WSR 24-14-093
PREPROPOSAL STATEMENT OF INQUIRY
HEALTH CARE AUTHORITY
[Filed July 1, 2024, 8:30 a.m.]
Subject of Possible Rule Making: WAC 182-502-0005 Core provider agreement (CPA), 182-502-0006 Enrollment for nonbilling individual providers, 182-502-0010 When the medicaid agency enrolls, 182-502-0012 When the medicaid agency does not enroll, 182-502-0040 Termination of a providerFor convenience, 182-502-0050 Provider dispute of an agency action, and 182-502-0100 General conditions of payment; other related rules as appropriate.
Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021, 41.05.160.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) is reorganizing rules related to enrollment and payment into proper sections, adding clarity, and removing the reconsideration process. WAC 182-502-0012 is being revised to reflect that if the agency denies a request for enrollment, there is no longer a reconsideration process, but the provider can reapply. WAC 182-502-0040 is being revised to reflect that terminations for convenience are the agency's final decision and there is no reconsideration process. During the course of this review, the agency 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 Centers 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, Rule-Making Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1344, fax 360-586-9727, telecommunications relay service (TRS) 711, email valerie.freudenstein@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking; or Pooji Tran, Program Questions, P.O. Box 42716, Olympia, WA 98504, phone 360-725-1192, fax 360-586-9727, TRS 711, email Pooji.tran@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking.
July 1, 2024
Wendy Barcus
Rules Coordinator