Apple Health (Medicaid) rulemaking

This page includes all of the current rule making activity for Washington Apple Health (Medicaid)

Rule making activities

Description
The agency is amending
this rule to comply with statutory program requirements in RCW 74.09.340.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Expedited Adoption (CR105)

Withdrawal (CR105)

Expedited Adoption (CR105)

Permanent Adoption (CR103P)

Description
The agency is amending WAC 182-508-0001 and 182-512-0920 to remove the maximum age restriction for apple health for workers with disabilities (HWD) categorically needy (CN) coverage. This change is consistent with amendments made to RCW 74.09.540 and WAC 182-511-1050 effective January 1, 2020.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

  • WSR 24-03-022
  • Hearing Date and Comments due by: 02/27/2024
  • Registration required: https://us02web.zoom.us/webinar/register/WN_oPnu_jscTpmcOi88CFPCRQ

Permanent Adoption (CR103P)

Description
The agency is amending WAC 182-513-1110 on an emergency basis to remove presumptive eligibility for longterm
services and supports in an alternate living facility.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Proposal (CR102)

  • WSR 23-22-105
  • Hearing date and Comments due by : 12/5/2023
  • Registration required: https://us02web.zoom.us/webinar/register/WN_3tyz-7OOQNW4WTLeVvp-jA

Permanent Adoption (CR103P)

Description
The agency is amending WAC 182-513-1100 to define Intensive Behavioral Health Treatment Facility (IBHTF) as a residential treatment facility licensed under chapter 246-337 WAC, and add additional definitions related to long-term services and supports.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

  • WSR 23-23-144
  • Hearing Date and Comments due by: 12/26/2023
  • Registration required: https://us02web.zoom.us/webinar/register/WN_ve5DgZL-QlKdGWXkrGLPog

Permanent Adoption (CR103P)

Description
The agency is amending WAC 182-509-0220 to specify that Medicare savings programs do not have a resource limit, which is consistent with section 211(40), chapter 475, Laws of 2023 and WAC 182-517-0100 as amended under WSR 22-21-043. The agency is amending WAC 182-519-0050 to correct a website address for the Washington apple health income and resource standards chart and update the medically needy income level and federal benefit rate.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

  • WSR 23-24-003
  • Hearing Date and Comments due by: 1/9/2024
  • Registration required: https://us02web.zoom.us/webinar/register/WN_lcj79gocS5G90rbyLRPI8g

Permanent Adoption (CR103P)

Description
The agency is amending WAC 182-517-0100 to increase the eligibility threshold for certain medicare savings programs.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

  • WSR 24-02-013
  • Hearing date and Comments due by: 2/6/2024
  • Registration required: https://us02web.zoom.us/webinar/register/WN_k08Qp1d6Q_uVNrXsLxmKXw

Permanent Adoption (CR103P)

Description
The agency is amending rules to provide continuous enrollment in Medicaid through age five for children with household income below 215 percent of the federal poverty level at the time of application. This project and Apple Health renewals are being combined at the CR-102 stage because they both amend 182-504-0035.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Emergency Adoption (CR103E)

Proposal (CR102)

  • WSR 23-22-051
  • Hearing date and comments due: 11/07/2023
  • Registration required: https://us02web.zoom.us/webinar/register/WN_EICEeDr8Q0ap3784rr7LVQ

Permanent Adoption (CR103P)

Description
The agency is developing rules under ESSB 5187 Sec. 211 (83), 68th Legislature, 2023 Regular Session. This legislation directs the agency to implement a program with coverage comparable the categorically needy Medicaid program for certain adults age 19 and older who: (a) have an immigration status making them ineligible for Medicaid or federal subsidies through the Health Benefit Exchange; and (b) are not eligible for another full scope federally funded medical assistance program.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Description
The agency is amending WAC 182-503-0535 and WAC 182-507-0135 to update the parole period for certain Afghan refugees to qualify for refugee medical assistance. This change is required by federal law.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Proposal (CR102)

Emergency Adoption (CR103E)

Permanent Adoption (CR103P)

Description
The Federal Consolidated Appropriations Act of 2023 amended section 6008 of the Families First Coronavirus Response Act to change the end date of Medicaid continuous coverage from the end date of the Public Health Emergency to March 31, 2023. The agency filed an emergency rule (WSR 23-08-051) effective April 1, 2023, so that WAC 182-521-0200 conforms to federal law. This rule project will make permanent changes to the rule.
Due to the terms of the Federal Consolidated Appropriations Act of 2023, effective April 1, 2023, the agency is ending continuous enrollment in Apple Health coverage and must end the enrollment of ineligible beneficiaries on or after April 1, 2023, through June 2024, after the agency conducts a full renewal.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Emergency Adoption (CR103E)

Proposal (CR102)

Permanent Adoption (CR103P)