Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
Apple Health (Medicaid) rulemaking
This page includes all of the current rule making activity for Washington Apple Health (Medicaid)
Rule making activities
Indian Health Services (IHS) All-inclusive rate (AIR)
Affected WACs
Chapter 182-570 WAC
Description
To create a new chapter which establishes the Medicaid agency’s: (1) requirements for enabling a tribal clinic to receive the agency’s all-inclusive rate (AIR); (2) reimbursement methodology for receiving the AIR; and (3) process to appeal decisions related to the AIR.
Agency contacts
Rulemaking contact
Jason Crabbe
Program contact
Christine Winn
Rulemaking status history
Preproposal (CR101)
- WSR 25-13-060
- Date Filed: 6/12/2025
Early Periodic Screening, Diagnosis and Treatment (EPSDT) Updates
Affected WACs
182-500-0030,
182-501-0050,
182-530-2100,
182-531-0100,
182-531-0150,
182-531-0250,
182-531-1600,
182-531-1675,
182-535-1050,
182-535-1079,
182-535-1100,
182-535A-0010,
182-535A-0040,
182-538-180,
182-544-0575,
182-552-0450,
182-554-800,
182-556-0200
Description
The Health Care Authority is updating the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) rules across applicable agency programs. The revised language aligns with guidance from the Centers for Medicare & Medicaid (CMS) and will refer to the EPSDT Chapter (182-534 WAC), recently amended under WSR 25-13-048.
Agency contacts
Rulemaking contact
Melinda Froud
Program contact
Christine Cole
Rulemaking status history
Expedited Adoption (CR105)
- WSR 25-17-066
- Filed: 8/18/2025
- Comments Due: 10/20/2025
Permanent Adoption (CR103P)
- WSR 25-21-142
- Effective 11/21/2025
Early Periodic Screening, Diagnosis, and Treatment (EPSDT)
Affected WACs
182-531A-0900,
182-533-0400,
182-533-0600,
182-537-0200,
182-537-0500,
182-538-050,
182-538B-040,
182-538D-0200,
182-546-5100,
182-546-5500,
182-550-1100,
182-553-500,
182-555-0500
Description
The Health Care Authority (HCA) is adding Early Periodic Screening, Diagnosis, and Treatment (EPSDT) services to applicable program rules across the agency. These revisions will align with guidance from the Centers for Medicare & Medicaid Services (CMS) and with recent corresponding amendments to Chapter 182-534 WAC under WSR 25-13-048.
Agency contacts
Rulemaking contact
Melinda Froud
Program contact
Christine Cole
Rulemaking status history
Preproposal (CR101)
- WSR 25-17-037
- Date filed: 8/13/2025
Early periodic screening, diagnosis, and treatment
Affected WACs
182-534-0010,
182-534-0050,
182-534-0100,
182-534-0200
Description
The agency is updating the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) chapter to align with guidance from the Centers for Medicare & Medicaid Services.
Agency contacts
Rulemaking contact
Melinda Froud
Program contact
Christine Cole
Rulemaking status history
Preproposal (CR101)
- WSR 25-02-069
- Filed: 12/23/2024
Proposal (CR102)
- WSR 25-10-064
- Hearing Date: 6/10/2025
- Register to attend the public hearing: Registration is required
- Comments due by 6/10/2025
Permanent Adoption (CR103P)
- WSR 25-13-048
- Effective: 7/12/2025