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 182-543-2000 to amend the medical equipment and supplies provider requirements.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
HCA is amending this rule to clarify requirements for proof of delivery of all medical equipment and supplies.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Withdrawal (CR101)

Preproposal (CR101)

Description
The agency is amending WAC 182-543-3300. Rule updates will include updated medical necessity criteria based on evidence review(s).

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency is amending this rule to update medical equipment, supplies, & appliances definitions to align with industry standard.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
HCA is amending these rules to change the medical necessity criteria for hospital beds and to clarify the process for submitting prior authorization requests to HCA.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Description
HCA is removing all instances of “automated maximum allowable cost” and “AMAC” from WAC 182-530-7150 and repealing WAC 182-530-8150. HCA is no longer using AMAC as a reimbursement method.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
HCA is repealing WAC 182-531-1250, physician standby services, and is amending WAC 182-533-0400, maternity care and newborn delivery, to remove references to physician standby services. HCA is amending WAC 182-531-0150, noncovered physician-related and health care professional services—general and administrative, to add physician standby services.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Description
HCA is amending these rules to add the following provider types: Certified Peer Specialist, Certified Peer Specialist Trainee, and Psychological Associate.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Withdrawal (CR101)

Preproposal (CR101)

Proposal (CR102)

Description
The agency is amending WAC 182-531-1850 to allow for exceptions to the general rule that the agency does not make separate reimbursement for Centers for Medicare and Medicaid Services bundled services.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency is revising this section to add behavior health support specialists as a provider part of the collaborative care team.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)