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Apple Health (Medicaid) rulemaking
This page includes all of the current rule making activity for Washington Apple Health (Medicaid)
Washington apple health - Application processing times
Affected WAC: 182-503-0060
Description: The agency is making housekeeping changes only. WAC 182-503-0060(2) contains cross-references to WAC 182-503-0005(2) which need to be changed to WAC 182-503-0005(8). The agency will also edit the rule to replace instances of “WAH” with “apple health.
Health care services provided outside the state of Washington—General provisions
Affected WAC: 182-501-0180
Effective date: 12/17/2020
Description: Reasons why rules on this subject may be needed and what they might accomplish: The agency is amending WAC 182-501-0180 so it applies to both fee-for-service clients and clients enrolled in a managed care organization (MCO).
Affected WAC: 182-502-0016
Description: The agency is creating a new section within this chapter to meet the Centers for Medicare and Medicaid Services (CMS) milestone requirement 3 regarding the agency’s Section 1115 Substance Use Disorder (SUD) Waiver Implementation Plan. Milestone 3 requires the adoption of rules reflecting the requirement that residential treatment facilities offer medication assisted treatment access on-site or facilitate off-site access. The agency is also initiating this rulemaking to implement provisions of RCW 71.24.585 related to behavioral health agencies and medication assisted treatment. Initially this rulemaking was proposed as a new section 182-502-0016a. The agency decided to add the proposed language into the existing WAC section, 182-502-0016, instead of creating a new section.
Emergency Adoption (CR103E) - WSR 20-10-011
Preproposal (CR101) - WSR 20-10-012
Emergency Adoption (CR103E) - WSR 20-17-137
Emergency Adoption (CR103E) - WSR 21-01-126
Emergency Adoption (CR103E) - WSR 21-09-032
Proposal (CR102) - WSR 21-07-067
Hearing date: 4/27/2021
*Comments due 4/27/2021
Permanent Adoption (CR103P) - WSR 21-10-081
Administrative hearings rules
Affected WAC: 182-526-0010, 182-526-0030, 182-526--0040, 182-526--0070, 182-526-0340
Description: The agency is considering amending procedural rules applicable to adjudicative proceedings to permit the use of electronic means to file and serve documents and conduct and attend hearings.
Affected WAC: 182-526-0195
Description: The agency is amending WAC 182-526-0195 to change subsection (4) to specify that the administrative law judge has discretion to grant or deny an agency request for a prehearing conference.
Administrative hearings and appeals
Affected WAC: 182-51-1800, 182-526-0005, 182-70-110, 182-70-655, 182-70-660, 182-526-0195, 182-526-0203, 182-526-0205, 182-526-0206
Description: Revisions to these sections are necessary due to the revisions HCA is making to WAC 182-526-0005, Purpose and scope, which HCA filed a CR-101 under WSR 20-11-072 on May 20, 2020. Consistency is needed between Chapters 182-51, 182-70, and 182-526 WAC regarding hearings and appeals.
Applied Behavioral Analysis (ABA)
Affected WAC: 182-501-0060, 182-531A-0100, 182-531A-0200, 182-531A-0400, 182-531A-0500, 182-531A-0600, 182-531A-1100
Emergency rules adopted
Effective: 09/22/2021 - 01/20/2022
Description: In WAC 182-531A, the agency is revising these rules to remove the age limits for applied behavioral analysis (ABA) and update language to remove child or children and replace with client. In WAC 182-501-0600, the agency is updating the “N” (No) to a “Y” (Yes) in the ABA covered services table for ABP 21+, CN 21+ and MN 21+
Post Public Health Emergency
Affected WAC: Chapter 182-521
Pending formal proposal
Filed date: 07/16/2021
Description: Certain Medicaid programs extended coverage to clients during PHE. Rulemaking is needed to avoid a gap in coverage between the time PHE ends and the time similar coverage is reinstated under Medicaid verification procedures that existed before the PHE.
Affected WAC: 182-504-0015, 182-505-0115, 182-505-0117, 182-509-0305, 182-514-0263
Pending formal proposal
Description: The agency is amending these rules to align with SSB 5068, which extends the period of postpartum coverage through Washington Apple Health, and to make other updates.
Program of all-inclusive care for the elderly (PACE)
Affected WAC: 182-513-1230
Description: HCA is amending this section as part of a larger effort to fix outdated behavioral health references and terminology, to update references to correct state agencies, and to make other minor housekeeping changes related to behavioral health integration.