Upcoming public hearings

The following is a list of upcoming public hearings on our proposed rules.

What information can I find?

  • A list of proposed rules scheduled for that hearing.
  • The contact person for more information about the proposed rules.
  • Washington State Register (WSR) publication numbers.
  • A link to the Proposed Rule Making Order (CR-102) and the proposed rule text.

Select the WSR number (e.g., WSR 13-17-104) to view or print a copy of the CR-102 and proposed rule text.

To comment on any CR-102, email the HCA rules coordinator or testify at the public hearing in person or virtually. If you have questions about the rule, send a message to the contact person.

Where are hearings held?

Until further notice, public hearings are being held virtually.

Virtual hearings

How to register for hearing

  1. Expand the container for the rule you are interested in.
  2. Find the Proposed Rule Making Order (CR-102) hearing you want to attend.
  3. Click the link for the WSR to open the CR-102.
  4. On the CR-102, click the registration link on the right (under Comment). (If the registration page returns an error message, please try a different browser.)
  5. Enter your registration information, including a valid email address. This registration information is part of the public hearing record and is subject to public disclosure.

Once you have registered, you will be emailed a link to the webinar. Each link is unique to the registrant. Registrants may not share links.

Additional information about virtual hearings

  • The webinar audio is recorded.
  • Attendees are automatically on mute.
  • Attendees cannot be seen by other attendees, except for Health Care Authority (HCA) staff who may be in attendance in the HCA conference room where the virtual hearing is being conducted.
  • Attendees who wish to testify must wait for the specific rule they are interested in to be read, then select the “Raise your hand” option.
  • The hearing officer will call on each attendee who has a hand raised, one at a time, and unmute their mic. At that time, the attendee may begin their testimony.
  • The hearing officer may limit public testimony to a specific timeframe because of time constraints. Written comments may also be submitted to supplement testimony.
  • The hearing officer may mute and dismiss (remove) an attendee from a public hearing if the attendee is disruptive or offensive. If removed from the public hearing, the attendee will not be able reenter the hearing.

Written comments can also be submitted through the remainder of the day of the public hearing. Email written comments to arc@hca.wa.gov.

Scheduled hearings

Description
The agency is revising these rules to provide more clarity on the business license requirement to become a medicaid enrolled provider.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Description
Under Washington’s Medicaid Transformation Project 2.0 in accordance with Section 1115(a) of the Social Security Act, HCA is amending these sections to provide reentry services before the beneficiary’s expected date of release.

Agency contacts

Rulemaking contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Description
The agency is amending WAC 182-513-1380 to clarify the scope of the housing maintenance allowance.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Description
HCA is amending WAC 182-501-0213, Case management services, and writing new rules under new Chapter 182-563 WAC to provide limited coverage for certain services for incarcerated individuals up to 90 days before their expected release date. This rulemaking aligns with Washington’s Medicaid Transformation Project 2.0, in accordance with Section 1115(a) of the Social Security Act and the Consolidated Appropriations Act (CAA).

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Description
The agency is amending these rules to allow for the payment of services under the Apple Health program by certified anesthesiologist assistants (CAA), as established in Chapter 18.71D RCW and adds other clarification about providers of anesthesia services.
The proposed rules:
• Add qualified dentists or oral surgeons and certified anesthesiologist assistants to the list of qualified anesthesiologist providers eligible for reimbursement
• Replace the “department” with “medicaid agency” or “agency”
• Relocate anesthesia reimbursement provisions from section 182-551-0300 to section 182-551-0350
• Update the source of the base anesthesia units (BAU) values
• Include the calculation of allowed anesthesia charges for more than one procedure and for add-on procedures
• Clarify that the agency does not reimburse attending surgeon for anesthesia services
• Describe reimbursement for multiple anesthesia providers present on a case and for anesthesia provided by a team

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Withdrawal (CR102)

Proposal (CR102)

Description
The agency is amending this rule to update the list of programs for which a person cannot be concurrently eligible with the Medicaid alternative care program.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Description
The agency is providing continuous eligibility for children ages zero to six covered through the Apple Health Children’s Health Insurance Program.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Proposal (CR102)

Description
The purpose of this proposal is to make technical amendments in multiple sections within Chapter 182-16 WAC to support the Public Employees
Benefits Board (PEBB) Program:
• Amend WAC 182-16-2040 to make a technical correction and clarify any subscriber aggrieved by a decision made by the PEBB wellness incentive program contracted vendor may appeal that decision to the PEBB Program.
• Amend WAC 182-16-2070 to include a statement that describes the appealing party or the appealing party’s representative has read the notice of request and believes the contents of the brief adjudicative proceeding to be true and correct, and to add failure to provide documentation or reference to documentation, of decisions previously rendered may result in a rejection of the item being appealed.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Description
The agency is amending these rules to add dental therapists as an eligible provider type.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Description
The Health Care Authority (HCA) is updating the types of professionals and organizations that may provide health care services to eligible clients. HCA is making the following amendments in connection with several separate rulemaking actions:
1) Adding independent diagnostic testing facilities to subsection (2)(v) (WSR 25-05-044)
2) Adding anesthesiologist assistants to subsection (1)(d) (WSR 24-24-108)
3) Adding and expanding certified peer counselors to subsection (1)(i) (WSR 25-02-110); this replaces the reference to peer counselors currently in subsection (1)(yy)(ii)
4) Removing early and periodic screening, diagnosis, and treatment (EPSDT) clinics from subsection (2)(m) (WSR 25-02-069)
5) Adding dental therapists to subsection (1)(q) (WSR 25-06-041)
This rule also adds community health workers to subsection (1)(m). The public hearing on that amendment was held on February 25, 2025 (25-03-102 WSR).

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)