Apple Health (Medicaid) rulemaking

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

Medical Assistance definitions - N
Affected WAC: 182-500-0075
Description: The agency is amending this rule as a result of federal regulations published February 2016 under 42 C.F.R. Part 440. The agency is adding a definition for “nonphysician practitioners,” a term which will be used in two WAC chapters to be amended in separate rulemaking actions as a result of the February 2016 federal regulations. The agency previously filed a Preproposal Statement of Inquiry in 2016 to begin rulemaking on this and other sections under WSR 16-11-094. The agency subsequently withdrew the previously filed Preproposal Statement of Inquiry under WSR 18-05-031 and is rewriting the proposed rule.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 18-05-066
Filed 2/16/18
Definitions - C
Affected WAC: 182-500-0020
Description: The agency is revising this rule to correct a typo in the definition of “Community spouse.” The WAC citation referenced in the definition should read WAC 182-500-0100.
Agency contact:
Katie Pounds, rule writer
360-725-1346
Expedited Adoption (CR105) - WSR 17-18-057
Filed: 9/1/17
Permanent Adoption (CR103P) - WSR 17-23-040
Effective: 12/9/17
Program Integrity
Affected WAC: 182-502A-0201, 182-502A-0301, 182-502A-0401, 182-502A-0601, 182-502A-0701, 182-502A-0801, 182-502A-0901, 182-502A-1001
Description: The agency is amending Chapter 182-502A, Program integrity, to update definitions and clarify processes.
Agency contact:
Katie Pounds, rule writer
360-725-1346
Preproposal (CR101) - WSR 17-10-057
Filed: 5/2/17
Proposal (CR102) - WSR 18-04-067
Hearing date: 3/13/18
*Comments due by COB
Nonbilling Individual Providers
Affected WAC: 182-502-0006
Description: The agency is amending rules to provide additional options for the provider networks of managed care organizations to enroll with the Health Care Authority in order to comply with 42 C.F.R. 438.602(b).
Agency contact:
Katie Pounds, rule writer
360-725-1346
Preproposal (CR101) - WSR 17-07-049
Filed: 3/9/17
Exception to rule
Affected WAC: 182-501-0160
Description: The agency is amending WAC 182-501-0160 to clarify that if another rule conflicts with this rule, this rule prevails
Agency contact:
Katie Pounds, rule writer
360-725-1346
Preproposal (CR101) - WSR 17-07-032
Filed: 3/8/17
Withdrawal (CR101) - WSR 17-09-059
Effective: 4/18/17
Conditions of Payment
Affected WAC: 182-502-0110
Description: The agency is amending WAC 182-502-0110 to clarify prior authorization requirements for dual-eligible clients when their Medicare benefits are exhausted.
Agency contact:
Katie Pounds, rule writer
360-725-1346
Preproposal (CR101) - WSR 16-20-082
Filed: 10/4/16
Proposal (CR102) - WSR 17-03-113
Hearing date: 2/21/17
*Comments due by COB
Permanent Adoption (CR103P) - WSR 17-06-063
Effective: 3/28/17
Medicare/Medicaid Crossover
Affected WAC: 182-530-7700, 182-531-0250, 182-502-0006
Description: The agency is amending rules to comply with Section 1902(a)(10)(E) of the Social Security Act that requires changes to payment of Medicare cost sharing for qualified Medicare beneficiaries.
Agency contact:
Katie Pounds, rule writer
360-725-1346
Preproposal (CR101) - WSR 15-23-075
Filed: 11/16/15
Withdrawal (CR101) - WSR 17-06-064
Withdrawn: 2/28/17
Experimental and Investigational Services
Affected WAC: 182-531-0050, 182-531-0550
Description: The agency is revising WAC 182-531-0050 to remove the definition of “ADSA,” clarify the definitions of “experimental” and “investigational,” and align the definition of “peer-reviewed medical literature” with other agency rules. WAC 182-531-0550 is being updated to strike redundant subsections and clarify information regarding experimental and investigational services. These revisions do not change current policy. Housekeeping changes were also made in these WACs.
Agency contact:
Katie Pounds, rule writer
360-725-1346
Preproposal (CR101) - WSR 16-07-137
Filed: 3/22/16
Withdrawal (CR101) - WSR 16-17-004
Filed: 8/4/16
Preproposal (CR101) - WSR 16-17-094
Filed: 8/18/16
Proposal (CR102) - WSR 16-24-055
Hearing date: 1/10/17
*Comments due by COB
Supplemental (CR102) - WSR 17-05-092
Hearing date: 3/21/17
*Comments due by COB
Permanent Adoption (CR103P) - WSR 17-09-002
Effective: 5/6/17
Administrative Hearings
Affected WAC: 182-526-0005, 182-526-0010, 182-526-0020, 182-526-0025, 182-526-0035, 182-526-0040, 182-526-0070, 182-526-0080, 182-526-0085, 182-526-0095, 182-526-0102, 182-526-0115, 182-526-0135, 182-526-0150, 182-526-0155, 182-526-0175, 182-526-0185, 182-526-0195, 182-526-0200, 182-526-0215, 182-526-0221, 182-526-0230, 182-526-0240, 182-526-0245, 182-526-0250, 182-526-0255, 182-526-0270, 182-526-0280, 182-526-0282, 182-526-0284, 182-526-0285, 182-526-0290, 182-526-0300, 182-526-0340, 182-526-0350, 182-526-0360, 182-526-0370, 182-526-0375, 182-526-0380, 182-526-0387, 182-526-0390, 182-526-0415, 182-526-0450, 182-526-0495, 182-526-0500, 182-526-0520, 182-526-0525, 182-526-0540, 182-526-0550, 182-526-0555, 182-526-0560, 182-526-0575, 182-526-0580, 182-526-0595, 182-526-0600, 182-526-0605, 182-526-0640, 182-526-0650
Description: The agency amended these rules to make the hearing process more efficient and streamlined.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 14-20-062
Filed: 9/25/14
Withdrawal (CR101) - WSR 15-07-017
Filed: 3/9/15
Preproposal (CR101) - WSR 15-07-018
Filed: 3/9/15
Proposal (CR102) - WSR 16-17-093
Hearing date: 9/27/16
*Comments due by COB
Permanent Adoption (CR103P) - WSR 17-05-066
Effective: 3/16/17
Orders of default; Orders of dismissal
Affected WAC: 182-526-0284, 182-526-0285
Description: The agency is revising WACs 182-526-0284 and -0285 to align with the changes proposed in WAC 182-526-0290 which were made to be consistent with the Administrative Procedures Act.
Agency contact:
Vance Taylor, rule writer
360-725-1344
Preproposal (CR101) - WSR 18-01-066
Filed: 12/14/17

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