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).
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.
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.
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.
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.
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.
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].
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.
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.
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.