Description
The agency is amending these rules to provide more precise language to define the program parameters and ensure consistency. Specifically, the agency is proposing to amend:
• 182-546-5000(4) to clarify this section pertains to a client’s freedom of access to health care, but that doesn’t require the agency to cover transportation at a higher cost in order to meet the client’s personal choice of medical provider.
• 182-546-5100 to add a definition for Against Medical Advice (AMA), fix WAC reference in Ambulance definition, and remove definitions for extended stay and short stay.
• 182-546-5550 to add in a new subsection (1)(b) regarding against medical advice discharges and a new subsection (1)(k) for standalone pharmacy trips.
• 182-546-5600(3)(b) to clarify the agency may pay for transportation for a client to a pharmacy to obtain Medicare Part D prescriptions if the prescriptions are billable to Medicaid and not paid for by Medicare Part D
• 182-546-5800(1) to clarify that out of state requests require a minimum of 7 days’ notice before the client’s travel.
• 182-546-5900(4) to clarify the reasonable cost of lodging and meals is measured against the state per diem of the location where the client is receiving covered medical services and striking subsections (4)(a), (4)(b), and (4)(c).
Agency contacts
Rulemaking status history
Permanent Adoption (CR103P)