WSR 12-02-029

AGENDA

HEALTH CARE AUTHORITY


[ Filed December 28, 2011, 3:12 p.m. ]


Semi-Annual Rule-Making Agenda

January through June 2012



The following is the Washington health care authority's (HCA) semi-annual rule-making agenda for publication in the Washington State Register pursuant to RCW 34.05.314.

There may be additional rule-making activity not on the agenda as conditions warrant.

If you have questions about this rule-making agenda, please contact Kevin M. Sullivan, Rules Coordinator, P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1344, e-mail Kevin.Sullivan@hca.wa.gov.

WAC Citation Subject Matter Current Activity
CR-101

Preproposal

CR-102 or

CR-105

CR-103
182-501-0050, 182-501-0060, 182-501-0065, 182-501-0070, 182-502-0160 Updating healthcare services categories to reflect what is currently available to HCA medicaid clients. WSR 10-22-121

filed November 3, 2010

182-502-0005

Core provider agreement (CPA) -- adding requirement that all ordering, prescribing, or referring providers be enrolled as participating providers under the billing providers' CPA. WSR 11-23-089

filed November 17, 2011

182-502-0115 Adding requirements and prohibition of payment for provider preventable conditions (PPC). WSR 11-19-008

filed September 7, 2011

Chapters 182-503, 182-504, 182-506, 182-507, 182-508, and 182-509 ESSB [ESHB] 2082 requires HCA to establish an incapacity-based medical care services program for adults effective November 1, 2011. WSR 11-16-104

filed August 3, 2011

WSR 11-23-164

filed November 22, 2011

388-517-0320 Amending payment methodology for medicare/medicaid eligible clients ("dual eligibles") to align with payment formula established in WAC 182-502-0110 regarding medicare deductible and coinsurance. WSR 11-09-056

filed April 18, 2011

WSR 12-01-127

filed December 21, 2011

Chapter 182-526 Medical administrative hearings. Required due to HCA being designated as the "single state medicaid agency" per HB 1738. WSR 11-19-004

filed September 7, 2011

Chapter 182-530 Drug formulary. To avoid elimination of the prescription drug benefit for medicaid clients due to budget cuts, HCA intends to implement a drug formulary. WSR 12-01-081

filed December 19, 2011

182-530-7000, 182-531-0050, and 182-531-1625 Hemophilia products and supplies. Requires treatment of hemophilia disorders to be provided by a comprehensive hemophilia treatment center. WSR 11-19-005

filed September 7, 2011

Chapter 182-535 Dental-related services. Elimination of adult services due to budget cuts. WSR 10-20-160

filed October 6, 2010

Chapter 182-537 School-based healthcare services. To avoid elimination of the program, HCA is revising rules to allow school districts to provide the state funds to match the federal participation. WSR 10-20-160

filed October 6, 2010

182-543-5500, 182-543-9100, 182-543-9200, 182-543-9300, and 182-543-9400 Durable medical equipment. Reinserting policy language regarding "base year" that was inadvertently deleted under WSR 11-14-052. WSR 11-23-088

filed November 17, 2011

182-548-1400

182-549-1400

Federally qualified health centers and rural health clinics. New alternative payment methodology. Requires state plan amendment. WSR 11-23-017

filed November 17 [7], 2011

182-550-4650 and 182-550-5400 Hospital payments. Clarifying that hospitals must be "operated" (rather than "owned") by a public hospital district to qualify for certified public expenditure payments. WSR 11-21-067

filed October 17, 2011

WSR 12-01-042

filed December 13, 2011

Chapter 182-551 Hospice services. Clients under twenty-one years of age receiving hospice no longer have to waive treatment for the terminal illness. WSR 11-07-092

filed March 22, 2011

WSR 11-24-060

filed December 5, 2011

Chapter 182-552 Oxygen services. Updating policy for oxygen and respiratory therapy. WSR 09-13-099

filed June 17, 2009

Kevin M. Sullivan

Rule [Rules] Coordinator

Washington State Code Reviser's Office