WSR 12-14-029

PREPROPOSAL STATEMENT OF INQUIRY

HEALTH CARE AUTHORITY


(Medicaid Program)

[ Filed June 26, 2012, 10:37 a.m. ]

Subject of Possible Rule Making: WAC 182-534-0100 EPSDT.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021, 2SSB 5945, [section] 1115 (a)(2) of the Social Security Act.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: These rules are necessary to clarify that persons nineteen and twenty years of age who are eligible for any of the following programs that receive medicaid funding under the Transitional Bridge 1115 Demonstration Waiver allowed under section 1115 (a)(2) of the Social Security Act are not eligible for EPSDT services:

(a) Basic health;

(b) Medical care services; or

(c) Alcohol and Drug Addiction Treatment and Support Act (ADATSA).

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: Centers for Medicare and Medicaid Services (CMS).

Process for Developing New Rule: The health care authority (HCA) welcomes the public to take part in developing the rules. Anyone interested should contact the staff person identified below. At a later date, HCA will file a notice of proposed rule making (CR-102) with the office of the code reviser. A copy of the proposal will be sent to everyone on the mailing list and to anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Wendy L. Boedigheimer, Rules Program Manager, HCA, Legal and Administrative Services, Rules and Publications, P.O. Box 45504, Olympia, WA 98504-5504, fax (360) 586-9727, TTY 1-800-848-5429, e-mail wendy.boedigheimer@hca.wa.gov.

June 26, 2012

Kevin M. Sullivan

Rules Coordinator

Washington State Code Reviser's Office