WSR 21-14-114
AGENDA
HEALTH CARE AUTHORITY
[Filed July 7, 2021, 11:56 a.m.]
The following is the Washington health care authority's (HCA) semi-annual rule-making agenda for publication in the Washington State Register pursuant to RCW 34.05.314.
Additional rule-making activity may occur which is not listed on this 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, email wendy.barcus@hca.wa.gov.
Semi-Annual Rule-Making Agenda
July through December 2021
WAC Citation
Subject Matter
Current Activity
CR-101
CR-102 or
CR-105
CR-103E
WASHINGTON PRESCRIPTION DRUG PRICING TRANSPARENCY PROGRAM
182-51-0100
DefinitionsCross reference fix
CR-105
WSR 21-13-167
Filed 6/23/2021
 
PATIENT DECISION AIDS
182-60-027, 182-60-040
Patient decision aid review advisory panel; agency medical director certification
WSR 21-10-030
Filed 4/27/2021
 
 
ALL PAYER HEALTH CARE CLAIMS DATABASE
182-70-040
Registration requirements
WSR 21-04-121
Filed 2/1/2021
 
 
BEHAVIORAL HEALTH
182-115 (new chapter)
Certified peer counseling
HCA intends to file for rule making soon.
 
 
182-120 (new chapter)
Antipsychotic medication rights and less restrictive alternative treatment
WSR 20-09-130
Filed 4/21/2020
 
 
182-125-0100 (new chapter)
Tribal designated crisis responder
WSR 20-15-124
Filed 7/20/2020
CR-102
WSR 21-14-011
Public hearing scheduled for 8/10/2021
 
182-130-0100 (new chapter)
Family initiated treatment (FIT)
WSR 21-11-003
Filed 5/12/2021
 
 
182-135 (new chapter)
Recovery residences loan
WSR 21-05-065
Filed 2/16/2021
CR-102
WSR 21-13-143
Public hearing scheduled for 7/27/2021
 
WASHINGTON APPLE HEALTH
182-500-0015, 182-500-0050
Medical definitions
 
HCA intends to file housekeeping changes soon.
 
182-503-0060
Application processing times
 
CR-105
WSR 21-10-003
Filed 4/22/2021
 
182-503-0515
Washington apple healthSocial Security number requirements
WSR 21-12-010
Filed 5/20/2021
 
 
182-503-0535
Citizenship and immigration status
WSR 21-07-066
Filed 3/16/2021
 
WSR 21-12-078
Effective 6/1/2021
182-504-0015, 182-550-0115, 182-550-0017, 182-509-0305, 182-514-0263
EligibilityPostpartum coverage
HCA intends to file for rule making soon.
 
 
182-507-0115, 182-507-0120
Alien emergency medical program
WSR 20-15-077
Filed 7/14/2020
CR-102
WSR 21-13-049
Public hearing scheduled for 7/27/2021
WSR 21-14-070
Effective 7/2/2021
182-508-0005, 182-508-0150
Apple health medical care services-eligibility and scope of coverage and enrollment cap
WSR 21-13-047
Filed 6/11/2021
 
 
182-509-0325, 182-509-0375, 182-509-0380
Lottery winnings and hardship exemptions
WSR 20-14-033
Filed 6/24/2020
 
 
182-509-0365, 182-509-0370, 182-509-0375
MAGI incomeSelf-employment income, how self employment income is counted, and lump sums
WSR 21-03-068
Filed 1/19/2021
CR-102
WSR 21-13-163
Public hearing scheduled for 7/27/2021
 
182-513 (new rules)
Presumptive eligibilityDischarge from acute care hospitals and state hospitals
WSR 21-07-023
Filed 3/8/2021
 
 
182-513-1230
Program of all-inclusive care for the elderly
 
CR-105
WSR 21-13-171
Filed 6/23/2021
 
182-521-0100 (new chapter/section)
Disregarded income and resources
WSR 20-15-141
Filed 7/21/2020
 
WSR 21-11-002
Effective 5/6/2021
182-521 (new section)
Post public health emergency medicaid coverage
HCA intends to file for rule making soon.
 
 
182-526-0010, 182-526-0030, 182-526-0040, 182-526-0070, 182-526-0340
Administrative hearing rules for medical services programsDefinitions; contacting the board of appeals; service of documents on another party; filing documents; hearing location
WSR 21-11-028
Filed 5/12/2021
 
 
182-526-0195
Prehearing conference
WSR 21-11-029
Filed 5/12/2021
 
 
182-531-0425, 182-531-1710
Collaborative care; alcohol and substance misuse counseling
 
HCA intends to file for rule making soon.
 
182-531-1730
Telemedicine
HCA intends to file for rule making soon.
 
 
182-531-1850
Payment methodology for physician-related servicesGeneral and billing modifiers
HCA intends to file for rule making soon.
 
 
182-531A-0400, 182-501-0060
Applied behavioral analysis; health care coverageProgram benefit packagesScope of service categories
WSR 21-04-112
Filed 2/1/2021
 
WSR 21-12-071
Effective 5/28/2021
182-535-1245
Access to baby and child dentistry program
WSR 21-13-050
Filed 6/11/2021
 
 
182-535-1270
Oral health connections pilot project
WSR 21-13-155
Filed 6/22/2021
 
 
182-535A
Orthodontic services
WSR 21-10-096
Filed 5/5/2021
CR-102
WSR 21-14-047
Public hearing scheduled for 8/10/2021
 
182-543-2000, 182-551-2010, 182-551-2210
Medical equipment, supplies and appliancesEligible providers and provider requirements; home health servicesDefinitions and provider requirements
WSR 21-14-007
Filed 6/24/2021
 
 
182-546-0125, 182-546-4700 (new), 182-546-4725 (new)
Ambulance transport fundQuality assurance fee
WSR 20-19-013
Filed 9/3/2020
CR-102
WSR 21-12-055
Public hearing held on 7/6/2021
 
182-550-1050, 182-550-1100, 182-550-1400, 182-550-2400, 182-550-2650, 182-550-3000, 182-550-4300, 182-550-4400
Hospital services
 
CR-105
WSR 21-11-081
Filed 5/18/2021
 
182-550-1700, 182-550-2900, 182-550-6250
Authorization and utilization review of inpatient and outpatient hospital services; payment limitsInpatient hospital services; pregnancyEnhanced outpatient benefits
WSR 21-12-057
Filed 5/27/2021
 
 
182-550-2600
Inpatient psychiatric services
WSR 20-21-106
Filed 10/21/2020
 
 
182-550-3800, 182-550-3830, 182-550-7500
Rebasing; adjustments to inpatient rates; OPPS rates
HCA intends to file for rule making soon.
 
 
182-550-4100
Payment methodNew hospitals
HCA intends to file for rule making soon.
 
 
182-550-4550
Administrative day rate
WSR 21-13-051
Filed 6/11/2021
 
 
182-550-4800
Hospital payment methodsState-administered programs
HCA intends to file for rule making soon.
 
 
182-559
Foundational community supports
WSR 21-10-068
Filed 5/3/2021
WSR 21-10-017
Filed 4/23/2021
 
 
Wendy Barcus
Rules Coordinator