Wash. Admin. Code § 388-891A-0755 - What are the medical treatments DVR does not pay for?

DVR does not pay for any of the following medical treatments other than as an exception to policy, as described in WAC 388-891A-0205:

(1) Maintenance of your general health or fitness;
(2) Cosmetic procedures, such as facelifts, liposuction, and cellulite removal;
(3) Maternity care;
(4) Hysterectomies, elective abortions, sterilization, and contraceptive services as independent procedures;
(5) Drugs not approved by the U.S. Food and Drug Administration for general use or by state law;
(6) Life support systems, services, and hospice care;
(7) Transgender services including surgery and medication management;
(8) Homeopathic and herbalist services, Christian Science practitioners, or theological healers;
(9) Treatment that is experimental, obsolete, investigational, or otherwise not established as effective medical treatment.

Notes

Wash. Admin. Code § 388-891A-0755
Adopted by WSR 18-12-035, Filed 5/29/2018, effective 6/30/2018

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.


No prior version found.