WSR 24-02-089
AGENDA
HEALTH CARE AUTHORITY
[Filed January 3, 2024, 9:00 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
January - June 2024
 
 
Current Activity
WAC Chapter
Rule Subject
Preproposal Notice
CR-101
Proposed Rule
CR-102 (Public Hearing) or
CR-105 (Expedited)
Emergency
CR-103E
HEALTH CARE AUTHORITY - GENERAL
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Withdrawn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
 
 
PUBLIC EMPLOYEE BENEFITS
Chapters 182-08, 182-12, 182-16
Public employees benefits board (PEBB)Annual updates.
HCA intends to begin rule making soon.
 
 
182-12-5000 (new)
Retirees who regained eligibility for PEBB retiree insurance coverage as authorized in SSB 5490, chapter 15, Laws of 2023.
This will be included in the PEBB annual updates.
 
WSR 23-20-002
Effective 9/20/2023
182-12-5100 (new)
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.
This will be included in the PEBB annual updates.
 
WSR 23-20-068
Effective 9/29/2023
182-12-5110,
182-12-5120 (new)
When is a retiring school employee of an employer group eligible to enroll in PEBB retiree insurance coverage; What options for continuing health plan enrollment are available to a retiree of an employer group that ends participation in PEBB or SEBB insurance coverage, as authorized in SHB 1804, section 1, chapter 312, Laws of 2023.
This will be included in the PEBB annual updates.
 
WSR 23-20-030
Effective 9/25/2023
182-12-5200 (new)
When is a retiring employee or a retiring school employee who separates from employment eligible to enroll in PEBB retiree insurance coverage, as authorized in  HB 1008, chapter 164, Laws of 2023.
This will be included in the PEBB annual updates.
 
WSR 24-02-061
Filed 12/29/2023
SCHOOL EMPLOYEE BENEFITS
Chapters 182-30, 182-31, 182-32
School employees benefits board (SEBB)Annual updates.
HCA intends to begin rule making soon.
 
 
182-30-5000,
182-30-5010 (new)
SEBB employer groups, as authorized in SSB 5275, chapter 13, Laws of 2023.
This will be included in the SEBB annual updates.
 
WSR 23-22-079
Effective 10/27/2023
WASHINGTON APPLE HEALTH (MEDICAID)
182-502-0002,
182-531-1400
Adding licensed associates as allowable provider types.
WSR 24-02-050
Filed 12/28/2023
 
 
182-502-0005,
182-502-0006,
182-502-0010,
182-502-0012,
182-502-0030,
182-502-0040
Core provider agreement; Enrollment for nonbilling individual providers; When the medicaid agency enrolls; When the medicaid agency does not enroll; Termination of a provider agreementFor cause; Termination of a provider agreementFor convenience.
HCA intends to begin rule making soon.
 
 
182-508-0001,
182-512-0920
Washington apple healthCoverage options for adults not eligible under modified adjusted gross income (MAGI) methodologies; SSI-related medicalDeeming/allocation of income from nonapplying spouse.
WSR 23-23-044
Filed 11/6/2023
 
 
182-509-0220,
182-519-0050
Washington apple healthHow resources are considered; Monthly income and countable resource standards for medically needy.
WSR 23-17-124
Filed 8/21/2023
CR-102
WSR 23-24-003
Public hearing scheduled for 1/9/2024
 
182-509-0300,
182-509-0305, 182-512-0880
SSI-related medicalSpecial income disregards; 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.
Rule making on hold for necessary legislative funding to implement a new 1915(i) benefit.
 
182-513-1105
Personal needs allowance and room and board standards in a medical institution and alternate living facility.
 
CR-105
WSR 24-02-049
Comments due by 3/5/2024
 
182-517-0100
Federal medicare savings program.
WSR 23-17-081
Filed 8/15/2023
CR-102
WSR 24-02-013
Public hearing scheduled for 2/6/2024
 
182-526-0210
Appeals requested by intermediate care facilities for individuals with intellectual disabilities.
 
CR-105
WSR 24-01-061
Comments due by 2/20/2024
 
182-530-7050
ReimbursementDispensing fee.
WSR 23-22-075
Filed 10/26/2023
CR-102
WSR 24-01-140
Public hearing scheduled for 1/23/2024
WSR 23-22-074
Effective 10/26/2023
182-530-1050,
182-530-7000,
182-530-7100,
182-530-7250,
182-530-7300,
182-530-7900,
182-530-8000,
182-531-0050,
182-531-1625,
182-532-001,
182-532-140,
182-532-550
Prescription drugs (outpatient)Drugs purchased under the Public Health Services (PHS) Act (340B).
WSR 23-07-015
Filed 3/3/2023
 
 
182-531-0200,
182-531-0200
Coverage for adult cochlear implants.
WSR 23-17-088
Filed 8/15/2023
CR-102
WSR 23-24-002
Public hearing scheduled for 1/9/2024
WSR 24-02-047
Effective 1/1/2024
182-532-001,
182-532-510
Reproductive health servicesDefinitions; Family planning only programEligibility.
WSR 23-16-017
Filed 7/20/2023
 
 
182-532-530,
182-532-550,
182-532-560
Family planning only programsCovered services, payment limitations, and documentation requirements.
WSR 23-24-065
Filed 12/4/2023
 
WSR 24-02-058
Effective 1/1/2024
Chapter 182-532;
182-502-0002
Maternity related servicesBirth doula services; Eligible provider typesAdding birth doula.
HCA intends to begin rule making soon.
 
 
182-538-070
Payments, corrective action, and sanctions for managed care organization.
WSR 24-02-086
Filed 1/3/2024
 
 
182-538B-180
Civil transition programOverview.
HCA intends to begin rule making soon.
 
WSR 23-24-052
Effective 12/1/2023
182-548-1300,
182-549-1300
Rural health clinics; Federally qualified health centersAdding substance use disorder professionals.
HCA intends to begin rule making soon.
 
 
182-550-2600
Inpatient psychiatric services.
WSR 23-17-101
Filed 8/16/2023
 
 
182-550-4000,
182-550-4500
Payment methodOut-of-state hospitals; Payment methodRatio of costs-to-charges.
WSR 24-01-131
Filed 12/19/2023
 
 
182-550-5700
Hospital reports and audits.
WSR 23-24-084
Filed 12/5/2023
 
 
Chapter 182-553;
182-551-2000,
182-551-2010,
182-551-2100,
182-551-2130
Home infusion therapy/parenteral nutrition program and home health services.
HCA intends to begin rule making soon.
 
 
182-556-0200,
182-501-0070
Chiropractic services for adults.
HCA intends to begin rule making soon.
 
 
182-556-0250,
182-501-0060 (new),
182-502-0003
Acupuncture services.
HCA intends to begin rule making soon.
 
 
182-557-0200
Health home eligibility.
WSR 23-23-182
Filed 11/22/2023
 
 
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.
Rule making on hold for necessary legislative funding to implement a new 1915(i) benefit.
 
New rules
Medical respite.
HCA intends to begin rule making soon.
 
 
WASHINGTON APPLE HEALTH (EXPANSION)
New chapter
Rules related to ESSB 5187, 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