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Rule notices 2020

Sent date

WSR #

Description

1/3/20

20-02

Proposal - Public Hearings (CR102)

182-530-7900 Drugs purchased under the PHS Act
182-530-4050 Drug use and claims review 
182-535-1245 Access to Baby and Child Dentistry (ABCD) program
182-546-5100 Nonemergency transportation (NEMT) – Definitions
182-546-5550 NEMT – Exclusions and limitations
182-546-5900 NEMT – Meals, lodging, escort/guardian
182-546-6200 NEMT - Reimbursement

Permanent Adoption (CR103P)

182-533-0600 Planned home births and births in birthing centers—Client Eligibility
182-549-1100 Rural health clinics—Definitions
182-549-1200 Rural health clinics—Enrollment
182-549-1300 Rural health clinics—Services
182-549-1400 Rural health clinics—Reimbursement and limitations
182-549-1450 Rural health clinics—General payment information
182-549-1500 Rural health clinics—Change in scope of service rate adjustment
Chapter 182-502A WAC, Program Integrity

Emergency Adoption (CR103E)

182-532-510 Family planning only programs—Eligibility

1/23/20

20-03

Preproposal - Notice of Intent (CR101)

182-506-0015 Medical assistance unit for non-MAGI based apple health programs
182-543-0500 Eligible providers and provider requirements
182-543-2000 Eligible providers and provider requirements
182-543-5700 Medical equipment for clients in skilled nursing facilities
182-543-3200 Covered - Positioning devices
Chapter 182-51 Washington Prescription Drug Price Transparency Program

Proposal - Public Hearings (CR102)

182-531-1550 Sterilization physician-related services

Permanent Adoption (CR103P)

182-513-1205 Determining eligibility for noninstitutional coverage in an alternate living facility (ALF)
182-535A-0040 Orthodontic treatment and orthodontic-related services—Covered, noncovered, and limitations to coverage
182-535A-0050 Orthodontic treatment and orthodontic-related servicesAuthorization and prior authorization
182-535A-0060 Orthodontic treatment and orthodontic-related services—Payment
182-543-1100 Client eligibility
182-543-4200 Covered wheelchairs—Power-drive

Expedited Rulemaking (CR105)

Chapter 182-70 All Payer Health Care Claims Database
182-512-0250 SSI related medical - Ownership and available resources
182-513-1380 Determining a client's financial participation in the cost of care for long-term care in a medical institution.
182-515-1509 Home and community based (HCB) waiver services authorized by home and community services (HCS)Client financial responsibility.
182-515-1514 Home and community based (HCB) services authorized by the developmental disabilities administration (DDA)—Client financial responsibility.

2/5/20 20-04

Preproposal - Notice of Intent (CR101)

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

Proposal - Public Hearings (CR102)

182-535-1098 Covered - Adjunctive general services
182-535-1350 Payment methodology for dental-related services

Permanent Adoption (CR103P)

182-535-1245 Access to Baby and Child Dentistry (ABCD) program
 

2/24/20 20-05

Preproposal - Notice of Intent (CR101)

182-501-0200 Third-Party Resources
182-501-0165 Medical and dental coverage – Fee-for-service (FFS) prior authorization - Determination process for payment

Permanent Adoption (CR103P)

182-546-5000 thru -6200 Nonemergency Medical Transportation (NEMT)

Emergency Adoption (CR103E)

182-100-0200 Single Bed Certification

3/4/20 20-06

Preproposal - Notice of Intent (CR101)

182-503-0055 Asset verification system
182-513-1363 Evaluating an asset transfer for clients applying for or receiving long-term care (LTC) services; Chapter 182-516 Trusts, annuities, life estates, and promissory notes - effect on medical programs
Chapter 182-524 WAC, COFA Islander health care
Chapter 182-537 WAC, School-based health care services

Proposal - Public Hearings (CR102)

182-509-0300 through -0355 MAGI Income
182-550-8000, -8100 Hospital safety net assessment program

Permanent Adoption (CR103P)

182-530-4050 Drug use and claims review
182-531-1550 Sterilization physician-related services

3/18/20 20-07

Emergency Adoption (CR103E)

182-507-0115 Alien Emergency Medical (AEM) program

4/2/20 20-08

Proposal - Public Hearings (CR102)

182-509-0300 through -0355, MAGI Income (Withdrawal)
182-550-8000, -8100, Hospital Safety Net Assessment Program (Withdrawal)

Permanent Adoption (CR103P)

182-512-0250, SSI-related medical—Ownership and availability of resources
182-513-1380, Determining a client's financial participation in the cost of care for long-term care in a medical institution.
182-515-1509, Home and community based (HCB) waiver services authorized by home and community services (HCS)—Client financial responsibility.
182-515-1514, Home and community based (HCB) services author-ized by the developmental disabilities administration (DDA)Client financial responsibility.
182-535-1098, Covered—Adjunctive general services
182-535-1350, Payment methodology for dental-related services
Chapter 182-70,  All Payor Claims Database

Emergency Adoption (CR103E)

182-530-2000, Covered Outpatient drugs, devices, and drug-related supplies
182-530-5000, Billing Requirements - pharmacy claim payment
182-543-2200, Proof of delivery

4/23/20 20-09

Preproposal - Notice of Intent (CR101)

182-400-0100 Behavioral health - Rights related to antipsychotic medication
To read the filing notice, see WSR 20-09-130

Proposal - Public Hearings (CR102)

182-501-0200 Third-party resources
182-501-0215 Wraparound and Intensive Services (WISe)
182-509-0300, -0320, -0335, -0345, -0350, -0355 Modified adjusted gross income (MAGI)
182-532-510 Family planning only programs - Eligibility
182-550-8000 Hospital Safety Net Assessment (HSNA) program-Purpose
182-550-8100 Assessment notices - Process and timelines

Emergency Adoption (CR103E)

182-538-060 Managed care choice and assignment
182-538-067 Qualifications to become a managed care organization (MCO) in integrated managed care
182-543-0500 Medical equipment, supplies, and appliances - General
182-551-2040 Face-to-face encounter requirements

5/8/20 20-10

Preproposal - Notice of Intent (CR101)

New section 182-502-0016A Continuing requirements - Residential treatment facilities
182-501-0180 Health care services provided outside the state of Washington—General provisions

Proposal - Public Hearings (CR102)

182-546-0050 - 4300 Ambulance transportation
182-501-0165 Medical and dental coverage – Fee-for-service (FFS) prior authorization - Determination process for payment
182-501-0200 Third-party resources
New section 182-501-0215 Wraparound and Intensive Services (WISe)
182-509-0300, -0320,-0335, -0345, -0350, -0355, MAGI Income
182-550-8000 Hospital safety net assessment (HSNA) program – Purpose
182-550-8100 Assessment notices – Process and timelines
182-532-510 Family planning only programs - Eligibility

Emergency Adoption (CR103E)

New section 182-502-0016A Continuing requirements - Residential treatment facilities
182-532-510 Family planning only programs - Eligibility

5/22/20 20-11

Preproposal - Notice of Intent (CR101)

182-526-0005 Purpose and scope (Administrative hearings)  
182-543-0500 General (Medical equipment, supplies, and appliances)  
182-551-2040 Face-to-face encounter requirements (Home health)
Chapter 182-530 Prescription Monitoring Program (Support Act)

Proposal - Public Hearings (CR102)

182-501-0165 Medical and dental coverage – Fee-for-service (FFS) prior authorization - Determination process for payment
182-546-0050 - 182-546-4300 Ambulance transportation
182-513-1363 Evaluating an asset transfer for clients applying for or receiving long-term care (LTC) services.
182-537-0100 School-based health care services - Purpose
182-537-0200 School-based health care services - Definitions
182-537-0350 School-based health care services - Provider qualifications
182-537-0400 School-based health care services - Covered services
182-537-0600 School district requirements for billing and payment
182-537-0700 School district documentation requirements

6/4/20 20-12

Proposal - Public Hearings (CR102)

182-543-3200 Covered - Positioning devices

6/19/20 20-13

Preproposal - Notice of Intent (CR101)

182-531-1550 Sterilization physician-related services

Proposal - Public Hearings (CR102)

182-524-0100, 0200, -0275 COFA Islander dental care

Emergency Adoption (CR103E)

182-100-0200 Single Bed Certification
182-521-0100 Disregarded Income

7/7/20 20-14

Preproposal - Notice of Intent (CR101)

182-509-0325, -0375, -0380 Lottery winnings and hardship exemptions
182-507-0130 Refugee Medical Assistance
182-538-060, -067 Managed care choice and assignment

Proposal - Public Hearings (CR102)

182-503-0055 Asset verification system

Permanent Adoption (CR103P)

182-550-8000, -8100 Hospital Safety Net Assessment Program
182-501-0165 Medical and dental coverage – Fee-for-service (FFS) prior authorization - Determination process for payment
182-537-0100 School-based health care services - purpose
182-537-0200 School-based health care services - Definitions
182-537-0350 School-based health care services - Provider qualifications
182-537-0400 School-based health care services - Covered services
182-537-0600 School district requirements for billing and payment
182-537-0700 School district documentation requirements
182-513-1363 Evaluating an asset transfer for clients applying for or receiving long-term care (LTC) services

Emergency Adoption (CR103E)

182-507-0130 Refugee Medical Assistance

7/24/20 20-15

Preproposal - Notice of Intent (CR101)

182-530-2000 Covered Outpatient drugs, devices, and drug-related supplies - COVID-19 related
182-530-3000 Prescription Drug List (PDL) Update
182-530-5000 Billing requirements - Pharmacy claim payment
182-507-0015 Alien Emergency Medical (AEM) program
182-521-0100 Disregarded income
182-450-0100 (new) Tribal designated crisis responder

Proposal - Public Hearings (CR102)

182-506-0015 Medical assistance unit for non-MAGI based apple health programs
Chapter 182-51, Washington Prescription Drug Pricing Transparency Program
WAC 182-300-0100, Single bed certification

Permanent Adoption (CR103P)

182-501-0200 Third Party Resources
182-501-0215 Wraparound Intensive Services (WISe)
182-543-3200 Covered - Positioning devices

Emergency Adoption (CR103E)

182-507-0115 Alien Emergency Medical (AEM) program
182-543-2200 Proof of delivery

8/20/20 20-16

Emergency Adoption (CR103E)

182-543-0500, Medical equipment and supplies - General
182-551-2040, Home Health - Face-to-face encounter requirements
182-530-5000, Billing requirements - pharmacy claim payment
182-530-2000, Covered outpatient drugs, devices, and drug-related supplies

8/20/20 20-17

Preproposal Statement of Inquiry (CR101)

182-531-0100; 182-502-0002; (new section) 182-533-0650 Coverage for doulas & doula services
182-530-3100, -3200, -4000, and -4100 Medicaid preferred drug list

Proposed Rule Making - Public Hearing (CR102)

182-531-1550 Sterilization physician-related services
182-538-060, -067 Managed care choice and assignment

Permanent Adoption (CR103P)

Chapter 182-546 (Multiple Sections) Ambulance Transportation
182-503-0055 Asset Verification System
Chapter 182-509 (Multiple Sections) Modified Adjusted Gross Income (MAGI) - Income and Resources

Emergency Adoption (CR103E)

182-538-060, -067 Managed care choice and assignment
182-502-0016 Continuing requirements

9/3/20 20-18

Preproposal - Statement of Inquiry (CR101)

182-550-3800 Rebasing 

Proposed Rule Making - Public Hearings (CR102)

182-507-0130 Refugee Medical

Emergency Adoption (CR103E)

182-532-510 Family planning only programs-Eligibility

9/24/20 20-19

Preproposal - Statement of Inquiry (CR101)

182-505-0215 Children's Washington apple health with premiums
Chapter 182-546 WAC for establishing an ambulance transport fund and Quality Assurance Fee

Proposed Rule Making - Public Hearings (CR102)

182-548-1400 Federally qualified health centers—Payment
182-548-1450 Federally qualified health centers—General payment information
182-549-1400 Rural health clinics—Reimbursement and limitations
182-549-1450 Rural health clinics—General payment information

Permanent Adoption (CR103P)

New Chapter 182-51 WAC, Prescription Drug Pricing Transparency Program
182-524-0100, -0200, -0275 COFA Islander Dental Coverage

Emergency Adoption (CR103E)

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

10/8/20 20-20

Preproposal - Statement of Inquiry (CR101)

182-533-0650; -531-0100; -502-0002 Coverage for Doulas
Chapter 182-557 Health Homes - Disenrollment for Cause
182-513-1105 Personal needs allowance (PNA) and room and board standards in a medical institution and ALF

Proposed Rule Making - Public Hearings (CR102)

182-501-0180 Health care services provided outside the state of Washington—General provisions

Permanent Adoption (CR103P)

182-531-1550 Sterilization
182-538-060, 182-538-067 Managed care choice and assignment

Emergency Adoption (CR103E)

182-300-0100 Single Bed Certification
182-521-0100 Disregarded Income

10/23/20 20-21

Preproposal - Statement of Inquiry (CR101)

182-503-0090 Washington Apple Health Exception to Rule
182-531-0955 thru -0985 Adult Palliative Care
182-550-2600 Inpatient Psychiatric Services

Permanent Adoption (CR103P)

182-506-0015 Medical assistance units for non-MAGI-based Washington apple health programs
(New) 182-512-0950 SSI-related medical - Child-related resource exclusions and allocations
182-507-0130 Refugee medical assistance (RMA)
182-532-510 Family planning only programs-Eligibility

11/5/20 20-22

Preproposal - Statement of Inquiry (CR101)

182-51-0600, -0900 Manufacturers - data and price reporting & data confidentiality
182-501-0135 Patient review and coordination (PRC)
182-501-0125 Advance Directives
Chapter 182-110 Partnership Access Line and Psychiatric Consultation Line

Emergency Adoption (CR103E)

182-507-0130 Refugee medical assistance

  20-23

Preproposal - Statement of Inquiry (CR101)

182-531-0375 Audiology services

Proposed Rule Making - Public Hearings (CR102)

182-530-2000, -2100 Covered outpatient drugs, devices, and drug-related supplies
182-505-0215 Children's Washington apple health with premiums

Permanent Adoption (CR103P)

182-501-0180 Health care services provided outside the State of Washington - general provisions

Emergency Adoption (CR103E)

182-543-2200 Proof of delivery
182-507-0115 Alien emergency medical program

12/02/20 20-24

Preproposal - Statement of Inquiry (CR101)

182-543-2200, Proof of delivery
182-533-0327, Maternity support services - professional staff qualifications and interdisciplinary team

Proposed Rule Making - Public Hearings (CR102)

182-513-1105, Personal needs allowance (PNA) and room and board standard in a medical institution and alternate living facility (ALF)
182-550-3800, Rebasing

Permanent Adoption (CR103P)

182-548-1400, -1450; 182-549-1400, -1450, Federally qualified health centers (FQHC) and Rural health clinics - General payment information
182-300-0100, Single bed certification

Emergency Adoption (CR103E)

182-530-2000, Covered outpatient drugs, devices, and drug-related supplies
182-530-5000, Billing requirements - pharmacy claim payment