WSR 23-02-050
AGENDA
HEALTH CARE AUTHORITY
[Filed January 3, 2023, 10:46 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.
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
January through June 2023
WAC Citation
Subject Matter
Current Activity
CR-101
CR-102 (Public Hearing) or CR-105 (Expedited)
CR-103E (Emergency)
HEALTH CARE AUTHORITY - GENERAL
New chapter
182-52
Establishment of prescription drug affordability board (2SSB 5532)
WSR 22-15-035
Filed 7/14/2022
 
 
New chapter
182-80
Primary care transformation modelProvider certification
WSR 23-01-066
Filed 12/14/2022
 
 
BEHAVIORAL HEALTH
New chapter
182-120
Antipsychotic medication rights and less restrictive alternative treatment
WSR 20-09-130
Filed 4/21/2020
 
 
PUBLIC EMPLOYEE BENEFITS
Chapters 182-08, 182-12, and 182-16
Public employees benefits boardAnnual updates
HCA intends to begin rule making soon.
 
 
SCHOOL EMPLOYEES BENEFITS
Chapters 182-30, 182-31, and 182-32
School employees benefits boardAnnual updates
HCA intends to begin rule making soon.
 
 
WASHINGTON APPLE HEALTH (MEDICAID)
182-500-0050,
182-502-0002
Washington apple health definitionsI; Eligible provider types
 
CR-105
WSR 22-23-009
Comments due by 1/24/2023
 
182-501-0070,
182-556-0200 (possible others)
Chiropractic services for adults
HCA intends to begin rule making soon.
 
 
182-501-0135
Patient review and coordination
WSR 22-18-050
Filed 8/30/2022
 
 
182-501-0215,
182-502-0022
Wraparound with intensive services; Provider preventable conditionsPayment policyFixing broken hyperlinks
 
CR-105
WSR 22-23-084
Comments due by 1/24/2023
 
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 held 7/27/2021
WSR 22-22-014
Effective 10/21/2022
182-508-0001
Washington apple healthCoverage options for adults not eligible for MAGI methodologiesCross reference fix
HCA intends to begin rule making soon.
 
 
182-508-0005
Washington apple healthMedical care servicesEligibility and scope of coverage
WSR 22-21-091
Filed 10/14/2022
CR-102
WSR 22-24-072
Public hearing scheduled 1/10/2023
 
182-512-0500
SSI-related medicalBurial funds, contracts and spaces excluded as resources
WSR 22-17-086
Filed 8/18/2022
 
 
182-513, 182-515 (multiple sections)
Client eligibility rules; Fixing broken hyperlinks to income and resource standards chart
 
CR-105
WSR 22-23-082
Comments due by 1/24/2023
 
182-513-1445
Protected asset, fixing broken hyperlink to income and resource standards chart
 
CR-105
WSR 22-23-083
Comments due by 1/24/2023
 
182-513-1625, 182-513-1635, 182-513-1640
Tailored supports for older adultsApplications, income eligibility, and resource eligibility
WSR 22-17-082
Filed 8/17/2022
 
 
New 182-513-1110
Presumptive eligibilityLong-term services and supports in a home setting or in an alternate living facility authorized by home and community services
WSR 22-09-067
Filed 4/19/2022
CR-102
WSR 23-01-087
Public hearing scheduled for 1/24/2023
 
182-530-1050,
182-530-7100, 182-530-7250, 182-530-7900
Prescription drugs (outpatient) definitions; ReimbursementPharmaceutical supplies, miscellaneous; Drugs purchased under the PHS Act
HCA intends to begin rule making soon.
 
 
Chapter 182-556 (new section)
AcupunctureCoverage (ESSB 5693)
HCA intends to begin rule making soon.
 
 
182-531-1675
Washington apple healthGender affirming interventions for gender dysphoria; Fixing erroneous cross reference citation to EPSDT
 
CR-105
WSR 22-22-103
Comments due by 1/3/2023
 
182-531-1730
Telemedicine
WSR 21-15-065
Filed 7/16/2021
CR-102Supplemental
WSR 22-22-068
Public hearing held 12/5/2022
HCA intends to finalize rule making soon.
182-531-1850
Payment methodology for physicians-related servicesGeneral and billing modifiers
WSR 22-17-048
Filed 8/11/2022
 
 
182-531A-1200
Applied behavior analysis
WSR 22-19-087
Filed 9/20/2022
CR-102
WSR 22-23-147
Public hearing held 12/27/2022
HCA intends to finalize rule making soon.
182-535-1098, 182-535-1100
DentalCoveredAdjunctive general services; DentalNot covered
WSR 22-24-062
Filed 12/2/2022
 
 
182-535A-0040
Orthodontic treatment and orthodontic-related servicesCovered, noncovered, and limitations to coverage
WSR 22-24-003
Filed 12/2/2022
 
 
182-537-0700
School-based health care services
WSR 23-01-037
Filed 12/13/2022
 
 
182-538-070, 182-538-140
Payments and sanctions for managed care organizations in integrated managed care regional service areas
WSR 22-18-069
Filed 9/1/2022
CR-102
WSR 22-24-005
Public hearing scheduled for 1/10/2023
 
182-543-8200
Billing for medicare and medicaid
WSR 22-22-070
Filed 10/31/2022
 
 
182-546 (multiple sections)
Transportation servicesNonemergency transportation
WSR 22-24-114
Filed 12/7/2022
 
 
182-550-1100, 182-550-1200, 182-550-1300, 182-550-3000, 182-550-3850, 182-550-4300
Hospital servicesHousekeeping fixChanging chemical-using pregnant women program name to substance-using pregnant people program
 
CR-105
WSR 22-23-106
Comments due by 1/24/2023
 
182-550-2600
Inpatient psychiatric services
WSR 20-21-106
Filed 10/21/2020
 
 
182-550-4400
HospitalServicesExempt from DRG payment
WSR 22-23-135
Filed 11/21/2022
 
 
182-550-6000
Outpatient hospital servicesConditions of payment and payment methods
WSR 22-07-049
Filed 3/15/2022
CR-102
WSR 22-11-057
Public hearing held 6/21/2022
 
182-552-0005,
182-552-0800
Respiratory therapy
HCA intends to begin rule making soon.
 
 
182-555-0300,
182-501-0060
Medical nutrition for adults;
Health care coverageProgram benefit packagesScope of categories
WSR 22-23-122
Filed 11/18/2022
 
 
New chapter 182-561
Community behavioral health support services
WSR 22-09-074
Filed 4/19/2022
 
 
Wendy Barcus
Rules Coordinator