Purpose: These rules add a new section on reproductive health; define "department-approved family planning provider"; clarify who is eligible for family planning only and TAKE CHARGE; clarify provider requirements for reproductive health, family planning only, and TAKE CHARGE; clarify when services are covered under family planning only and TAKE CHARGE; clarify which services are covered under TAKE CHARGE; add definition for ECRR services; clarify billing requirements for managed care clients who self-refer outside their plan; clarify documentation requirements for TAKE CHARGE; and clarify when TAKE CHARGE providers are exempt from billing third party insurance.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-532-001, 388-532-050, 388-532-100, 388-532-110, 388-532-120, 388-532-130, 388-532-140, 388-532-500, 388-532-510, 388-532-520, 388-532-530, 388-532-540, 388-532-550, 388-532-700, 388-532-710, 388-532-720, 388-532-730, 388-532-740, 388-532-750, 388-532-760, 388-532-780, and 388-532-790.

     Statutory Authority for Adoption: RCW 74.08.090, 74.09.520, and 74.09.800.

      Adopted under notice filed as WSR 05-14-123 on July 1, 2005.

     Changes Other than Editing from Proposed to Adopted Version: See Reviser's Note below.

     A final cost-benefit analysis is available by contacting Casey Zimmer/Maureen Considine, Division of Program Support, P.O. Box 45530, Olympia, WA 98504-5530, phone (360) 725-1664 or (360) 725-1652, e-mail zimmecl@dshs.wa.gov or consimc@dshs.wa.gov, fax (360) 586-9727.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 1, Amended 22, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 22, Repealed 0.

     Date Adopted: November 23, 2005.

Andy Fernando, Manager

Rules and Policies Assistant Unit

     Reviser's note: The material contained in this filing exceeded the page-count limitations of WAC 1-21-040 for appearance in this issue of the Register. It will appear in the 06-01 issue of the Register.