Subject of Possible Rule Making: WAC 182-546-0150(2) Client eligibility for ambulance transportation, 182-546-0400(2) General limitations on payment for ambulance services, and other rules as appropriate.

     Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021.

     Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Amendments to these sections are necessary to begin paying providers under fee-for-service for air ambulance services provided to clients enrolled in agency-contracted managed care organizations. These payments are no longer the responsibility of the prepaid managed care plans. This change is in accordance with the agency's state plan. During the course of this review, the agency may identify additional changes that are required in order to improve clarity or update policy.

     Process for Developing New Rule: The health care authority (HCA) welcomes the public to take part in developing this rule. If interested, contact the person identified below to receive an early rule draft to review. After the early review, HCA will send a notice of proposed rule making (CR-102) to everyone receiving this notice and 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, Health Care Authority, Rules and Publication, P.O. Box 42716, Olympia, WA 98504-2716, fax (360) 586-9727, TTY 1-800-848-5429, e-mail Wendy.boedigheimer@hca.wa.gov.

April 24, 2013

Kevin M. Sullivan

Rules Coordinator