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 repealing WAC 182-538D-0262, which requires behavioral health administrative agencies to maintain a behavioral health ombuds office for Medicaid managed care enrollees. This service will be replaced by a new statewide ombuds program established under Chapter 71.40 RCW, which takes effect October 1, 2022.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Proposal (CR102)

Description
HCA is amending WAC 182-501-0135 to: (a) change the time period in which a client may request an administrative hearing from 90 days to 120 days, (b) state that HCA may determine on a case-by-case basis that a client may obtain certain prescription items at any pharmacy, and (c) add that HCA may remove a client from PRC placement if the client has successfully stabilized due to the utilization of treatment medications, including but not limited to, Buprenorphine.

Agency contacts

Rulemaking contact
Rulemaking status history

Preproposal (CR101)

Description
HCA is amending this rule to explain how HCA updates the state-only composite rate and to clarify language throughout.

Agency contacts

Rulemaking contact
Rulemaking status history

Preproposal (CR101)

Description
The agency is amending WAC 182-526-0030 to update the Board of Appeals’ website address. The agency is amending WAC 182-526-0580 to specify the acceptable filing methods for a written review request of an initial order.

Agency contacts

Rulemaking contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
To fix erroneous cross-reference in subsection (1)(c) and align the titles of the applied behavior analysis (ABA) professionals in (1)(c)(i)-(iii) with those listed in WAC 182-531A-0800.

Agency contacts

Rulemaking contact
Rulemaking status history

Expedited Adoption (CR105)

Permanent Adoption (CR103P)

Description
The Health Care Authority (HCA) is amending WAC 182-502-0110 to add that for long-term civil commitments, if Medicare and Medicaid cover the service, HCA pays the greater of Medicare or Medicaid’s allowed amount, minus what Medicare paid.

Agency contacts

Rulemaking contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency is revising this section to remove the information regarding telemedicine and add a cross reference to new rules that the agency is developing for audio-only telemedicine, in alignment with ESSB 1196. The new audio-only rules will reside in new section WAC 182-501-0300 and is being developed under a different rulemaking filed under WSR 21-15-065. The agency is removing this information from various chapters in Title 182 and creating this one-stop shop rule for audio-only telemedicine.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

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+. The agency is also updating the ambulance section in the covered services table for ABP21+ to a “Y” (Yes) as it was inadvertently left blank.

Agency contacts

Rulemaking contact
Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Emergency Adoption (CR103E)

Emergency Adoption (CR103E)

Emergency Adoption (CR103E)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
In each of the rules listed above the agency is replacing an incorrect website address with the correct address for the Washington Apple Health income and resource standards. The correct address is https://www.hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/program-standard-income-and-resources.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Expedited Adoption (CR105)

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)