WSR 14-13-081 PROPOSED RULES HEALTH CARE AUTHORITY (Washington Apple Health) [Filed June 16, 2014, 12:42 p.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 14-08-027.
Title of Rule and Other Identifying Information: WAC 182-505-0120 Breast and cervical cancer treatment program (BCCTP) for women—Client eligibility.
Hearing Location(s): Health Care Authority (HCA), Cherry Street Plaza Building, Sue Crystal Conference Room 106A, 626 8th Avenue, Olympia, WA 98504 (metered public parking is available street side around building. A map is available at http://www.hca.wa.gov/documents/directions_to_csp.pdf or directions can be obtained by calling (360) 725-1000), on July 22, 2014, at 10:00 a.m.
Date of Intended Adoption: Not sooner than July 23, 2014.
Submit Written Comments to: HCA Rules Coordinator, P.O. Box 45504, Olympia, WA 98504-5504, delivery 626 8th Avenue, Olympia, WA 98504, e-mail arc@hca.wa.gov, fax (360) 586-9727, by 5:00 p.m. on July 22, 2014.
Assistance for Persons with Disabilities: Contact Kelly Richters by July 14, 2014, TTY (800) 848-5429 or (360) 725-1307 or e-mail kelly.richters@hca.wa.gov.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: Pursuant to section 213(44) of the ESSB 6002, the legislature reinstated the BCCTP. WAC 182-505-0120 must be revised to reflect this legislative directive.
Reasons Supporting Proposal: See Purpose above.
Statutory Authority for Adoption: RCW 41.05.021, Patient Protection and Affordable Care Act (Public Law 111-148); 42 C.F.R. § 431, 435, and 457; and 45 C.F.R. § 155.
Statute Being Implemented: ESSB 6002, chapter 221, Laws of 2014.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: HCA, governmental.
Name of Agency Personnel Responsible for Drafting: Kevin Sullivan, P.O. Box 42716, Olympia, WA 98504-2716, (360) 725-1344; Implementation and Enforcement: Jessie M. Dean, P.O. Box 45534, Olympia, WA 98504-5534, (360) 725-1301.
No small business economic impact statement has been prepared under chapter 19.85 RCW. The joint administrative rules review committee has not requested the filing of a small business economic impact statement, and these rules do not impose a disproportionate cost impact on small businesses.
A cost-benefit analysis is not required under RCW 34.05.328. RCW 34.05.328 does not apply to HCA rules unless requested by the joint administrative rules review committee or applied voluntarily.
June 16, 2014
Kevin M. Sullivan
Rules Coordinator
AMENDATORY SECTION (Amending WSR 12-02-034, filed 12/29/11, effective 1/1/12)
WAC 182-505-0120 Washington apple health breast and cervical cancer treatment program (BCCTP) for women—Client eligibility.
(1) Effective ((July 1, 2001)) April 1, 2014, a woman is eligible for categorically needy (CN) coverage under the Washington apple health (WAH) breast and cervical cancer treatment program (BCCTP) only when she:
(a) Has been screened for breast or cervical cancer under the ((center for disease control (CDC))) department of health's breast ((and)), cervical ((cancer early detection)), and colon health program (((BCCEDP))) (BCCHP);
(b) Is found to require treatment for either breast or cervical cancer or for a related precancerous condition;
(c) Is under sixty-five years of age;
(d) Is not ((eligible for)) covered by another WAH-CN ((medicaid)) program;
(e) Is uninsured or does not otherwise have creditable coverage;
(f) Meets residency requirements as described in WAC ((388-468-0005)) 182-503-0520;
(g) Meets Social Security number requirements as described in WAC ((388-476-0005)) 182-503-0515; ((and))
(h) Meets the requirements for citizenship or U.S. national status ((as defined in WAC 388-424-0001)) or "qualified alien" status as described in WAC ((388-424-0006 (1) or (4))) 182-503-0535; and
(i) Meets the income standard set by the BCCHP.
(2) The certification period((s described in WAC 388-416-0015 (1), (4), and (6) apply to the BCCTP. Eligibility)) for ((medicaid continues throughout the full course of treatment as certified by the CDC-BCCEDP)) breast and cervical cancer treatment covered under this section is twelve months as provided in WAC 182-504-0015. Renewal of eligibility must be completed prior to the end of each certification period to remain continuously enrolled. Eligibility for BCCTP coverage under subsection (1)(b) of this section continues throughout the course of treatment as certified by the BCCHP.
(((3) Income and asset limits are set by the CDC-BCCEDP.))
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