WSR 16-14-090
AGENDA
HEALTH CARE AUTHORITY
[Filed July 5, 2016, 11:01 a.m.]
The following is the Washington health care authority's semi-annual rule-making agenda for publication in the Washington state register pursuant to RCW 34.05.314.
There may be additional rule-making activity not on the agenda as conditions warrant.
If you have questions about this rule-making agenda, contact Wendy Barcus, Rules Coordinator, P.O. Box 42716, Olympia, WA 98504-2716, phone (360) 725-1306, e-mail wendy.barcus@hca.wa.gov.
WAC Citation
Subject Matter
Current Activity
CR-101
CR-102 or CR-105
CR-103E
182-50
Health care authorityGeneralPrescription drug program
WSR 16-09-011
filed 4/8/16
WSR 16-13-030
filed 6/6/16
Hearing date 7/26/16
 
182-55
Health care authorityGeneralHealth technology assessment program
WSR 14-10-070
filed 5/6/14
CR-102
WSR 16-11-067
filed 5/16/16
Hearing date 6/21/16
 
182-61-0005
Health care authorityGeneralRecords including health care information
WSR 14-20-040
filed 9/24/14
 
 
182-08, 182-12, 182-16
Public employees benefits boardEnrollment, eligibility, and appeal rules
WSR 16-10-097
filed 5/4/16
 
 
182-500-0005
Washington apple healthMedical definitions
WSR 16-10-033
filed 4/26/16
WSR 16-13-008
filed 6/2/16
Hearing date 7/26/16
 
182-500-0020
Washington apple healthDefinitionsC
WSR 16-12-023
filed 5/20/16
 
 
182-500-0030, 182-500-0050, 182-500-0085, 182-531-0050, 182-531-0200, 182-531-0550, 182-531-1050
Washington apple healthPhysician-related services definition, services requiring prior authorization, experimental and investigational services, medical definitionsE, I, and P, hospital services definitions
WSR 16-07-137
filed 3/22/16
 
 
182-501-0070
Washington apple health
Health care coverageNoncovered services
WSR 16-06-103
filed 3/1/16
CR-102
WSR 16-09-111
filed 4/20/16
Hearing date 5/24/16
 
182-502-0006, 182-530-7700, 182-531-0250
Washington apple healthMedicare cost sharing for qualified medicare beneficiaries
WSR 15-23-075
filed 11/16/15
 
 
182-503-0050
Washington apple healthVerification of eligibility
WSR 15-12-121
filed 6/3/15
 
 
182-504-0130, 182-504-0135, 182-518-0025
Washington apple healthReinstated coverage pending an appeal; Continued coverage pending an appeal; Notice requirementsChanges in and terminations of coverage
WSR 15-07-047
filed 3/12/15
 
 
182-505-0100, 182-505-0210, 182-505-0215, 182-505-0225
182-505-0235, 182-505-0237, 182-505-0240, 182-505-0300
Washington apple healthFamily, children, pregnancy and adult medical programs
WSR 16-09-024
filed 4/12/16
 
 
182-507-0125, 182-512-0400, 182-512-0960, 182-513-1100, 182-513-1200, 182-513-1205, 182-513-1210, 182-513-1215, 182-513-1220, 182-513-1225, 182-513-1235, 182-513-1240, 182-513-1245, 182-513-1300, 182-513-1301, 182-513-1305, 182-513-1315, 182-513-1316, 182-513-1317, 182-513-1318, 182-513-1319, 182-513-1320, 182-513-1325, 182-513-1330, 182-513-1340, 182-513-1345, 182-513-1350, 182-513-1355, 182-513-1363, 182-513-1364, 182-513-1365, 182-513-1366, 182-513-1367, 182-513-1380, 182-513-1385, 182-513-1395, 182-513-1400, 182-513-1405, 182-513-1415, 182-513-1425, 182-513-1430, 182-513-1445, 182-513-1450, 182-513-1455, 182-515-1500, 182-515-1505, 182-515-1506, 182-515-1507, 182-515-0508, 182-515-1509, 182-515-1510, 182-515-1511, 182-515-1512, 182-515-1513, 182-515-1514
Washington apple healthLong-term care eligibility rules
WSR 14-21-024
filed 10/2/14
 
WSR 16-14-012
filed 6/23/16
182-509-0360
Washington apple healthMAGI incomeHow a child's income is counted
WSR 16-09-112
filed 4/20/16
 
 
182-516
Washington apple healthTrusts, annuities, and life estatesEffects on medical program
WSR 16-01-014
filed 12/4/15
WSR 16-14-008
filed 6/23/16
Hearing date 8/9/16
 
182-526
Washington apple healthAdministrative hearing rules for medical services programs
WSR 15-07-018
filed 3/9/15
 
 
182-530-2000, 182-530-2100, 182-530-3200
Washington apple healthPharmacysmoking cessation for pregnant women, minimum days' supply required when dispensing contraceptives, and requesting authorization for emergency fill
WSR 14-21-096
filed 10/14/14
CR-102
WSR 16-07-089
filed 3/18/16
Hearing date 4/26/16
 
182-530
Washington apple healthCovered outpatient drugReimbursement and drug rebate program
WSR 16-14-053
filed 6/29/16
 
 
182-531-1675
Washington apple healthGender dysphoria treatment program
WSR 16-08-005
filed 3/24/16
 
 
182-532-720
Washington apple healthTAKE CHARGE program
WSR 16-02-023
filed 12/29/15
 
WSR 16-10-012
filed 4/22/16
182-535-1066, 182-535-1079, 182-535-1080, 182-535-1082, 182-535-1088, 182-535-1090, 182-535-1098, 182-535-1100
Washington apple healthDental-related services
WSR 16-09-071
filed 4/18/16
 
 
182-538C
Washington apple healthGrievance system for behavioral health administrative services organizations (BH-ASO)
WSR 16-08-032
filed 3/30/16
CR-102
WSR 16-12-090
filed 5/31/16
Hearing date 7/5/16
WSR 16-08-031
filed 4/19/16
182-538-130, 182-538-150, 182-501-0200
Washington apple healthExemptions and ending enrollment in managed care; Apple health foster care program; Third-party resources
WSR 16-08-050
filed 4/1/16
CR-102
WSR 16-12-089
filed 5/31/16
Hearing date 7/5/16
WSR 16-09-108
filed 4/19/16
182-543-0500, 182-543-2000, 182-543-5000, 182-545-200
Washington apple healthDurable medical equipment, complex rehabilitation technology, prosthetics/ orthotics, outpatient rehabilitation
WSR 16-13-009
filed 6/2/16
 
 
182-546-0001, 182-546-0100, 182-546-0200, 182-546-0250, 182-546-0300, 182-546-0400, 182-546-0450, 182-546-0500, 182-546-0600, 182-546-0700, 182-546-0800, 182-546-0900, 182-546-1000, 182-546-1500, 182-546-2500, 182-546-4000
Washington apple healthAmbulance transportation services
WSR 14-03-080
filed 1/15/14
 
 
182-546-4600
Washington apple healthAmbulance transportationInvoluntary substance use disorder treatmentRicky Garcia Act
WSR 16-14-040
filed 6/28/16
 
WSR 16-14-039
filed 6/28/16
New section in 182-546
Washington apple healthGround emergency medical transportation program (GEMT)
WSR 15-24-129
filed 12/2/15
 
 
182-548, 182-549
Washington apple healthFederally qualified health centers and rural health clinics
WSR 16-13-130
filed 6/21/16
 
 
182-550-2600
Washington apple healthInpatient psychiatric services
WSR 15-22-009
filed 10/22/15
 
 
182-551-2010, 182-551-2030, 182-551-2125, 182-551-2130, 182-551-2210
Washington apple healthHome health services
WSR 16-11-094
filed 5/18/16
 
 
182-551-3000
Washington apple healthPrivate duty nursing
WSR 15-24-036
filed 11/20/15
 
 
182-554-100, 182-554-200, 182-554-300, 182-554-400, 182-554-600, 182-554-700, 182-554-800, 182-554-900
Washington apple healthEnteral nutrition
WSR 15-02-038
filed 12/31/14
 
 
182-554-500
Washington apple healthCovered enteral nutrition products, equipment and related suppliesOrally administeredClients twenty years of age and younger only
WSR 15-02-038
filed 12/31/14
 
WSR 16-09-027
filed 4/12/16
182-558
Washington apple healthPremium payment program
WSR 16-02-037
filed 12/30/15
 
 
Wendy Barcus
Rules Coordinator