Description
The authority is reviewing multiple sections within Chapters 182-30, 182-31, and 182-32 WAC that may require SEB Board policy resolutions to support
the SEBB Program.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Description
The purpose of this proposal is to make technical amendments in multiple sections within Chapter 182-32 WAC to support the School Employees
Benefits Board (SEBB) Program:
• Amend WAC 182-32-2040 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 182-32-2070 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.
• Amend WAC 182-32-2090 regarding a written initial order will be rendered within 10 days after the presiding officer receives the contents of the request for a brief adjudicative proceeding.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The authority is reviewing multiple sections within Chapters 182-08, 182-12, and 182-16 WAC that may require PEB Board policy resolutions to support the
PEBB Program.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

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)

Permanent Adoption (CR103P)

Description
The agency is revising this section to update language in subsection (3)(d) allowing the agency to adjust fees using market research as necessary to align with other reimbursement WACs and the state plan amendment.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

Description
The agency is revising this section to (1) add psychiatric mental health nurse practitioners as a diagnosing and prescribing provider for ABA; (2) clarify that the providers listed in subsection (4)(a) may require additional COE training for diagnosing and prescribing ABA for adults age 21 and over; and (3) clarify that providers in subsection (3)(a)(ii), (v), and (vi) do not require COE training for diagnosing/ prescribing ABA for children age 20 and younger or adults age 21 and over.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Permanent Adoption (CR103P)

00436: Remittance Advice Reconciliation Issue
Discovery log number
00436
Discovery description

We have become aware of a Remittance Advice reconciliation issue that occurred during last week’s payment and remittance cycle on January 1-3, 2025.  To be clear, this is a remittance issue, not a payment issue.  While we are still diagnosing the root cause and remediation, we want to provide assurance that payments made last week on January 3, were accurate.  Impacted providers received a Remittance Advice showing a lower payment amount than the actual payment amount received by the providers.  Once remediation activities have been defined, specific outreach will be conducted with impacted providers.

Please submit additional questions to MMISHelp@hca.wa.gov

Date reported
ETA
Provider impact
All Providers
Workaround
Please submit additional questions to MMISHelp@hca.wa.gov
Description
The agency is amending this section to update Early Periodic Screening Diagnosis and Treatment program language consistent with the rulemaking filed
under WSR 25-02-069 on December 23, 2024. The agency is also amending this section to remove outdated language.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Withdrawal (CR101)