SOCIAL AND HEALTH SERVICES
(Medicaid Purchasing Administration)
Effective Date of Rule: August 1, 2011.
Purpose: These proposed amendments to chapter 388-543 WAC, Durable medical equipment and related supplies, prosthetics, orthotics, medical supplies and related services are necessary in order to reorganize the order of the rules to easier use, to eliminate duplicate information, to propose clearer titles, offer a more logical flow, remove old acronyms, cross references, definitions, update coverage policy, update documentation requirements, update client eligibility, clarify proof of delivery requirements, update reimbursement methodology, clarify rental verses purchase, clarify a valid prescription, update authorization requirements, and clarified limits.
Citation of Existing Rules Affected by this Order: Repealing WAC 388-543-1150, 388-543-1200, 388-543-1225, 388-543-1300, 388-543-1400, 388-543-1500, 388-543-1600, 388-543-1700, 388-543-1800, 388-543-1900, 388-543-2400, 388-543-2500, 388-543-2600, 388-543-2700, 388-543-2800 and 388-543-2900; amending WAC 388-543-1000, 388-543-1100, 388-543-2000, 388-543-2100, 388-543-2200, and 388-543-3000.
Statutory Authority for Adoption: RCW 74.08.090.
Other Authority: RCW 74.04.050.
Adopted under notice filed as WSR 11-08-070 on April 6, 2011.
Changes Other than Editing from Proposed to Adopted Version: WAC 388-543-5500 (4)(d) Covered -- Medical supplies and related services, the department fixed an erroneous cross reference:
(4) Blood monitoring/testing supplies:
(d) See WAC 388-543-5500
(13) (12) for blood glucose
WAC 388-543-5500 (12)(b) Covered -- Medical supplies and related services, the department added clarifying language regarding continuous glucose monitoring.
(12) Miscellaneous DME:
(b) Blood glucose monitor (specialized or home) - one in a three-year period. See WAC 388-543-5500(4) for blood monitoring/testing supplies. The department does not pay for continuous glucose monitoring systems including related equipment and supplies under the durable medical equipment benefit. See WAC 388-553-500 Home infusion therapy/parenteral nutrition program.
A final cost-benefit analysis is available by contacting Erin Mayo, P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1729, fax (360) 586-9727, e-mail Erin.Mayo@dshs.wa.gov.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.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 27, Amended 6, Repealed 16.
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 27, Amended 6, Repealed 16.
Date Adopted: June 27, 2011.
Susan N. Dreyfus
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 11-16 issue of the Register.