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Audits and reporting
The Health Care Authority (HCA) oversees, examines, and monitors its contracted providers and participating managed care entities to ensure compliance with statutory and contractual requirements.
Oversight results
As required by 42 CFR 438.602(e), the HCA completed an encounter data validation review of each managed care organization in July 2021. The final audit notice and report for each managed care organization is published below as required by 42 CFR 438.602(g)(4).
- Amerigroup Washington
- Coordinated Care of Washington
- Community Health Plan of Washington
- Molina Healthcare of Washington
- UnitedHealthcare Community Plan
Annual metrics
Review the 2017-2018 annual program integrity metrics for additional information.