WSR 22-17-089
PROPOSED RULES
HEALTH CARE AUTHORITY
[Filed August 18, 2022, 11:36 a.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 22-08-059.
Title of Rule and Other Identifying Information: WAC 182-503-0005 Washington apple health—How to apply.
Hearing Location(s): On September 27, 2022, at 10:00 a.m. In response to the coronavirus disease 2019 (COVID-19) public health emergency, the health care authority (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://us02web.zoom.us/webinar/register/WN_9Uo_ve5ETY2is3tDmG1Udw. 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 September 28, 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 September 27, 2022, by 11:59 p.m.
Assistance for Persons with Disabilities: Contact Johanna Larson, phone 360-725-1349, fax 360-586-9727, telecommunication[s] relay service 711, email Johanna.Larson@hca.wa.gov, by September 16, 2022.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: HCA is amending WAC 182-503-0005(3) to include language regarding a telephonic signature option when applying for apple health coverage.
Reasons Supporting Proposal: See purpose.
Rule is not necessitated by federal law, federal or state court decision.
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: Jason Crabbe, P.O. Box 42716, Olympia, WA 98504-2716, 360-725-9563; Implementation and Enforcement: Paige Lewis, P.O. Box 45534, Olympia, WA 98504-5534, 360-725-0757.
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.
Scope of exemption for rule proposal from Regulatory Fairness Act requirements:
Is not exempt.
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 rule pertains to client program eligibility and does not impose any costs on businesses.
August 18, 2022
Wendy Barcus
Rules Coordinator
OTS-3744.1
AMENDATORY SECTION(Amending WSR 18-11-071, filed 5/15/18, effective 6/15/18)
WAC 182-503-0005Washington apple health—How to apply.
(1) You may apply for Washington apple health at any time.
(2) For apple health programs for children, pregnant people, parents and caretaker relatives, and adults age ((sixty-four))64 and under without medicare (including people who have a disability or are blind), you may apply:
(a) Online via the Washington Healthplanfinder at www.wahealthplanfinder.org;
(b) By calling the Washington Healthplanfinder customer support center and completing an application by telephone;
(c) By completing the application for health care coverage (HCA 18-001P), and mailing or faxing to Washington Healthplanfinder; or
(d) At a department of social and health services (DSHS) community services office (CSO).
(3) If you seek apple health coverage and are age ((sixty-five))65 or older, have a disability, are blind, need assistance with medicare costs, or seek coverage of long-term services and supports, you may apply:
(a) Online via Washington Connection at www.WashingtonConnection.org;
(b) By completing the application for aged, blind, disabled/long-term care coverage (HCA 18-005) and mailing or faxing it to DSHS;
(c) By calling the DSHS customer service contact center and completing an application by telephone;
(d) In person at a local DSHS CSO or home and community services (HCS) office; or
(((d)))(e) As specified in subsection (2) of this section, if you are a child, pregnant, a parent or caretaker relative, or an adult age ((sixty-four))64 and under without medicare.
(4) You may receive help filing an application.
(a) For households containing people described in subsection (2) of this section:
(i) Call the Washington Healthplanfinder customer support center number listed on the application for health care coverage form (HCA 18-001P); or
(ii) Contact a navigator, health care authority volunteer assistor, or broker.
(b) For people described in subsection (3) of this section who are not applying with a household containing people described in subsection (2) of this section:
(i) Call or visit a local DSHS CSO or HCS office; or
(ii) Call the DSHS community services customer service contact center number listed on the medicaid application form.
(5) To apply for tailored supports for older adults (TSOA), see WAC 182-513-1625.
(6) You must apply directly with the service provider for the following programs:
(a) The breast and cervical cancer treatment program under WAC 182-505-0120;
(b) The TAKE CHARGE program under chapter 182-532 WAC; and
(c) The kidney disease program under chapter 182-540 WAC.
(7) For the confidential pregnant minor program under WAC 182-505-0117 and for minors living independently, you must complete a separate application directly with us (the medicaid agency).
More information on how to give us an application may be found at the agency's website: www.hca.wa.gov/free-or-low-cost-health-care (search for "teen").
(8) As the primary applicant or head of household, you may start an application for apple health by providing your:
(a) Full name;
(b) Date of birth;
(c) Physical address, and mailing addresses (if different); and
(d) Signature.
(9) To complete an application for apple health, you must also give us all of the other information requested on the application.
(10) You may have an authorized representative apply on your behalf as described in WAC 182-503-0130.
(11) We help you with your application or renewal for apple health in a manner that is accessible to you. We provide equal access (EA) services as described in WAC 182-503-0120 if you:
(a) Ask for EA services, you apply for or receive long-term services and supports, or we determine that you would benefit from EA services; or
(b) Have limited-English proficiency as described in WAC 182-503-0110.