Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The agency is amending this rule to update subsection (3) to include language regarding the out-of-state Alumni population as mandated by the SUPPORT Act, section 1002. The SUPPORT Act, P.L. 115-271, makes changes to the new coverage group created under the Affordable Care Act that extends medicaid coverage to former foster youth (alumni). This change expands the coverage group so former foster youth who have aged out of foster care in any state at the age of 18 can have medicaid coverage in any other state through the age of 26. During the course of this review, health care authority may identify additional related changes that are required in order to improve clarity or update policy.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: The Center for Medicare and Medicaid Services.

Process for Developing New Rule: The agency welcomes the public to take part in developing this rule. If interested, contact the person identified below to receive an early rule draft to review. After the early review, the agency will send a notice of proposed rule making (CR-102) to everyone receiving this notice and anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Valerie Freudenstein, Rulemaking Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1344, fax 360-586-9727, telecommunication[s] relay service (TRS) 711, email valerie.freudenstein@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking; or Emily Good, Program Questions, P.O. Box 33023, Olympia, WA 98504-3023, phone 360-725-0920, fax 360-586-9727, TRS 711, email Emily.good@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking.