WSR 22-05-081
PROPOSED RULES
HEALTH CARE AUTHORITY
[Filed February 15, 2022, 11:01 a.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 21-23-099.
Title of Rule and Other Identifying Information: WAC 182-501-0215 Wraparound with intensive services (WISe).
Hearing Location(s): On March 22, 2022, at 10:00 a.m. The health care authority (HCA) remains closed in response to the coronavirus disease 2019 (COVID-19) public health emergency. Until further notice, HCA continues to hold public hearings virtually without a physical meeting place. This promotes social distancing and the safety of the residents of Washington state. To attend the virtual public hearing, you must register in advance https://zoom.us/webinar/register/WN_gEBGwLk6Qxqjm9TlhCYM8A. If the link above opens with an error message, please try using a different browser. After registering, you will receive a confirmation email containing information about joining the public hearing.
Date of Intended Adoption: Not sooner than March 23, 2022.
Submit Written Comments to: HCA Rules Coordinator, P.O. Box 42716, Olympia, WA 98504-2716, email arc@hca.wa.gov, fax 360-586-9727, by March 22, 2022.
Assistance for Persons with Disabilities: Contact HCA rules coordinator, phone 360-725-1306, fax 360-586-9727, telecommunication[s] relay service 711, email arc@hca.wa.gov, by March 11, 2022.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The agency is revising this rule to remove the restriction that the WISe program only applies to medicaid clients and add language to clarify the program is for those clients eligible for coverage under WAC 182-505-0210.
Reasons Supporting Proposal: See purpose.
Rule is necessary because of state court decision, Thurston County Superior Court in A.G.C. v. Washington State Health Care Authority, no. 21-2-00479-34.
Agency Comments or Recommendations, if any, as to Statutory Language, Implementation, Enforcement, and Fiscal Matters: Not applicable.
Name of Proponent: HCA, governmental.
Name of Agency Personnel Responsible for Drafting: Valerie Freudenstein, P.O. Box 42716, Olympia, WA 98504-2716, 360-725-1344; Implementation and Enforcement: Annette Schuffenhauer, P.O. Box 45502, Olympia, WA 98504-5502, 360-725-1254.
A school district fiscal impact statement is not required under RCW
28A.305.135.
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.
The proposed rule does not impose more-than-minor costs on businesses. Following is a summary of the agency's analysis showing how costs were calculated. The proposed filing does not impose a disproportionate cost impact on small businesses.
February 15, 2022
Wendy Barcus
Rules Coordinator
OTS-3495.1
AMENDATORY SECTION(Amending WSR 20-15-026, filed 7/7/20, effective 8/7/20)
WAC 182-501-0215Wraparound with intensive services (WISe).
(1) Wraparound with intensive services (WISe) is a service delivery model that provides comprehensive behavioral health covered services and support to:
(a) ((Medicaid-eligible))Clients age ((twenty))20 or younger with complex behavioral health needs who are eligible for coverage under WAC 182-505-0210; and
(b) Their families.
(2) The authority, the managed care organizations, and the WISe provider agencies must use, continue to use, and substantially comply with the WISe quality plan (WISe QP) for the delivery of WISe. The purpose of the WISe QP is to:
(a) Provide a framework for quality management goals, objectives, processes, tools, and resources to measure the implementation and success of the WISe service delivery model; and
(b) Guide production, dissemination, and use of measures used to inform and improve WISe service delivery.
(3) The WISe QP, as may be amended from time to time, is incorporated by reference and is available online at https://www.hca.wa.gov/billers-providers-partners/behavioral-health-recovery/wraparound-intensive-services-wise.