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 amending WAC 182-509-0320 and WAC 182-512-0860 to include the working families’ tax credit under RCW 82.08.0206 as income that the agency excludes when determining eligibility for modified adjusted gross income (MAGI)-based Washington apple health and Washington apple health SSI-related medical programs.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency is correcting cross-references to repealed rules that were inadvertently not corrected at the time those rules were repealed. The agency is deleting WAC 182-508-0001(3)(d) and WAC 182-509-0001(2)(d) because the income limit to which they refer ceased to exist on January 1, 2020, and WAC 182-511-1060 was repealed under WSR 19-23-063. The agency is replacing references to WAC 182-513-1305 with references to WAC 182-513-1205 because the information that had been in WAC 182-513-1305 was revised and recodified in WAC 182-513-1205 and WAC 182-513-1305 was repealed under WSR 17-03-116. The agency is replacing references to WAC 182-514-0255 with references to WAC 182-514-0263 because WAC 182-514-0255 was repealed under WSR 16-04-087. The agency is deleting WAC 182-519-0100(1)(c) because the programs to which it refers ended in 2012 and WACs 182-515-1540 and 182-515-1550 were repealed under WSR 17-22-060.

Agency contacts

Rulemaking contact
Rulemaking status history

Expedited Adoption (CR105)

Permanent Adoption (CR103P)

Description
The agency is correcting cross-references to a repealed rule and an outdated reference to an agency program. The agency is replacing references to WAC 182-532-0720 with references to chapter 182-532 WAC because that rule was repealed under WSR 19-18-024. The agency is replacing instances of the term TAKE CHARGE with current program terminology, specifically the Family Planning Only programs under chapter 182-532 WAC.

Agency contacts

Rulemaking contact
Rulemaking status history

Expedited Adoption (CR105)

Permanent Adoption (CR103P)

Description
The agency is adding the 1915i income disregard equal to the difference between 150% of the Federal Poverty Level and 300% of the Federal Benefit Rate. This disregard is targeted to individuals seeking Community Behavioral Health Services.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Withdrawal (CR102)

Proposal (CR102)

Description
Section 5115 of the federal Consolidated Appropriations Act, 2023, amends Section 2404 of the Patient Protection and Affordable Care Act (42 U.S.C. 1396r-5 note) to extend spousal impoverishment protections to September 30, 2027. The agency is amending the rules identified above to replace “September 30, 2023” with “September 30, 2027” to comply with this change in federal law. The agency is also making technical changes to remove or amend references to outdated programs.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency is amending WAC 182-512-0500 to exclude from the calculation of available resources fully and partially paid burial space purchase agreements. The agency may make additional, nonsubstantive changes so that the rule is easier to understand and apply.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Withdrawal (CR101)

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency anticipates filing rules to: (1) Revise the TSOA application process; and (2) Upon CMS approval of the 1115 Renewal Application, amend rules regarding income and resource limits.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Preproposal (CR101)

Emergency Adoption (CR103E)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency intends to establish rules regarding eligibility determinations for the CBHSS program, which helps certain people with supervision and skills restoration services.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Withdrawal (CR102)

Proposal (CR102)

Description
The agency is creating a new section in chapter 182-513 WAC to create presumptive eligibility for long-term services and supports authorized by Home and Community Services in home and alternate living facilities.

Agency contacts

Rulemaking contact
Rulemaking status history

Preproposal (CR101)

Withdrawal (CR101)

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
These housekeeping fixes are required to align the definition of “Residential habilitation center” with the definition written in RCW 71A.10.020(11), update “chemical dependency professional” to “substance use disorder professional” as written in chapter 18.205 RCW and chapter 246-811 WAC, and update “detoxification” to “withdrawal management” with certification done by the department of health as written in chapter 246-341 WAC.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Expedited Adoption (CR105)

Permanent Adoption (CR103P)