Apple Health (Medicaid) rulemaking

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

Tailored supports for older adults (TSOA) - Presumptive eligibility (PE)
Affected WAC: 182-513-1620
Description: The agency is amending the presumptive eligibility period from twelve to twenty-four months to align with Title 388 WAC.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 19-03-104
Filed: 1/16/19
Determining excluded income for LTC services
Affected WAC: 182-513-1340
Description: The agency is revising this rule to clarify excluded income requirements by removing the reference in subsection (1)(j) to child support received from a noncustodial parent.
Agency contact:
Michael Williams, rule writer
360-725-1346
Preproposal (CR101) - WSR 19-03-089
Filed: 1/14/19
Fully integrated managed care and choice
Affected WAC: 182-538A-060
Description: The agency is revising WAC 182-538A-060, Fully integrated managed care and choice, to remove language indicating that enrollment in a behavioral health services only (BHSO) managed care organization (MCO) is mandatory for American Indian and Alaska native (AI/AN) clients and their descendants.
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Preproposal (CR101) - WSR 19-03-088
Filed: 1/14/18
Telemedicine
Affected WAC: 182-531-1730
Description: The agency is revising WAC 182-531-1730, Telemedicine, to include renal dialysis centers to the list of originating sites for telemedicine, as allowed in SSB 5157.
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Preproposal (CR101) - WSR 19-03-087
Filed: 1/14/19
Bariatric Surgery
Affected WAC: 182-531-1600
Description: The agency is revising WAC 182-531-1600, Bariatric surgery, to reflect coverage changes made by the Health Technology Clinical Committee.
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Preproposal (CR101) - WSR 19-03-086
Filed: 1/14/19
Provider Preventable conditions (PPC) - Payment policy
Affected WAC: 182-502-0022
Description: Correcting where hospitals must report other provider preventable condition (OPPC) associated with an established Medicaid client in subsection (6)(d)(i), and correcting a web address in . Also correcting a bad web address in subsection (6)(d)(ii).
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Expedited Adoption (CR105) - WSR 19-03-085
Filed: 1/14/19
Health care for workers with disabilities (HWD) - Disability requirements
Affected WAC: 182-511-1150
Description: The agency is amending this rule to replace incorrect references to the developmental disabilities administration (DDA) with the correct program name of division of disability determination services (DDDS).
Agency contact:
Melinda Froud, rule writer
360-725-1408
Expedited Adoption (CR105) - WSR 19-03-050
Filed: 1/9/19
Scope of Services
Affected WAC: 182-501-0060
Description: The agency is amending WAC 182-501-0060, Health care coverage—Program benefit packages—Scope of service categories to implement E2SSB 5179, which restores coverage of hearing instruments for adults.
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Preproposal (CR101) - WSR 19-02-021
Filed: 12/21/18
Emergency Adoption (CR103E) - WSR 19-02-022
Effective: 12/21/18-4/20/19
Continuing requirement
Affected WAC: 182-502-0016
Description: The agency is updating this section to provide notice to providers and support enforcement of compliance with state and federal requirements related to the operations of entities receiving more than $5 million in Medicaid payments annually, including but not limited to such entities providing information about the False Claims Act and establishing written policies for employees.
Agency contact:
Michael Williams, rule writer
360-725-1346
Preproposal (CR101) - WSR 18-23-082
Filed: 11/19/18
Provider enroll, termination
Affected WAC: 182-502-0012, 182-502-0040, 182-502-0060
Description: The agency is WAC 182-502- 0012(5) and WAC 182-502-0040(2) to allow the dispute resolution process under WAC 182-502-0050, with the exception of WAC 182-502-0050(6), for providers who are denied enrollment, and for terminations of a provider agreement for convenience. The agency is amending WAC 182-502-0060 to remove subsections (1) and (2) that prohibit providers from reapplying for participation after the agency denies enrollment or removes a provider from participation. The agency has determined that the rules need to be amended to allow for due process and for reporting purposes.
Agency contact:
Amy Emerson, rule writer
360-725-1348
Preproposal (CR101) - WSR 18-14-098
Filed: 7/3/18

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