WSR 15-12-076 PROPOSED RULES HEALTH CARE AUTHORITY
(Washington Apple Health)
[Filed May 29, 2015, 1:24 p.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 15-04-092.
Title of Rule and Other Identifying Information: WAC 182-505-0120 Washington apple health 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 7, 2015, at 10:00 a.m.
Date of Intended Adoption: Not sooner than July 8, 2015.
Submit Written Comments to: HCA Rules Coordinator, P.O. Box 42716, Olympia, WA 98504-2716, delivery 626 8th Avenue, Olympia, WA 98504, e-mail arc@hca.wa.gov, fax (360) 586-9727, by 5:00 p.m. on July 7, 2015.
Assistance for Persons with Disabilities: Contact Kelly Richters by July 1, 2015, 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: The rule amendment clarifies eligibility for the breast and cervical treatment program.
Reasons Supporting Proposal: The proposed rule complies with federal guidance.
Statutory Authority for Adoption: RCW 41.05.021, 41.05.160.
Statute Being Implemented: RCW 41.05.021, 41.05.160.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: HCA, governmental.
Name of Agency Personnel Responsible for Drafting: Melinda Froud, P.O. Box 42716, Olympia, WA 98504-2716, (360) 725-1408; Implementation and Enforcement: Mick Pettersen, P.O. Box 45534, Olympia, WA 98504-5534, (360) 725-0913.
No small business economic impact statement has been prepared under chapter 19.85 RCW. The proposed filing does not create a disproportionate 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.
May 29, 2015
Wendy Barcus
Rules Coordinator
AMENDATORY SECTION (Amending WSR 14-21-075, filed 10/10/14, effective 11/10/14)
WAC 182-505-0120 Washington apple health breast and cervical cancer treatment program (((BCCTP))) for women—Client eligibility.
(1) Effective 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 department of health's breast, cervical, and colon health program (BCCHP);
(b) ((Is found to)) Requires treatment for ((either)) breast ((or)) cancer, cervical cancer, or ((for)) a related precancerous condition;
(c) Is under sixty-five years of age;
(d) Is not ((covered by another)) eligible for other WAH-CN ((program)) coverage or alternative benefits plan coverage;
(e) Is uninsured or does not otherwise have creditable coverage;
(f) Meets residency requirements ((as described in)) under WAC 182-503-0520;
(g) Meets Social Security number requirements ((as described in)) under WAC 182-503-0515;
(h) ((Meets the requirements for citizenship or U.S. national status)) Is a U.S. citizen, U.S. national, qualifying American Indian born abroad, or (("))qualified alien((" status as described in)) under WAC 182-503-0535; and
(i) Meets the income standard set by the BCCHP (((the standard may be found at)), available at: http://www.doh.wa.gov/Portals/1/Documents/Pubs/342-090-BCCHPFundingSources.pdf(())).
(2) The certification period for 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, the client must renew her eligibility before the certification period ends. 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)) may be available ((as provided in)) under WAC 182-504-0005.
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