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 this rule to include criteria to allow agency-approved online classes with a one-on-one check-in with the client and qualified CBE
provider during or after the online classes have been completed by the client.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

  • WSR 23-18-078
  • Hearing Date and Comments due by: 10/10/2023
  • Registration required: https://us02web.zoom.us/webinar/register/WN_fMyM6MV1SmqpIcKuyrlgYQ

Permanent Adoption (CR103P)

Description
The agency is adding a new section describing system requirements for electronic visit verification (EVV) for home health care services.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Description
The agency is reviewing these rules and may amend them as needed to comply with the CURES Act of 2016; Public Law 114-255, which implements the electronic visit verification (EVV) requirement for home health care service claims to be paid. In addition, HCA is amending Chapter 182-551 WAC to update the rules to be consistent with the other rules for administration of the medicaid program.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

  • WSR 23-19-051
  • Hearing Date and Comments due: 10/24/2023
  • Registration required: https://us02web.zoom.us/webinar/register/WN_FvUlfbhASZWrHPKvhuxmvA

Permanent Adoption (CR103P)

Description
The agency is revising these rules to allow for reimbursements of professional services for home infusions.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Description
The agency is amending 182-550-1900 and 182-550-2100 to update which transplant procedures are covered and where the transplants can be performed. The agency is also repealing WAC 182-550-2200 Transplant requirements – COE, as this section will no longer be necessary due to the changes being proposed to 182-550-1900 and 182-550-2100. As a result of these changes, the agency is also amending WAC 182-531-0650 and 182-531-1750.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Description
The agency is amending 182-550-5130 to remove subsections (5) and (6). The agency does not distribute any state funded grants for IMD DSH; there is no state money allocated to IMD. The agency is repealing 182-550-5210, 182-550-5220, and 182-550-5380; old information – the programs have not been funded by the legislature for over ten years.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Description
The agency is amending these rules to reduce the sole community hospital rate multiplier to 1.25, effective July 1, 2024.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency is amending these rules to provide more general language due to frequent changes of percentages and dollar amounts.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Description
The agency is amending this rule to add gender affirming surgery services to being exempt from DRG payment.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency is amending WAC 182-550-1500 to allow for the payment of outpatient services in the following revenue code categories: “Partial hospitalization – Less intensive,” “Partial hospitalization – Intensive,” and “Intensive outpatient services – Psychiatric.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)