WSR 25-02-120
AGENDA
HEALTH CARE AUTHORITY
[Filed January 2, 2025, 9:21 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 2025
WAC
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
182-51-0900
Drug pricing transparency
WSR 24-16-124
Filed 8/6/2024
CR-102
WSR 24-24-052
Public hearing scheduled for 1/7/2025
 
PUBLIC EMPLOYEE BENEFITS BOARD (PEBB)
Chapters 182-08, 182-12, and 182-16
Public employees benefits board (PEBB)Annual updates
HCA intends to begin rule making soon.
 
 
SCHOOL EMPLOYEE BENEFITS BOARD (SEBB)
Chapters 182-30, 182-31, and 182-32
School employees benefits board (SEBB)Annual updates
HCA intends to begin rule making soon.
 
 
BEHAVIORAL HEALTH
182-115-0100,
182-115-0200,
182-502-0002
Certified peer counselorGeneral; Certified peer counselorApplication, training, examination, and authority approval; and Eligible provider types
WSR 25-02-110
Filed 12/31/2024
 
 
WASHINGTON APPLE HEALTH
182-501-0065,
182-503-0535
Health care coverageDescription of service categories; Washington apple healthCitizenship and immigration status
WSR 23-14-063
WSR 24-10-016
 
WSR 25-02-112
Effective 1/1/2025
182-503-0010,
182-503-0070,
182-503-0505,
182-505-0210
Reentry program. Washington Apple HealthWho may apply; When coverage begins; General eligibility requirements; and Eligibility for children
WSR 24-23-101
Filed 11/20/2024
 
 
182-511-1250
Apple health for workers with disabilities
WSR 25-01-057
Filed 12/11/2024
 
 
182-513-1100,
182-513-1367,
182-513-1380,
182-513-1530,
182-515-1509,
182-515-1514
Guardian, guardianship, conservator, conservatorship
WSR 24-10-036
Filed 4/23/2024
CR-102 Supplemental
WSR 24-24-008
Public hearing scheduled for 1/7/2025
 
182-513-1380
Determining a client's financial participation in the cost of care for long-term care in a medical institution
HCA intends to begin rule making soon.
 
 
182-515-1506
Home and community based waiver services authorized by home and community services
 
CR-105
WSR 24-22-087
Filed 10/31/2024
Comment period ends 1/7/2025
 
New chapters
182-525, 182-525A, and 182-525B;
Revisions to
182-500-120,
182-501-0060,
182-503-0510,
182-503-0535,
182-503-1515,
182-509-0220,
182-526-0005
Apple health expansion
WSR 23-14-063
Filed 6/28/2023
 
WSR 24-21-064
Effective 10/11/2024
182-526-0010,
182-526-0360,
182-526-0387,
182-526-0650
Administrative hearing rules for medical services programs. Amending regulations related to the service of a petition for judicial review
WSR 24-21-073
Filed 10/14/2024
CR-102
WSR 25-01-053
Public hearing scheduled for 1/22/2025
 
182-531-0300,
182-531-0350,
182-502-0002
Establishing rules to allow payment of apple health services provided by anesthesiologist assistants
WSR 24-24-108
Filed 12/4/2024
 
 
182-531-0450,
182-531-1250,
182-531-1350
Critical carePhysician-related services; Physician standby services; Prolonged physician-related service
WSR 24-15-084
Filed 7/19/2024
 
 
182-531-1400,
182-531-1710,
182-538D-0200
Adding certified behavioral health support specialists to list of eligible providers and definition of certified behavioral support specialist
WSR 24-19-060
Filed 9/13/2024
CR-102
WSR 25-01-139
Public hearing scheduled for 1/22/2025
 
182-531-2040
Enhanced reimbursementMedication assisted treatment for opioid use disorder
WSR 24-20-066
Filed 9/26/2024
 
 
182-531A-0800
Applied behavior analysis Provider requirements
HCA intends to begin rule making soon.
 
 
182-532-001,
182-532-510
Reproductive health servicesDefinitions; Family planning only programsEligibility
WSR 23-16-017
Filed 7/20/2023
CR-102
WSR 24-18-075
Public hearing held on 10/8/2024
 
182-532-530,
182-532-550,
182-532-560
Family planning only programs. Covered services, payment limitations, and documentation requirements
WSR 23-24-065
Filed 12/4/2023
 
WSR 25-02-046
Filed 12/20/2024
182-533-0610, 182-533-0620, 182-533-0630, 182-533-0640, 182-533-0650, 182-533-0660, 182-533-0665, 182-533-0670, 182-533-0680,
182-502-0002, 182-501-0065
Implementing a birth doula benefit for apple health (medicaid) clients and adding birth doulas to the provider rule, and adding birth doulas to description of service categories
WSR 24-10-016
Filed 4/19/2024
 
WSR 25-02-111
Effective 1/1/2025
WSR 25-02-112
Effective 1/1/2025
Chapter 182-534
Early periodic screening, diagnosis, and treatment
WSR 25-02-069
Filed 12/23/2024
 
 
182-538-110
The grievance and appeal system and agency administrative hearing for managed care organization enrollees
WSR 24-14-064
Filed 6/27/2024
CR-102
WSR 24-19-061
Public hearing held on 10/22/2024
 
182-543-2000
Medical equipment and supplies. Eligible providers and provider requirements
WSR 24-24-085
Filed 12/2/2024
 
 
182-543-2200
Proof of delivery
WSR 24-17-065
Filed 8/15/2024
 
 
182-543-3000,
182-543-7000
CoveredHospital beds, mattresses, and related equipment; and Authorization
WSR 24-07-007
Filed 3/7/2024
 
 
182-547-1000
Prior authorizationClients age twenty and younger
HCA intends to begin rule making soon.
 
 
182-550-1400,
182-550-1500
Covered and noncovered revenue codes categories and subcategories for inpatient hospital services
WSR 25-01-098
Filed 12/13/2024
 
 
182-550-4900,
182-550-4935,
182-550-4940,
182-550-5000,
182-550-5150,
182-550-5200,
182-550-5300,
182-550-5400
Disproportionate share hospital payments
WSR 25-01-099
Filed 12/13/2024
 
 
182-550-6400,
182-550-1050,
182-550-1800
Outpatient hospital diabetes education
WSR 22-16-032
Filed 7/26/2022
 
 
Chapter 182-551, new subchapter IV
Medical respite program
WSR 24-05-081
Filed 2/21/2024
 
 
182-551-2010,
182-551-2100,
182-551-2130,
182-553-300,
182-553-400
Definitions; Covered skilled nursing services; Noncovered services; Home infusion therapy and parenteral nutrition programProvider requirements
WSR 24-15-086
Filed 7/19/2024
 
 
Chapter 182-551,
subchapter I
Hospice services
WSR 24-20-101
Filed 9/30/2024
 
 
182-551-2230
Electronic visit verificationSystem requirements
WSR 24-05-023
Filed 2/12/2024
 
 
182-556-0200,
182-556-0250 (new),
182-502-0003,
182-531-0150
Acupuncture services and chiropractic services. Adding coverage for acupuncture and chiropractic services for adults
WSR 24-13-055
Filed 6/13/2024
 
 
182-557-0200
Health home program Eligibility
WSR 23-23-182
Filed 11/22/2023
CR-102
WSR 25-01-102
Public hearing scheduled for 1/22/2025
 
182-561-0500
Service tiers
WSR 24-14-066
Filed 6/27/2024
 
 
Chapter 182-562 (new), 182-502-0002
Community health worker services; Eligible provider types
WSR 24-15-085
Filed 7/19/2024
CR-102
WSR 25-02-113
Public hearing scheduled for 2/7/2025
 
Chapter 182-563 (new),
Chapter 182-501-0213
Reentry program
WSR 24-24-110
Filed 12/4/2024
 
 
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-103P: 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