The agency is removing CDT® code D9630 from coverage under the dental benefit as these drugs and medicaments are available under the client’s pharmacy benefit when prescribed and the prescription is filled at a pharmacy. As a result, the agency is revising WAC 182-535-1098 to reflect this change and to also clarify that these services are still available under the client’s pharmacy benefit. Additionally, the agency is updating the term conscious sedation to moderate sedation to align with industry standard language.

The agency is amending its rules so that home equity limits do not apply to applicants receiving services through a nursing facility level of care determination unless the client is applying for institutional or home and community based waiver programs. The agency is also amending WAC 182-513-1250 to update the circumstances under which a client is not eligible for community first choice services.

The agency is amending the spousal impoverishment rule (WAC 182-513-1660) to update the tailored supports for older adults (TSOA) resource standard. The agency changed the TSOA resource standard effective October 9, 2023, by amending WAC 182-513-1640 under WSR 23-19-014, but neglected to update WAC 182-513-1660 at that time.