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)

  • WSR 25-09-049
  • Hearing Date: 5/27/2025
  • Registration is required to attend the public hearing.
    View the rulemaking's CR102 for the registration link.
  • Comments due by 5/27/2025

Permanent Adoption (CR103P)

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)

  • WSR 25-09-093
  • Hearing Date: 5/27/2025
  • Registration is required to attend the public hearing.
    View the rulemaking's CR102 for the registration link.
  • Comments due by 5/27/2025

Permanent Adoption (CR103P)

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)

  • WSR 25-09-020
  • Hearing Date: 5/27/2025
  • Registration is required to attend the public hearing.
    View the rulemaking's CR102 for the registration link.
  • Comments due by 5/27/2025

Emergency Adoption (CR103E)

  • WSR 25-13-026
  • Effective: 6/9/2025 - 6/30/2025
  • Permanent rules effective 7/1/2025

Permanent Adoption (CR103P)

Description
HCA is amending these rules to align them with current policies and practices.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Recovery Navigator Program

The Recovery Navigator Program (RNP) is a statewide effort, in partnership with behavioral health administrative organizations (BH-ASOs) to provide community-based outreach, intake, assessment, and connection to services.

About RNP

RNP supports services for youth and adults with substance use disorder (SUD), including individuals with co-occurring SUDs, mental health conditions, and others who are referred from community sources.

Read the goals and directions for RNP in RCW 71.24.115.

Learn more

Data dashboard

Recovery Navigator programs are required to submit quarterly reports to the Health Care Authority (HCA) with data that summarizes the services provided by each regional program.

Data can include:

  • The number of people referred to the program and for what reasons
  • The number of outreach attempts
  • The number of individuals enrolled in light or intensive case management
  • Demographic distributions of the populations served
Description
The agency is correcting Washington Administrative Code cross citations. The proposed rule corrects typographical errors without changing the rule’s effect.

Agency contacts

Rulemaking contact
Program contact

HCA Rules Coordinator

Rulemaking status history

Expedited Adoption (CR105)

Permanent Adoption (CR103P)

Balloon angioplasty and stenting for lower extremity peripheral arterial disease

Peripheral artery disease (PAD) is a cardiovascular condition that most often develops as a result of atherosclerotic plaque buildup that reduces blood flow to the peripheral arteries. PAD most commonly occurs in the lower extremities and may affect three major arterial segments which supply blood to the legs and feet. Endovascular intervention, including procedures such as angioplasty and stent placement, is commonly used in the management of lower extremity PAD.

Status: Public comment open

Why is this topic being reviewed?

Endovascular intervention, including procedures such as angioplasty and stent placement, is commonly used in the management of lower extremity peripheral arterial disease. This topic was selected for review based on concerns regarding safety, efficacy and cost.

Primary criteria ranking

  • Safety = Medium
  • Efficacy = Medium
  • Cost = High

Documentation

Assessment timeline

  • Draft key questions published: February 6, 2025
    • Public comment period: February 6 to February 19, 2025
  • Final key questions: March 13, 2025
  • Draft report published: June 26, 2025
    • Public comment period: June 26 to July 25, 2025
  • Final report published: August 20, 2025
  • HTCC public meeting: November 21, 2025
  • Draft findings and decision published: December 2, 2025 
    • Public comment period: December 2 to December 16, 2025
  • Final findings and decision published: March 20, 2026

 

All future dates are estimates and subject to change.

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)

  • WSR 25-08-023
  • Hearing Date: 5/6/2025
  • Registration is required to attend the public hearing.
    View the rulemaking's CR102 for the registration link.
  • Comments due by 5/6/2025

Permanent Adoption (CR103P)