Rule notices 2019

Sent date WSR # Description

 

1/10/19

  182-533-0370, -0390 Infant Case management and childbirth education
182-511-1150 Health care for workers with disabilities (HWD)      

1/15/19

 

182-531-1600 Bariatric Surgery
182-531-1730 Telemedicine
182-538A-060 Fully integrated managed care and choice
182-513-1340 Determining excluded income for LTC services;
182-502-0022 Provider Preventable conditions (PPC)

1/16/19   182-513-1620 Tailored supports for older adults (TSOA)
1/23/19  

182-513-1363 Evaluating an asset transfer for people applying for or receiving LTC
182-531-0050, -2040 Physician related and Enhanced reimbursement 
182-503-0505 Washing apple health - General eligibility requirements

1/25/19   Chapter 182-524 COFA Premium Payment Assistance
182-550-3000, -3470, -4400, -4800 Hospital Services
2/6/19  

182-517-0100 Federal Medicare Savings Program
182-500-0020, -0030 Definitions C and E;
Chapter 182-537 School based health care services

2/8/19   182-552-0400 Respiratory care
182-545-400 Habilitative Services
2/13/19   Chapter 182-538 Managed Care
2/22/19   Chapter 182-546 Ground Emergency Medical Transportation
3/7/19 19-06
Preproposal - Notice of Intent (CR101)

182-526-0155 Appellants representation in the hearing
182-501-0125 Advance Directives

Proposal - Public Hearings (CR102)

182-500-0070 Definition M
182-535-1050 Definitions
182-535-1060 Client eligibility
182-535-1080 Covered - Diagnostic
182-535-1082 Covered - Preventive services
182-535-1084 Dental-related services - Covered Restorative services
182-535-1098 covered - Adjunctive general services
182-535-1245 Access to baby and child dentistry (ABCD) program
182-535A-0010 Definitions
182-535A-0020 Client eligibility

182-531-0050 Physician-related services definitions
182-531-2040 Enhanced reimbursement - Medication assisted treatment for opioid use disorder

182-531-0425 Collaborative Care

Permanent Adoption (CR103P)

182-535-1066 Dental-related services - Medical care services clients
182-535-1094 Dental-related services - Covered - Oral and maxillofacial surgery services 

182-533-0370 Infant case management - Client eligibility
182-533-0390 Childbirth education (CBE) classes

Emergency Adoption (CR103E)

New Chapter 182-524 - COFA Islander Health Care 

3/21/19 19-07
Preproposal - Notice of Intent (CR101)

182-543-0500 General - Medical supplies and equipment
182-543-2000 Eligible providers and provider requirements
182-543-5700 Medical equipment for clients in skilled nursing facilities

182-503-0055 (new) Asset verification system
182-503-0050 Verification of eligibility factors
182-503-0080 Washington apple health - Application denials and withdrawals

Proposal - Public Hearings (CR102)

182-531-1730 Telemedicine

182-535A-0040 Orthodontic treatment and orthodontic-related services—Covered, noncovered, and limitations to coverage.
182-535A-0060 Orthodontic treatment and orthodontic-related services—Payment 

182-538A-060 Fully integrated managed care and choice
182-538A-130 Exemptions and ending enrollment in fully integrated managed care (FIMC)

Emergency Adoption (CR103E)

182-531-0425 Collaborative Care

4/4/19 19-08
Notice of Withdrawal

182-531-0200 Physician-related services requiring prior authorization 
182-531-1600 Bariatric Surgery

Preproposal - Notice of Intent (CR101)

Chapter 182-502A Program Integrity

182-552-1400 Respiratory care - Reimbursement - General 
182-552-1600 Respiratory care - equipment and supplies - Reimbursement

182-550-2590 Agency prior authorization requirements for Level 1 and Level 2 LTAC services
182-550 -2600 Inpatient psychiatric services
182-550-2900  Payment limits—Inpatient hospital services
182-550-4550 Administrative day rate and swing bed day rate

Proposal - Public Hearings (CR102)

182-512-0350 SSI-related medical—Property and contracts excluded as resources

182-512-0600 SSI-related medical—Definition of income
182-512-0820 SSI-related medical—Child-related income exclusions and allocations
182-513-1340 Determining excluded income for LTC services

182-558-0010 Premium payment program (PPP)
182-558-0020 PPP Definitions
182-558-0030 Overview of eligibility
182-558-0040 PPP for a client with an individual health insurance plan
182-558 -0050 PPP for a client with an employer-sponsored group health insurance plan
182-558-0060 PPP for a client with a qualified employer-sponsored group health insurance plan

Permanent Adoption (CR103P)

182-502-0022 Provider Preventable conditions (PPC) - Payment policy

182-503-0505 Washington apple health — General eligibility requirements

182-511-1150 Health care for workers with disabilities (HWD) - Disability requirements

182-545-400 Habilitative Services

182-546-0505 Ground Emergency Medical Transportation (GEMT) definitions
182-546-0510 GEMT program overview
182-546-0515 GEMT provider participation and qualifications
182-546-0520 GEMT supplemental payments
182-546-0525 GEMT claim submission and cost reporting
182-546-0530 GEMT interim supplemental payment
182-546-0535 GEMT cost reconciliation and settlement process
182-546-0540 GEMT records maintenance
182-546-0545 GEMT auditing

4/19/19 19-09
Preproposal - Notice of Intent (CR101)

182-513-1100 Definitions related to Long-term Support Services (LTSS)

Proposal - Public Hearings (CR102)

182-513-1363 Evaluating an asset transfer for people for or receiving long-term care (LTC) services

182-513-1620 Tailored supports for older adults (TSOA) - Presumptive eligibility (PE)

Permanent Adoption (CR103P)

182-531-0050 Physician-related services definitions
182-531-2040 Enhanced reimbursement — Medication assisted treatment for opioid use disorder

182-500-0070 Definitions M
182-535-1050 Definitions 
182-535-1060 Client eligibility
182-535-1080 Covered — Diagnostic
182-535-1082 Covered — Preventive services
182-535-1084 Dental-related services Covered - Restorative services
182-535-1098 Covered - Adjunctive general services
182-535-1245 Access to baby and child dentistry (ABCD) program
182-535A-0010 Definitions
182-535A-0020 Client eligibility
 

5/3/19 Correction Filing 19-09
Proposal - Public Hearings (CR102)

182-513-1620 Tailored supports for older adults (TSOA) - Presumptive eligibility (PE)

Permanent Adoption (CR103P)

182-531-0050 Physician-related services definitions
182-531-2040 Enhanced reimbursement — Medication assisted treatment for opioid use disorder

5/24/19 19-10
Preproposal - Notice of Intent (CR101)

182-543-4200 Wheelchairs - Powerdrive
To read the filing notice, see WSR 19-10-061

Proposal - Public Hearings (CR102)

182-501-0060 Health care coverage — Program benefit packages — Scope of service categories
182-501-0065 Health care coverage — Description of service categories.

182-550-2900 Payment limits — Inpatient hospital services
182-550-2950 Payment limits — Provider preventable fourteen day readmissions

182-512-0550 SSI-related medical—All other excluded resources
182-512-0700 SSI-related medical—Income eligibility

Emergency Adoption (CR103E)

182-501-0060 Health care coverage—Program benefit packages—Scope of service categories

182-547-0100 General
182-547-0200 Definitions
182-547-0750 Eligibility—Clients age twenty-one and older
182-547-0850 Coverage—Clients age twenty-one and older. Nonrefurbished, monaural hearing aids
182-547-0950 Noncovered services—Clients age twenty-one and older
182-547-1050 Prior authorization—Clients age twenty-one and older
182-547-1100 Reimbursement—General

6/7/19 19-11
Preproposal - Notice of Intent (CR101)

182-538A-160 Program integrity requirements
Chapter 182-502A Program integrity

182-502-0012 When the Medicaid agency does not enroll
182-502-0040 Termination of a provider agreement - For convenience
182-502-0060 Reapplying for participation(withdrawal)

182-530-2000 Covered—Outpatient drugs, devices, and drug-related supplies
182-530-2001 Noncovered—Outpatient drugs and pharmaceutical supplies

182-531-0100 Scope of coverage for physician-related and health care professional services—General and administrative
182-531-1720 Tobacco cessation counseling
182-533-0400 Maternity care and newborn delivery

182-502-0012 When the Medicaid agency does not enroll
182-502-0040 Termination of a provider agreement—For convenience
182-502-0060 Reapplying for participation

Proposal - Public Hearings (CR102)

182-531-1400 Psychiatric physician-related services and other professional mental health services

182-552-0450 Mandibular advancement device

182-526-0155 Appellant's representation in the hearing

Permanent Adoption (CR103P)

182-535A-0040 Orthodontic treatment and orthodontic-related services—Covered, noncovered, and limitations to coverage
182-535A-0060 Orthodontic treatment and orthodontic-related services—Payment

182-512-0600 SSI-related medical—Definition of income
182-512-0820 SSI-related medical—Child-related income exclusions and allocations
182-513-1340 Determining excluded income for long-term care (LTC) services

182-538A-060 Fully integrated managed care and choice
182-538A-130 Exemptions and ending enrollment in fully integrated managed care (FIMC)

182-524-0100 COFA Islander Health Care - General
182-524-0200 COFA Islander Health Care - Definitions
182-524-0250 COFA Islander Health Care -  How to apply
182-524-0300 COFA Islander Health Care - Eligibility
182-524-0400 COFA Islander Health Care - Residency requirements
182-524-0500 COFA Islander Health Care - Notice requirements
182-524-0600 COFA Islander Health Care - Payments

182-531-1730 Telemedicine

182-513-1620 Tailored supports for older adults (TSOA)—Presumptive eligibility (PE)

182-558-0010 Premium payment program (PPP)
182-558-0020 Premium payment program (PPP) - Definitions
182-558-0030 Premium payment program (PPP) - Overview of eligibility
182-558-0040 Premium payment program (PPP) for a client with an individual health insurance plan. (1) General rule
182-558-0050 Premium payment program (PPP) for a client with an employer-sponsored group health insurance plan
182-558-0060 Premium payment program (PPP) for a client with a qualified employer-sponsored group health insurance plan. (1) General rule. 

Expedited Rulemaking (CR105)

Chapter 182-20 Standards for Community Health Clinics

182-535-1050 Dental-related services—Definitions
182-535-1060 Dental-related services—Client eligibility
182-535A-0010 Orthodontic services—Definitions
182-535A-0020 Orthodontic treatment and orthodontic services—Client eligibility 

6/7/19 19-12
Preproposal - Notice of Intent (CR101)

182-535-1050, 182-535-1060 Dental-related services 
182-535-1245 Access to baby and child dentistry (ABCD) program
182-535A-0010, 182-535A-0020 Orthodontic services

Chapter 182-548 Federally qualified health centers (withdrawal)
Chapter 182-549 Rural health clinics

Permanent Adoption (CR103P)

182-513-1363 Evaluating an asset transfer for people applying for or receiving long-term care (LTC)

182-517-0100 Federal Medicare Savings Program

Expedited Rulemaking (CR105)

182-535-1050, 182-535-1060 Dental-related services 
182-535-1245 Access to baby and child dentistry (ABCD) program
182-535A-0010, 182-535A-0020 Orthodontic services (withdrawal)

6/25/19 19-13 
Preproposal - Notice of Intent (CR101)

182-502-0002 Eligible provider types

182-505-0215 Children's Washington apple health with premiums

182-511-1000, -1050, -1060, -1100, -1150, -1200, -1250 Health care workers with disabilities (HWD) Program description
182-512-0550 SSI-related medical

Permanent Adoption (CR103P)

182-550-2900, -2950 Payment limits—Inpatient hospital services & Provider preventable fourteen-day readmissions

182-512-0550, -0700  SSI-related medical—All other excluded resources & Income eligibility

182-531-0425 Collaborative Care

Emergency Adoption (CR103E)

182-100-0100 Problem and pathological gambling treatment services
Chapter 182-538D Behavioral health services

7/8/19 19-14
Preproposal - Notice of Intent (CR101)

Chapter 182-548 Federally qualified health centers
Chapter 182-549 Rural health clinics

182-550-2600 Inpatient Psychiatric Services (withdrawal)

182-535-1245 Access to Baby & Child Dentistry (withdrawal)

Chapter 182-546 Ambulance Transportation (withdrawal)

182-530-7900 Public Health Services (PHS) Act

182-535A-0040, -0050, -0060  Orthodontic treatment and orthodontic-related services

Proposal - Public Hearings (CR102)

182-552-0100 Respiratory care—General
182-552-1400 Respiratory care—Reimbursement—General
182-552-1600 Respiratory care equipment and supplies—Reimbursement—Methodology for purchase, rental, and repair

Chapter 182-532 Reproductive health/Family planning programs

Chapter 182-547 Hearing aids

Permanent Adoption (CR103P)

182-501-0060, -0065 Health care coverage—Program benefit packages—Scope of service categories/Description of service categories

182-526-0155 Appellant's representation in the hearing

Emergency Adoption (CR103E)

182-535-1050, -1060, -1245 Dental-related services
182-535A-0010, -0020 Orthodontic services

182-502-0002 Eligible Provider Types

7/25/19 19-15
Preproposal - Notice of Intent (CR101)

Chapter 182-501 Wraparound Intensive Services (WISe)

Proposal - Public Hearings (CR102)

182-526-0210 Appeals requested by intermediate care facilities for individuals with intellectual disabilities (ICF/IID)

182-550-2590, -2600, -2900, -4550 Hospital Services

182-503-0050, -0055, -0080 Asset verification system

182-531-1740 Treat and refer services
182-546-0200, -0250, -0400 Ambulance services

Permanent Adoption (CR103P)

182-531-1400 Psychiatric physician-related services and other professional mental health services.

Chapter 182-20 Standards for community health clinics - Repeal

8/9/19 19-16
Preproposal - Notice of Intent (CR101)

182-546-0001 through 182-546-4600 Ambulance Transportation

182-501-0200 Third-party resources

182-531-0375 Audiology services

Proposal - Public Hearings (CR102)

182-538A-160 Program Integrity

9/5/19 19-18
Preproposal - Notice of Intent (CR101)

182-512-0880 SSI-related medical - disregards
182-517-0100 Federal Medicare savings programs (withdrawal)

182-503-0010 Washington apple health—Who may apply

182-535-1066 Dental-related services—Medical care services clients

Proposal - Public Hearings (CR102)

182-505-0215 Children's Washington apple health with premiums

182-502-0012 When the Medicaid agency does not enroll
182-502-0040 Termination of a provider agreement-For convenience
182-502-0060 Reapplying for participation

Permanent Adoption (CR103P)

Chapter 182-532 Reproductive Health Services and Family Planning-Take Charge programs

182-526-0210 Administrative Hearings - ICF/IID

182-550-2590, -2600, -2900, -4550 Hospital - Administrative Days

182-552-0450 Mandibular advancement device

9/19/19 19-19
Preproposal - Notice of Intent (CR101)

182-550-3830 Adjustments to inpatient rates
182-550-7500 OPPS (outpatient prospective payment system rates)

Proposal - Public Hearings (CR102)

182-530-2000 Covered—Outpatient drugs, devices, and drug related supplies
182-530-2100 Noncovered—Outpatient drugs and pharmaceutical supplies

182-531-0100 Scope of coverage for Physician-related services
182-531-1720 Tobacco cessation counseling
182-533-0400 Maternity care and newborn delivery

Permanent Adoption (CR103P)

182-538A-160 Program Integrity Requirements

182-546-0200, -0250, -0400; 182-531-1740 Treat and Refer (No Transport)

10/03/19 19-20
Preproposal - Notice of Intent (CR101)

182-513-1205 Determining eligibility for noninstitutional coverage in an alternate living facility (ALF)

Chapter 182-550 Hospital Safety Net Assessment Program (new section)

182-546-5100 through 6200 Nonemergency Medical Transportation (NEMT)

Proposal - Public Hearings (CR102)

182-501-0200 Third-party resources

182-511-1000, -1050, -1060, -1100, -1150, -1200, -1250, -0550 Health care for workers with disabilities (HWD) 
182-512-0550 SSI-related medical—All other excluded resources

Chapter 182-538 Managed Care
Chapter 182-538A Washington Apple Health FIMC
Chapter 182-538B Crisis and Noncrisis Behavioral Health Services
Chapter 182-538D Behavioral Health Services
Chapter 182-100 Problem Gambling

182-543-1100, -4200 Wheelchairs - Powerdrive

Permanent Adoption (CR103P)

182-502-0002 Eligible provider types

182-502-0016 Continuing requirements
182-502-0017 Employee education about false claims recovery  

182-535-1050, -1060, -1245 Dental-Related Services
182-535A-0010, -0020 Orthodontic services 

182-547-0100, -0200, -0700, -0800, -0850, -0900, -1000, -1050, -1100 Hearing Aids

10/23/19 19-21
Preproposal - Notice of Intent (CR101)

182-100-0200 Single Bed Certification

182-531-1550 Sterilization physician-related services

182-532-510 Family planning only programs - Eligibility

Proposal - Public Hearings (CR102)

182-513-1100 Definitions related to long-term services and supports (LTSS)

182-523-0100 Washington apple health - Medical extensions

182-535-1066 Dental-related services—Medical care services clients

Permanent Adoption (CR103P)

182-502-0012 When the Medicaid agency does not enroll
182-502-0040 Termination of a provider agreement—For convenience
182-502-0060 Reapplying for participation

182-503-0050 Verification of eligibility factors
182-503-0055 Asset verification system
182-503-0080 Washington apple health—Application denials and withdrawals

182-505-0215 Children's Washington apple health with premiums

182-512-0350 SSI-related medical - Property and contracts excluded as resources

182-552-0001 Respiratory care—General
182-552-1400 Respiratory care—Reimbursement—General
182-552-1600 Respiratory care equipment and supplies—Reimbursement—Methodology for purchase, rental, and repair

Emergency Adoption (CR103E)

182-100-0100 Problem Gambling
Chapter 182-538D Behavioral Health Services

182-100-0200 Single Bed Certification

Expedited Rulemaking (CR105)

182-533-0600 Planned home births/Births in Birthing Centers

11/07/19 19-22
Preproposal - Notice of Intent (CR101)

182-535-1245 Access to baby and child dentistry (ABCD) program

182-530-4050 Drug use and claims review

Proposal - Public Hearings (CR102)

182-503-0010 Washington apple health-Who may apply

182-550-3830 Adjustments to inpatient rates
182-550-7500 OPPS rate

Permanent Adoption (CR103P)

182-530-2000 Covered—Outpatient drugs, devices, and drug-related supplies
182-530-2100 Noncovered—Outpatient drugs and pharmaceutical supplies

182-531-0100 Scope of coverage for physician-related and health care professional services—General and administrative
182-531-1720 Tobacco cessation counseling
182-533-0400 Maternity care and newborn delivery

11/21/19 19-23
Proposal - Public Hearings (CR102)

Chapter 182-502A, Program Integrity. Specifically sections -0101, -0201, -0301, -0401, -0501, -0601, -0701, -0801, -0901, -1001, -1101.

Chapter 182-549, Rural Health Clinics. Specifically sections -1100, -1300, -1400, -1450, -1500.

Permanent Adoption (CR103P)

182-501-0200 Third Party Resources

Chapter 182-511, Health care workers with disabilities (HWD). Specifically the following sections -1000, -1050, -1060, -1100, -1150, -1200, -1250 and 
182-512-0550 SSI-related medical—All other excluded resources.
 

12/05/19 19-24
Preproposal - Notice of Intent (CR101)

182-531-1675 Gender dysphoria treatment program

Proposal - Public Hearings (CR102)

182-513-1205 Determining eligibility for noninstitutional coverage in an alternate living facility (ALF) 

182-535A-0040, 0050, 0060 Orthodontic services 

Permanent Adoption (CR103P)

182-513-1100 Definitions related to Long-term Services and Supports (LTSS)

182-523-0100 Medical Extensions

182-538, 182-538A, 182-538B, 182-538C, 182-538D Managed Care

182-535-1066 Dental-related services—Medical care services clients