WSR 15-15-050 PERMANENT RULES HEALTH CARE AUTHORITY (Washington Apple Health) [Filed July 9, 2015, 8:30 a.m., effective August 9, 2015] Effective Date of Rule: Thirty-one days after filing.
Purpose: The agency is revising this rule to clarify that individual providers who work in a group practice that has been terminated by the agency may reapply for participation.
Citation of Existing Rules Affected by this Order: Amending WAC 182-502-0060.
Statutory Authority for Adoption: RCW 41.05.021, 41.05.160.
Adopted under notice filed as WSR 15-12-082 on June 1, 2015.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: July 9, 2010 [2015].
Wendy Barcus
Rules Coordinator
AMENDATORY SECTION (Amending WSR 13-17-047, filed 8/13/13, effective 10/1/13)
WAC 182-502-0060 Reapplying for participation.
(1) Providers who are denied enrollment or removed from participation are not eligible to reapply for participation with the medicaid agency for five years from the date of denial or termination.
(2) Providers who are denied enrollment or removed from participation more than once are not eligible to reapply for participation with the agency.
(3) A provider who is terminated solely under WAC 182-502-0030(3) is eligible for immediate reapplication with the agency if the provider is not a full or partial owner of a terminated group practice.
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