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Rule notices 2021

Sent date

WSR #

Description

01/07/21

21-02

Preproposal - Statement of Inquiry (CR101)
182-512-0550 SSI-Related medical - All Other Excluded Resources

Proposed Rule Making - Public Hearings (CR102)
182-530-5000 Billing requirements - Pharmacy claim payment

Permanent Adoption (CR103P)
182-530-2000, -2100 Covered outpatient drugs, devices, and drug-related supplies;  Noncovered outpatient drugs and pharmaceutical supplies
182-513-1105 Personal needs allowance (PNA) and room and board standards in a medical institution and alternate living facility
182-550-3800 Rebasing Long Term Civil Commit Rates

Emergency Adoption (CR103E)
182-505-0215 Children's Washington apple health with premiums

01/22/21 21-03

Preproposal - Statement of Inquiry (CR101)
182-509-0365, -0370, -0375 MAGI Income
182-513-1100, -1215, -1220, -1235, -1660 Spousal impoverishment

Proposed Rule Making - Public Hearings (CR102)
182-110-0100, -0200, -0300, -0400, -0500 Partnership Access Line and Psychiatric Consultation Line
182-533-0327 Maternity support services - Professional staff qualifications and interdisciplinary team

02/02/21 21-04

Preproposal - Statement of Inquiry (CR101)

Chapter 182-531A Applied behavioral analysis (ABA)
182-501-0060 Health care coverage – Program benefit packages – Scope of service categories

182-70-030 Additional definitions authorized by chapter 43.371 RCW

Permanent Adoption (CR103P)

182-503-0090 Washington Apple Health Exception to Rule

Emergency Adoption (CR103E)

182-531A (Multiple sections) Applied behavior analysis (ABA)
182-501-0060 Health care coverage – Program benefit packages – Scope of service categories

182-521-0100 Disregarded income

02/18/21 21-05

Preproposal - Statement of Inquiry (CR101)
New rules for Recovery Residence Loan Program
Chapter 182-535 Dental-related services

Proposed Rule Making - Public Hearings (CR102)
182-512-0800  General income exclusion - SSI related
182-501-0135 Patient review and coordination (PRC)

Permanent Adoption (CR103P)
182-530-5000 Billing requirements - Pharmacy claim payment

Expedited Rulemaking (CR105)
182-513-1380 Determining a client's financial participation in the cost of care for long-term care in a medical institution 

03/05/21 21-06

Proposed Rule Making - Public Hearings (CR102) 

182-51-0100, -0600, -0900 Definitions, Manufacturers - data and price reporting, & Data confidentiality
182-501-0135 Patient review and coordination (PRC)
182-557-0500 Health Homes - Disenrollment for Cause
182-530-1080 Requirements for prescribing and dispensing controlled substances—Prescription monitoring program (PMP).

182-543-0500 DME - General
182-551-2040 Face-to-face encounter requirements

182-543-2200 DME Proof of Delivery

Permanent Adoption (CR103P)

182-533-0327 Maternity support services - Professional staff qualifications and interdisciplinary team

03/25/21 21-07

Preproposal - Statement of Inquiry (CR101)
New section - Chapter 182-513 Client not in own home – Institutional medical
New section - Chapter 183-515 Alternate living – Institutional medical
182-503-0535 WA Apple Health - Citizenship and immigration status (COFA)

Proposed Rule Making - Public Hearings (CR102)
182-543-2200 DME Proof of Delivery (withdrawal)
182-543-2200 DME Proof of Delivery
182-513-1100, -1215, -1220, -1235, -1660 Spousal impoverishment
182-502-0016  Continuing requirements
182-512-0550 SSI-Related medical - All other excluded resources
182-513-1620 Tailored supports for older adults (TSOA) - Presumptive eligibility (PE)

Permanent Adoption (CR103P)
182-110-0100, -0200, -0300, -0400, -0500 Partnership Access Line and Psychiatric Consultation Line

Emergency Adoption (CR103E)
182-507-0115 Alien Emergency Medical (AEM) program
182-543-2200 DME Proof of Delivery

04/09/21 21-08

Proposed Rule Making - Public Hearings (CR102)
182-51-1800; 182-70-110, -655, -660; 182-526-0005, -0195, -0203, -0205, -0206 Administrative hearings and appeals

Permanent Adoption (CR103P)
182-512-0800  General income exclusion - SSI related
182-501-0135 Patient review and coordination (PRC)
182-531-1675 Gender dysphoria treatment program
182-530-7900 Drugs purchased under the Public Health Service (PHS) Act

Emergency Adoption (CR103E)
182-512-0550 SSI-related medical - All other excluded income
182-543-0500 DME; 182-551-2040 Home Health - ARNPs PAs Ordering

04/23/21 21-09

Proposed Rule Making - Public Hearings (CR102 Supplemental)

182-543-0500 DME 
182-551-2040 Home Health - ARNPs PAs Ordering

Permanent Adoption (CR103P)

182-513-1380 Determining a client's financial participation in the cost of care

Emergency Adoption (CR103E)

182-502-0016  Continuing requirements

05/06/21 21-10 Preproposal - Statement of Inquiry (CR101)

182-60-040, -60 Patient decision aids

182-535A-0010, -0040, -0050, -0060 Orthodontic services

182-559-100, -200, -300, -350 Foundational Community Supports Program (institutes for mental diseases exclusions & housekeeping changes)

Proposed Rule Making - Public Hearings (CR102)

Chapter 182-535 Dental-related services 

Permanent Adoption (CR103P)

182-51-0100, -0600, -0900 Definitions; Manufacturers - data and price reporting & data confidentiality

182-502-0016  Continuing requirements

182-512-0550 SSI-related income--All other excluded income

182-513-1100, -1215, -1220, -1235, -1660 Spousal impoverishment

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

182-543-2200 DME Proof of Delivery

Emergency Adoption (CR103E)

182-559-100 Foundational Community Supports (institutes for mental diseases exclusion)

Expedited Rulemaking (CR105)

182-503-0060 Washington apple health - Application processing times

05/20/21 21-11

Preproposal - Statement of Inquiry (CR101)

182-130-0100 Family initiated treatment (FIT)
182-526-0010, -0030, -0040, -0070, -0340 Administrative hearings rules
182-526-0195 Prehearing conferences

Permanent Adoption (CR103P)

182-51-1800; 182-70-110, -655, -660; 182 -526-0005, -0195, -0203, -0205, and -0206 Administrative hearing - Appeals
182-557-0500 Involuntary disenrollment from a health home

Emergency Adoption (CR103E)

182-521-0100 Disregarded Income

Expedited Rulemaking (CR105)

182-550-1050, -1100, -1400, -2400, -2650, -3000, -4300, -4400 Hospital services

06/03/21 21-12

Preproposal - Statement of Inquiry (CR101)

182-550-1700 Authorization and utilization review of inpatient and outpatient hospital services;
182-550-6250 Pregnancy - Enhanced outpatient benefits

182-503-0515 Washington apple health - Social security number requirements

Proposed Rule Making - Public Hearing (CR102)

182-546-0125 Ambulance transportation - Definitions
182-546-4700 Ambulance transportation - Ambulance transport fund - Purpose (New)
182-546-4725 Ambulance transportation - Ambulance transport fund - Notices, payment and interest (New)

Permanent Adoption (CR103P)

182-543-0500 DME & Home Health - ARNPs PAs Ordering

Emergency Adoption (CR103E)

182-531A-0100, -0200, -0400, -0500, -0600, -1100 Applied behavioral analysis (ABA)
182-501-0060 Health care coverage - Program benefit packages - Scope of service categories 
182-503-0535 Washington Apple Health - Citizenship and immigration status

06/25/21 21-13

Preproposal - Statement of Inquiry (CR101)

182-550-4550 Administrative day rate
182-535-1245 Access to baby and child dentistry (ABCD)

182-508-0005 Eligibility for Apple Health Medical Care Services
182-508-0150 Enrollment cap for medical care services (MCS)

182-535-1270 Oral health connections pilot project

Proposed Rule Making - Public Hearings (CR102)

182-507-0115 Alien Emergency Medical (AEM) program
182-135 Recovery Residence Revolving Loan

182-509-0365 MAGI income- Self-employment income
182-509-0370 MAGI income - How self-employment income is counted
182-509-0375 MAGI Income - Lump sums

Permanent Adoption (CR103P)

182-530-1080 Requirements for prescribing and dispensing controlled substances -Prescription Monitoring Program (Support Act)

Expedited Rulemaking (CR105)

182-51-0100 Prescription drug pricing transparency program - Definitions
182-513-1230 Program of all-inclusive care for the elderly (PACE)

07/08/21 21-14

Preproposal - Statement of Inquiry (CR101)

182-543-2000 DME - Eligible providers and provider requirements
182-551-2010 - Home Health Services - Definitions
182-551-2210 - Home Health Services - Provider requirements

Proposed Rule Making - Public Hearings (CR102)

182-125-0100 Tribal-designated crisis responder
182-535A-0010, -0040, -0050, -0060 Orthodontic services

Permanent Adoption (CR103P)

182-535 (Multiple Sections) Dental-related services

Emergency Adoption (CR103E)

182-507-0115, -0120 Alien emergency medical (AEM) program

07/23/21 21-15

Preproposal - Statement of Inquiry (CR101)
182-504-0015; -505-0115, -0117; -509-0305; -514-0263 Extending postpartum coverage
182-521-0200 Continued Medicaid coverage following the public health emergency
182-531-1850 Payment method for physician services—General and billing modifiers

182-531-1730 Audio-Only Telemedicine
Also other rules where telemedicine is found: 182-531-0100; 182-531A-1200; 182-537-0100, -0200; 182-550-1350, -1500; 182-551-2010, -2040, -2125, -2210

182-535-1270 Oral health connections pilot project  Withdrawal

182-550-3800, -3830 , -7500 Hospital Services - Rebasing, Adjustments to inpatient rates, and OPPS rate.

182-550-4800 Hospital payment methods - State administered programs

Proposed Rule Making - Public Hearings (CR102)
182-60-027, -040 Patient decision aids
182-70-040 Registration requirements
182-130-0100 Family initiated treatment (FIT)
182-526-0010, -0030, -0040, -0070, -0340 Administrative hearing rules

182-526-0195 Prehearing conferences

182-550-1700, -2900, -6250 Hospital services - Authorization and utilization review (UR) of inpatient and outpatient hospital services, pregnancy – enhanced outpatient benefits, and payments limits – inpatient hospital services.

Permanent Adoption (CR103P)
182-503-0060 Washington apple health - Application processing times
182-546-0125, -4700, -4725 Ambulance Transport Fund - QA Fee
182-550-1050, -1100, -1400, -2400, -2650, -3000, -4300, -4400 Hospital services

Expedited Rulemaking (CR105)
182-500-0015, -0050 Medical definitions

08/05/21

21-16

Preproposal - Statement of Inquiry (CR101)

182-115 Peer Services
New rules under Title 182 WAC - Cascade Care - Provider Participation
182-550-4100 Payment method - New hospitals

Proposed Rule Making - Public Hearings (CR102)

182-503-0535 Washington Apple Health - Citizenship and immigration status

Expedited Rule Making (CR105)

182-531-0425 Collaborative care
182-531-1710 Alcohol and substance misuse counseling

Emergency Adoption (CR103E)

182-503-0535 Washington Apple Health - Citizenship and immigration status

08/25/21 21-17

Proposed Rule Making - Public Hearings (CR102)

182-503-0515 Washington apple health - SSN Requirements

Permanent Adoption (CR103P)

182-509-0365 MAGI income - Self-employment income
182-509-0370 MAGI income - How self-employment income is counted
182-509-0375 MAGI income - Lump sums

182-135 Recovery Residence Revolving Loan

09/02/21 21-18

Preproposal - Statement of Inquiry (CR101)

182-532-530 Family planning only programs - Covered services

Proposed Rule Making - Public Hearings (CR102)

182-521-0100  Noncountable income and resources during the COVID-19 PHE (formerly Disregarded Income)

Permanent Adoption (CR103P)

182-526-0195 Prehearing conferences
182-60-027 Patient decision aid review advisory panel
182-60-040 Agency medical director certification

182-70-040 All Payer Claims Data (APCD) - registration requirements

182-130-0100 Family initiated treatment (FIT)

182-550-1700 Authorization and utilization review (UR) of inpatient and outpatient hospital services
182-550-2900 Payment limits - inpatient hospital services
182-550-6250 Pregnancy - Enhanced outpatient benefits

182-526-0010, -0030, -0040, -0070, -0340 Administrative hearings rules

182-513-1230 Program of all-inclusive care for the elderly (PACE)

182-51-0100 Prescription drug pricing transparency program - Definitions

182-535A-0010, -0040, -0050, -0060 Orthodontic services

Emergency Adoption (CR103E)

182-559-100 Foundational Community Supports - General

 

21-19

Proposed Rule Making - Public Hearings (CR102)

182-535-1245 Access to baby and child dentistry (ABCD) program
182-550-4800 Hospital payment methods - State administered programs
182-551-2010, -2210 Home health – definitions and provider requirements
182-543-2000  Eligible providers and provider requirements .

Permanent Adoption (CR103P)

182-500-0015, -0050 Medical definitions
182-503-0515 Washington apple health - SSN Requirements
182-503-0535 Washington Apple Health - Citizenship and immigration status

Emergency Adoption (CR103E)

182-521-0100  Disregarded income and resources
To read the filing notice and view the emergency rules, see WSR 21-19-011

182-531A-0400 Applied Behavioral Analysis (ABA)
182-501-0600 Health care coverage - Program benefit packages - Scope of service categories
To read the filing notice and view the emergency rules, see WSR 21-19-147

  21-20

Preproposal - Statement of Inquiry (CR101)

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

182-535-1270 Oral health connections pilot project

182-550-4300 Hospitals and units exempt from the DRG payment method

182-551 Home Health 

Proposed Rule Making - Public Hearings (CR102)

182-531-1850 Payment method for physician services-General and billing modifiers

182-559-100, -200, -300, -350 Foundational comm support - Housekeeping

Permanent Adoption (CR103P)

182-531-0425 Collaborative care
182-531-1710  Alcohol and substance misuse counseling

Emergency Adoption (CR103E)

182-531-1850 Payment method for physician services—General and billing modifiers

  21-21

Preproposal - Statement of Inquiry (CR101)

182-509-0325, -0375, -0380 Lottery winnings and hardship exemptions (withdrawal)

182-550-6000 Outpatient hospital services - Conditions of payment and payment methods

Permanent Adoption (CR103P)

182-125-0100 Tribal designated crisis responder