Apple Health (Medicaid) rulemaking

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

Nonbilling Individual Providers
Affected WAC: 182-502-0006
Description: The agency is amending rules to provide additional options for the provider networks of managed care organizations to enroll with the Health Care Authority in order to comply with 42 C.F.R. 438.602(b).
Agency contact:
Katie Pounds, rule writer
360-725-1346
Preproposal (CR101) - WSR 17-07-049
Filed: 3/9/17
Withdrawal (CR101) - WSR 18-10-029
Effective: 4/24/18
Appellants representation in the hearing
Affected WAC: 182-526-0155
Description: The agency is amending this rule to allow a limited exception to the requirement that an attorney representing an appellant in a hearing must file a notice of appearance. The exception would apply to an attorney representing an appellant who was also the person that originally requested the appellant’s hearing.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 19-06-027
File date: 2/28/19
Proposal (CR102) - WSR 19-11-074
Hearing date: 6/25/19
*Comments due by 6/25/19
Administrative Hearings - ICF/IID
Affected WAC: 182-526-0005
Description: The agency is amending this chapter to add administrative hearing rules for actions related to intermediate care facilities for individuals with intellectual disabilities (ICF/ID), in alignment with federal regulations.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 18-16-108
Filed: 7/31/18
Orders of default; Orders of dismissal
Affected WAC: 182-526-0284, 182-526-0285
Description: The agency is revising WACs 182-526-0284 and -0285 to align with the changes proposed in WAC 182-526-0290 which were made to be consistent with the Administrative Procedures Act.
Agency contact:
Vance Taylor, rule writer
360-725-1344
Preproposal (CR101) - WSR 18-01-066
Filed: 12/14/17
Proposal (CR102) - WSR 18-07-059
Hearing date: 4/24/18
* Comment period extended - comments due by COB 6/29/18
Permanent Adoption (CR103P) - WSR 18-15-088
Effective: 8/18/18
ABA Provider Requirements
Affected WAC: 182-531A-0800
Description: The agency is revising this rule to correct typographical errors in two form numbers. In WAC 182-531A-0800(4), the correct form number is HCA 13-0009, not 13-009. In WAC 182-531A-0800(8)(b), the correct form number is HCA 13-0008, not 13-008.This correction is necessary so that providers can find the correct form on HCA’s Forms webpage.
Agency contact:
Katie Pounds, rule writer
360-725-1346
Expedited Adoption (CR105) - WSR 18-11-092
Filed: 5/18/18
Permanent Adoption (CR103P) - WSR 18-16-071
Effective: 8/30/18
Asset Verification System
Affected WAC: 182-503-0050, 182-503-0055, 182-503-0080
Description: As required by 42 U.S.C. 1396w, the agency is creating a new WAC to create an asset verification program to determine or redetermine the eligibility of an individual for Apple Health.
Agency contact:
Michael Williams, rule writer
360-725-1346
Preproposal (CR101) - WSR 19-07-054
Filed: 3/20/19
Evaluating an asset transfer for people applying for or receiving long-term care (LTC) services
Affected WAC: 182-513-1363
Description: The agency is amending language to clarify the presumptions and burdens regarding asset transfers for long-term care (LTC) to be more in line with Social Security Act (SSA) 1917 [42 U.S.C. 1396p].
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 19-03-139
Filed: 1/22/19
Proposal (CR102) - WSR 19-09-050
Hearing date: 5/21/19
*Comments due 5/21/19
Permanent Adoption (CR103P) - WSR 19-12-118
Effective: 7/6/19
Institutionalized SSI recipients aged 22-64
Affected WAC: 182-503-0505
Description: The agency is revising this rule to correct a WAC cross-reference in WAC 182-503-0505(5)(a). The reference should read “182-513-1317(5).” The current listed citation WAC 182-513-1315(13) does not exist.
Agency contact:
Michael Williams, rule writer
360-725-1346
Expedited Adoption (CR105) - WSR 19-03-130
Filed: 1/18/19
Permanent Adoption (CR103P) - WSR 19-08-029
Effective: 4/27/19
Tailored supports for older adults (TSOA) - Presumptive eligibility (PE)
Affected WAC: 182-513-1620
Description: The agency is amending the presumptive eligibility period from twelve to twenty-four months to align with Title 388 WAC.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 19-03-104
Filed: 1/16/19
Proposal (CR102) - WSR 19-09-051
Hearing date: 5/21/19
*Comments due 5/21/19
Permanent Adoption (CR103P) - WSR 19-11-123
Effective: 6/22/19
Determining excluded income for LTC services
Affected WAC: 182-513-1340, 182-512-0600, 182-512-0820
Description: The agency is revising this rule to clarify excluded income requirements by removing the reference in subsection (1)(j) to child support received from a noncustodial parent.
Agency contact:
Michael Williams, rule writer
360-725-1346
Preproposal (CR101) - WSR 19-03-089
Filed: 1/14/19
Proposal (CR102) - WSR 19-08-013
Hearing date: 5/7/19
*Comments due by 5/7/19
Permanent Adoption (CR103P) - WSR 19-11-050
Effective: 06-10-19