WSR 23-14-126
AGENDA
HEALTH CARE AUTHORITY
[Filed July 5, 2023, 10:56 a.m.]
The Washington health care authority (HCA) prepares a semi-annual rule-making agenda in January and July each year for publication in the Washington State Register pursuant to RCW 34.05.314. This report details current and anticipated rule-making activities for HCA. Additional rule-making activity may occur which is not listed on this agenda as conditions warrant.
Rule-making information is available on HCA's website https://www.hca.wa.gov/about-hca/rulemaking.
To be notified of any changes, you may sign up for email notifications https://public.govdelivery.com/accounts/WAHCA/subscriber/new?qsp=WAHCA_10.
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 2023
WAC Chapter
Rule Subject
Current Activity
Preproposal Notice
CR-101
Proposed Rule
CR-102 (Public Hearing) or CR-105 (Expedited)
Emergency
CR-103E
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
Withdrawn
WSR 23-06-071
Filed 3/1/2023
 
 
BEHAVIORAL HEALTH
New chapter 182-120
Antipsychotic medication rights and less restrictive alternative treatment
WSR 20-09-130
Filed 4/21/2020
 
 
182-135
Recovery residence program
WSR 23-11-079
Filed 5/17/2023
 
 
PUBLIC EMPLOYEE BENEFITS (PEB)
182-12-5000
Retirees who regained eligibility for public employees benefits board (PEBB) retiree insurance coverage as authorized in SSB 5490, chapter 15, Laws of 2023, 68th legislature, 2023 regular session
 
 
CR-103E
WSR 23-12-019
Effective 5/25/2023
182-12-5100
What options for health plan enrollment are available to a retired employee of an employer group that previously ended participation in PEBB insurance coverage, as authorized in SSB 1804, section 3, chapter 312, Laws of 2023
 
 
CR-103E
WSR 23-12-057
Effective 6/2/2023
New rules – number not assigned yet
Rules related to SHB 1804
 
 
HCA intends to file rule making within the next six months.
New rules – number not assigned yet
Rules related to HB 1008
 
 
HCA intends to file rule making within the next six months.
SCHOOL EMPLOYEE BENEFITS (SEB)
182-30-5000
182-30-5010
SEB board employer groups, as authorized in SSB 5275, chapter 13, Laws of 2023
 
 
CR-103E
WSR 23-14-095
Effective 7/23/2023
WASHINGTON APPLE HEALTH (MEDICAID)
182-500-0030
182-502-0002
182-502-0016
182-502-0020
182-502-0100
chapters 182-551, 182-538
Electronic visit verification for home health care services
WSR 23-10-019
Filed 4/25/2023
 
 
182-500-0075
182-500-0085
182-502-0005
182-502-0030
182-502-0270
chapter 182-530
182-531-0250
Termination of provider enrollmentFor cause
WSR 23-10-033
Filed 4/27/2023
 
 
182-500-0010
182-500-0095
182-500-0100
DefinitionsA, R, and S
HCA intends to begin rule making soon
 
 
182-501-0200
Third party liability (TPL)To align with recent amendments to Social Security Act 1902 (a)(25)(l) due to the Consolidated Appropriations Act 2022; P.L. 117-103
WSR 23-14-106
Filed 7/3/2023
 
 
182-504-0015
182-504-0035
182-505-0210
Children continued coverage
WSR 23-14-092
Filed 6/30/2023
 
CR-103E
WSR 23-14-090
Effective 6/30/2023
182-504-0035
Washington apple healthRenewals
WSR 23-12-049
Filed 6/1/2023
 
 
182-503-0535
182-507-0135
Washington apple healthCitizenship and immigration status; immigration status requirement for medical assistance
WSR 23-14-014
Filed 6/23/2023
 
CR-103E
WSR 23-14-013
Effective 6/22/2023
182-509-0300
182-509-0305
182-512-0880
SSI-related medicalSpecial income disregards; modified adjusted gross income (MAGI); MAGI incomePersons subject to the MAGI methodology
WSR 23-05-107
Filed 2/15/2023
CR-102
WSR 23-08-062
Public hearing scheduled for 5/9/2023. CR-102 withdrawn under WSR 23-10-020 before hearing held.
 
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
 
CR-103E
WSR 23-14-097
Effective 7/1/2023
182-513-1100
Definitions related to long-term services and supports
HCA intends to begin rule making soon
 
 
182-521-0200
Coverage after the public health emergency ends
WSR 23-08-071
Filed 4/4/2023
CR-102
WSR 23-13-005
Public hearing scheduled for 7/25/2023
 
182-530-1050
182-530-7100
182-530-7250
182-530-7900
182-531-0050
182-531-1625
182-532-001
182-532-140
182-532-550
Billing requirements for fee-for-service drugs by providers subject to the 340B program requirements
WSR 23-07-015
Filed 3/3/2023
 
 
182-531-0200
182-547-0850
Coverage for adult cochlear implants
HCA intends to begin rule making soon
 
 
182-531-1850
Payment methodology for physicians-related servicesGeneral and billing modifiers
WSR 22-17-048
Filed 8/11/2022
CR-102
WSR 23-13-083
Public hearing scheduled for 7/25/2023
 
182-531-2040
Enhanced reimbursementMedication assisted treatment for opioid use disorder
WSR 23-08-060
Filed 4/3/2023
CR-102
WSR 23-13-103
Public hearing scheduled for 7/25/2023
 
182-531A-0200
182-531A-0400
182-531A-0500
182-531A-0600
182-531A-0800
Applied behavior analysis
WSR 23-13-023
Filed 6/9/2023
 
 
182-532-510
Family planning only
HCA intends to begin rule making soon
 
 
182-532 (New section(s));
182-502-0002
Maternity related servicesBirth doula services; Eligible provider typesAdding birth doula
HCA intends to begin rule making soon
 
 
182-535-1088
Dental-related servicesCovered periodontic services
WSR 23-13-022
Filed 6/9/2023
 
 
182-535A-0040
Orthodontic treatment and orthodontic-related servicesCovered, noncovered, and limitations to coverage
WSR 23-13-024
Filed 6/9/2023
 
 
182-546 (Multiple sections)
Transportation servicesNonemergency transportation
WSR 22-24-114
Filed 12/7/2022
CR-102
WSR 23-14-121
Public hearing scheduled for 8/8/2023
 
182-550-2900
182-550-3800
182-550-3830
182-550-4500
182-550-7200
182-550-7550
182-550-8000
180-550-8100
HospitalGeneral policy updates
WSR 23-13-104
Filed 6/20/2023
 
 
182-550-4400
182-550-4550
182-550-4800
Exempt from DRG payment; Administrative swing day rate and swing bed day rate; Hospital payment methodsState-administered programs
WSR 23-13-105
Filed 6/20/2023
 
 
182-550-2600
Inpatient psychiatric services
WSR 20-21-106
Filed 10/21/2020
Withdrawn
WSR 23-12-010
Filed 5/25/2023
 
 
182-550-1100
182-550-2750
182-550-4700
182-550-5425
Hospital rulesCorrect typographical error and repealing rules no longer necessary
 
CR-105
WSR 23-14-023
Filed 6/23/2023
Comments due 6/9/2023
 
182-558
Premium payment program
WSR 23-07-109
Filed 3/20/2023
 
 
New chapter 182-561
Community behavioral health support services
WSR 22-09-074
Filed 4/19/2022
CR-102
WSR 23-08-048
Public hearing scheduled for 5/9/2023. CR-102 withdrawn under WSR 23-10-020 before hearing held.
 
WASHINGTON APPLE HEALTH (EXPANSION)
New rules – number not assigned yet
Rules related to ESSB 5187.SL, Section 211(83)
WSR 23-14-063
Filed 6/28/2023
 
 
KEY:
CR: "Code reviser" on the rule-making forms produced by the office of the code reviser.
CR-101: Preproposal statement of inquiry filed under RCW 34.05.310.
CR-102: Proposed rule-making notice filed under RCW 34.05.320 or 34.05.340.
CR-103: Rule-making order permanently adopting a rule, and filed under RCW 34.05.360 and 34.05.380.
CR-105: Expedited rule-making proposal filed under RCW 34.05.353.
RCW: Revised Code of Washington.
WAC: Washington Administrative Code.
WSR: Washington State Register official filing reference number given by the office of the code reviser when a notice is filed.
Wendy Barcus
Rules Coordinator