WSR 14-21-075 PERMANENT RULES HEALTH CARE AUTHORITY (Washington Apple Health) [Filed October 10, 2014, 5:34 p.m., effective November 10, 2014] Effective Date of Rule: Thirty-one days after filing.
Purpose: Pursuant to Section 213(44) of ESSB 6002, the legislature reinstated the breast and cervical cancer treatment program. This rule is being amended to reflect this legislative action.
Citation of Existing Rules Affected by this Order: Amending WAC 182-505-0120.
Statutory Authority for Adoption: RCW 41.05.021, 41.05.160, ESSB 6002, chapter 221, Laws of 2014.
Adopted under notice filed as WSR 14-13-081 on June 16, 2014.
Changes Other than Editing from Proposed to Adopted Version: In WAC 182-505-0120 (1)(i), added link to department of health's income standards for the breast, cervical, and colon health program. In WAC 182-505-0120(2), added the sentence "Retroactive coverage is available as provided in WAC 182-504-0005."
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: October 10, 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 (the standard may be found at: http://www.doh.wa.gov/Portals/1/Documents/Pubs/342-090-BCCHPFundingSources.pdf).
(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. Retroactive coverage is available as provided in WAC 182-504-0005.
(((3) Income and asset limits are set by the CDC-BCCEDP.))
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