WSR 13-15-177

PREPROPOSAL STATEMENT OF INQUIRY

[Filed July 24, 2013, 11:13 a.m.]

Subject of Possible Rule Making: Chapter 182-502A WAC, Provider audits and appeals, WAC 182-502-0230 Provider payment reviews and dispute rights, 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: The agency is revising chapter 182-502A WAC to align with national program integrity efforts and oversight, provide clarification of existing provider review and audit processes, and incorporate new program integrity activities.

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

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, P.O. Box 42716, Olympia, WA 98504-2716, fax (360) 586-9727, TTY 1-800-848-5429, e-mail wendy.boedigheimer@hca.wa.gov.

July 24, 2013

Kevin M. Sullivan

Rules Coordinator