plans offered under this chapter
- Section 41.05.017 - [Effective 1/1/2025] Provisions applicable to health plans offered under this chapter
- Section 41.05.018 - Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services
- Section 41.05.021 - State health care authority-Director-Cost control and delivery strategies-Health information technology-Managed competition-Rules
- Section 41.05.022 - State agent for purchasing health services-Single community-rated risk pool
- Section 41.05.023 - Chronic care management program-Uniform medical plan-Definitions
- Section 41.05.026 - Contracts-Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data-Exemption from public inspection-Executive sessions
- Section 41.05.031 - Health information technology office-Agencies to establish health care information systems
- Section 41.05.033 - [Decodified]
- Section 41.05.035 - Exchange of health information-Advisory board, discretionary-Director's authority
- Section 41.05.036 - Health information-Definitions
- Section 41.05.037 - Nurse hotline, when funded
- Section 41.05.039 - Health information-Secure access-Lead organization-Director's duties
- Section 41.05.042 - Health information-Processes, guidelines, and standards
- Section 41.05.046 - Health information-Conflict with federal requirements
- Section 41.05.050 - Contributions for employees and dependents
- Section 41.05.055 - Public employees' benefits board-Members
- Section 41.05.065 - Public employees' benefits board-Duties-Eligibility-Definitions-Penalties
- Section 41.05.066 - Domestic partner benefits
- Section 41.05.068 - Federal employer incentive program-Authority to participate
- Section 41.05.074 - Public employees-Prior authorization standards and criteria-Health plan requirements-Definitions
- Section 41.05.075 - Employee benefit plans-Contracts with insuring entities-Performance measures-Financial incentives-Health information technology
- Section 41.05.080 - Participation in insurance plans and contracts-Retired, disabled, or separated employees-Certain surviving spouses, state registered domestic partners, and dependent children
- Section 41.05.083 - Employer groups-Participation in insurance plans and contracts-Termination of agreement-Payment for retired or disabled employees
- Section 41.05.085 - Retired state employee and retired or disabled school employee health insurance subsidy
- Section 41.05.090 - [Repealed]
- Section 41.05.095 - Coverage for dependents under the age of twenty-six
- Section 41.05.100 - Chapter not applicable to certain employees of Cooperative Extension Service
- Section 41.05.110 - [Decodified]
- Section 41.05.120 - Public employees' and retirees' insurance account-School employees' insurance account
- Section 41.05.123 - Flexible spending administrative account-Salary reduction account-School employees' benefits board flexible spending and dependent care administrative account-School employees' benefits board salary reduction account
- Section 41.05.130 - State health care authority administrative account-School employees' insurance administrative account
- Section 41.05.140 - Payment of claims-Self-insurance-Insurance reserve fund created
- Section 41.05.143 - Uniform medical plan benefits administration account-Uniform dental plan benefits administration account-School employees' benefits board medical benefits administrative account-School employees' benefits board dental benefits administration account
- Section 41.05.155 - Fern Lodge maintenance account
- Section 41.05.160 - Rules
- Section 41.05.165 - Rules-Insurance benefit reimbursement
- Section 41.05.170 - Neurodevelopmental therapies-Employer-sponsored group contracts
- Section 41.05.175 - Prescribed, self-administered anticancer medication
- Section 41.05.177 - Prostate cancer screening-Required coverage
- Section 41.05.180 - Mammograms-Insurance coverage
- Section 41.05.183 - General anesthesia services for dental procedures-Public employee benefit plans
- Section 41.05.185 - Diabetes benefits-State purchased health care
- Section 41.05.188 - Eosinophilic gastrointestinal associated disorder-Elemental formula
- Section 41.05.195 - Medicare supplemental insurance policies
- Section 41.05.197 - Medicare supplemental insurance policies
- Section 41.05.205 - [Repealed]
- Section 41.05.220 - Community and migrant health centers-Maternity health care centers-People of color-Underserved populations
- Section 41.05.225 - Blind licensees in the business enterprises program-Plan of health insurance
- Section 41.05.240 - [Repealed]
- Section 41.05.280 - [Decodified]
- Section 41.05.295 - Dependent care assistance program-Health care authority-Powers, duties, and functions
- Section 41.05.300 - Salary reduction agreements-Authorized
- Section 41.05.310 - Salary reduction plan-Policies and procedures-Plan document
- Section 41.05.320 - Salary reduction plan-Eligibility-Participation, withdrawal
- Section 41.05.330 - Salary reduction plan-Accounts and records
- Section 41.05.340 - Salary reduction plan-Termination-Amendment
- Section 41.05.350 - Salary reduction plan-Rules
- Section 41.05.360 - Salary reduction plan-Construction
- Section 41.05.400 - Plan of health care coverage-Available funds-Components-Eligibility-Director's duties
- Section 41.05.405 - Public option plans-Availability-Hospital contracts-Recommendations
- Section 41.05.410 - Qualified health plans-Contract for-Requirements-Cost and quality data
- Section 41.05.413 - Qualified health plans-Reimbursement limit-Waiver
- Section 41.05.430 - Plan of health care coverage-Immediate postpartum contraception devices
- Section 41.05.520 - Pharmacy connection program-Notice
- Section 41.05.525 - Treatment of opioid use disorder-Prior authorization
- Section 41.05.526 - Withdrawal management services-Substance use disorder treatment services-Prior authorization-Utilization review-Medical necessity review
- Section 41.05.527 - Opioid overdose reversal medication bulk purchasing and distribution program
- Section 41.05.528 - Standard set of criteria-Medical necessity for substance use disorder treatment-Substance use disorder levels of care-Rules
- Section 41.05.530 - Prescription drug assistance, education-Rules
- Section 41.05.531 - Standard set of criteria-Updated versions-Review and use
- Section 41.05.533 - Medication synchronization policy required for health benefit plans covering prescription drugs-Requirements-Definitions
- Section 41.05.540 - State employee health program-Requirements
- Section 41.05.550 - Prescription drug assistance foundation-Nonprofit and tax-exempt corporation-Definitions-Liability
- Section 41.05.600 - Mental health services-Definition-Coverage required, when
- Section 41.05.601 - Mental health services-Rules
- Section 41.05.630 - Annual report of customer service complaints and appeals
- Section 41.05.650 - Community health care collaborative grant program-Grants-Administrative support-Eligibility
- Section 41.05.651 - Rules-2009 c 299
- Section 41.05.660 - Community health care collaborative grant program-Award and disbursement of grants
- Section 41.05.670 - Chronic care management incentives-Provider reimbursement methods
- Section 41.05.680 - [Decodified]
- Section 41.05.690 - Performance measures committee-Membership-Selection of performance measures-Benchmarks for purchasing decisions-Public process for evaluation of measures
- Section 41.05.700 - Reimbursement of health care services provided through telemedicine or store and forward technology-Audio-only telemedicine
- Section 41.05.730 - Ground emergency medical transportation services-Medicaid reimbursement-Calculation-Federal approval-Department's duties
- Section 41.05.735 - Ground emergency medical transportation services-Medicaid reimbursement-Intergovernmental transfer program-Federal approval-Authority's duties
- Section 41.05.740 - School employees' benefits board
- Section 41.05.742 - Single enrollment requirement
- Section 41.05.743 - School board members-Eligibility for health benefits
- Section 41.05.744 - School employee eligibility during COVID-19 state of emergency
- Section 41.05.745 - School employees' benefits board-Employee-paid, voluntary benefits-Optional benefits
- Section 41.05.750 - Problem gambling and gambling disorder treatment program
- Section 41.05.751 - Problem gambling account
- Section 41.05.760 - Recovery residences-Registry
- Section 41.05.761 - [Expires 7/1/2025] Recovery residences-Technical assistance for residences seeking certification
- Section 41.05.762 - [Expires 7/1/2025] Recovery residences-Revolving fund
- Section 41.05.810 - Prenatal substance exposure treatment-Contracting
- Section 41.05.812 - Prenatal substance exposure-Expanded treatment and services
- Section 41.05.820 - Qualified requirement for health carrier in insurance holding company to offer silver and gold health plans
- Section 41.05.830 - [Expired]
- Section 41.05.831 - Coverage for hearing instruments
- Section 41.05.840 - Universal health care commission
- Section 41.05.845 - Prior authorization
- Section 41.05.850 - Abortion coverage-Cost sharing
- Section 41.05.890 - Certain health care and financial related data provided to authority-Exempt from disclosure
- Section 41.05.900 - Short title
- Section 41.05.901 - Implementation-Effective dates-1988 c 107
- Section 41.05.950 - Retired or disabled public employees-Special health coverage enrollment opportunity
- Section 41.05.951 - Retired or disabled employees of employer groups-Return following termination of employer's agreement-2023 c 312