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Apple Health (Medicaid) rulemaking

This page includes all of the current rule making activity for Washington Apple Health (Medicaid)

Postpartum coverage
Affected WAC: 182-504-0015, 182-505-0115, 182-505-0117, 182-509-0305, 182-514-0263
Pending formal proposal
Filed: 7/12/2021
Description: The agency is amending these rules to align with SSB 5068, which extends the period of postpartum coverage through Washington Apple Health, and to make other updates.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 21-15-025
Filed: 7/12/2021
Program of all-inclusive care for the elderly (PACE)
Affected WAC: 182-513-1230
Formally proposed
Effective: 09/26/2021
Description: HCA is amending this section as part of a larger effort to fix outdated behavioral health references and terminology, to update references to correct state agencies, and to make other minor housekeeping changes related to behavioral health integration.
Agency contact:
Michael Williams, rule writer
360-725-1346
Expedited Adoption (CR105) - WSR 21-13-171
Filed date: 06/23/2021
Permanent Adoption (CR103P) - WSR 21-18-045
Effective: 09/26/2021
Eligibility for Apple Health Medical Care Services
Affected WAC: 182-508-0005, 182-508-0150
Pending formal proposal
Date Filed: 06/11/2021
Description: To comply with 3SSB 5164, Chapter 136, Laws of 2020, the Health Care Authority (HCA) is amending these rules to include eligibility for persons covered under the survivors of certain crimes (SCC) program.
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Preproposal (CR101) - WSR 21-13-047
Date Filed: 06/11/2021
Washington apple health - SSN Requirements
Affected WAC: 182-503-0515
Formally proposed
Effective: 10/23/2021
Description: The agency is amending WAC 182-503-0515 to add a new subsection (6)(f) to name the family planning only program described in WAC 182-532-510 as an additional program for which a Social Security number is not required. The agency has determined this rule amendment is necessary because the agency is expanding family planning only program services to all Washington residents, including those who do not have a social security number.
Agency contact:
Brian Jensen, rule writer
360-725-0815
Preproposal (CR101) - WSR 21-12-010
Filed date: 05/21/2021
Proposal (CR102) - WSR 21-17-086
Hearing date: 09/21/2021
*Comments due 09/21/2021
Permanent Adoption (CR103P) - WSR 21-19-142
Effective: 10/23/2021
Presumptive eligibility for HCS HCB waiver
Affected WAC:
Pending formal proposal
Filed date: 3/8/2021
Description: The agency is creating new sections in chapters 182-513 and 182-515 WAC to create presumptive eligibility for long-term care in home when a client is discharged home from an acute care hospital or state hospital diversion.
Agency contact:
Brian Jensen, rule writer
360-725-0815
Preproposal (CR101) - WSR 21-07-023
Filed date: 3/8/2021
Determining a client's financial participation in the cost of care for long-term care in a medical institution
Affected WAC: 182-513-1380
Formally proposed
Effective: 05/22/2021
Description: The agency is revising this section to f ix a broken hyperlink for Apple Health income and resource standards. No other changes are being proposed to this section. This is strictly a housekeeping change.
Agency contact:
Michael Williams, rule writer
360-725-1346
Expedited Adoption (CR105) - WSR 21-05-036
Filed date: 2/11/2021
Permanent Adoption (CR103P) - WSR 21-09-092
Effective: 05/22/2021
MAGI Income
Affected WAC: 182-509-0365, 182-509-0370, 182-509-0375
Formally proposed
Effective: 09/13/2021
Description: The agency is amending these rules to align with the Internal Revenue Code and to make other updates.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 21-03-068
Filed date: 1/19/2020
Proposal (CR102) - WSR 21-13-163
Hearing date: 07/27/2021
*Comments due 07/27/2021
Permanent Adoption (CR103P) - WSR 21-17-085
Effective: 09/13/2021
Spousal impoverishment
Affected WAC: 182-513-1100, 182-513-1215, 182-513-1220, 182-513-1235, 182-513-1660
Formally proposed
Effective: 05/29/2021
Description: The agency is revising these sections as allowed in the Consolidated Appropriations Act of 2021 extension of spousal impoverishment protections and updating the time frame for institutionalization for Roads to Community Living (RCL) from 90 days to 60 days.
Agency contact:
Valerie Freudenstein, rule writer
360-725-1344
Preproposal (CR101) - WSR 21-03-069
Filed date: 1/19/2021
Proposal (CR102) - WSR 21-07-033
Hearing date: 04/27/2021
*Comments due 04/27/2021
Permanent Adoption (CR103P) - WSR 21-10-051
Effective: 05/29/2021
Tailored supports for older adults (TSOA) - Presumptive eligibility (PE)
Affected WAC: 182-513-1620
Formally proposed
Effective: 05/29/2021
Description: The Health Care Authority (HCA) is revising this section to mirror language in WAC 388-106-1910 to alleviate confusion caused by the discrepancies in the language between the two sections.
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Preproposal (CR101) - WSR 21-01-199
Filed date: 12/22/20
Proposal (CR102) - WSR 21-07-112
Hearing date: 4/27/2021
*Comments due 4/27/2021
Permanent Adoption (CR103P) - WSR 21-10-037
Effective: 05/29/2021
SSI related medical - general income exclusions
Affected WAC: 182-512-0800
Formally proposed
Effective: 5/8/2021
Description: The agency is amending WAC 182-512-0800 to add an additional category of income excluded when determining eligibility for Washington Apple Health SSI-related medical programs, specifically, unearned income withheld for income tax purposes from a benefit that is beyond the person’s control.
Agency contact:
Brian Jensen, rule writer
360-725-0815
Preproposal (CR101) - WSR 21-01-101
Filed date: 12/11/2020
Proposal (CR102) - WSR 21-05-024
Hearing date: 3/23/2021
*Comments due 3/23/2021
Permanent Adoption (CR103P) - WSR 21-08-085
Effective: 5/8/2021