WSR 00-10-064



(Medical Assistance Administration)

[ Filed April 28, 2000, 3:30 p.m. ]

Original Notice.

Preproposal statement of inquiry was filed as WSR 00-03-011.

Title of Rule: WAC 388-502-0210 Statistical data -- Vendor reports.

Purpose: To clarify and update program requirements and to comply with the Governor's Executive Order 97-02, which mandates that all rules be reviewed for clarity, necessity, fairness, etc.

Statutory Authority for Adoption: RCW 74.08.090, 74.09.035.

Statute Being Implemented: RCW 74.08.090, 74.09.035.

Summary: These amendments clarify how Medical Assistance Administration (MAA)-enrolled providers submit reports to MAA to provide data on goods and services furnished. They also clarify how MAA tabulates, analyzes, and distributes the data collected.

Reasons Supporting Proposal: To update rule content to reflect current department policy and business practices and to comply with the Governor's Executive Order 97-02.

Name of Agency Personnel Responsible for Drafting: Kathy Sayre, RIP, P.O. Box 45533, Olympia, WA 98504, (360) 725-1342; Implementation and Enforcement: Rich Boyesen, OIS, P.O. Box 45511, Olympia, WA 98504, (360) 725-1284.

Name of Proponent: Department of Social and Health Services, Medical Assistance Administration, governmental.

Rule is not necessitated by federal law, federal or state court decision.

Explanation of Rule, its Purpose, and Anticipated Effects: The rule clarifies how Medical Assistant Administration (MAA)-enrolled providers submit reports to MAA to provide data on goods and services furnished. It also clarifies how MAA tabulates, analyzes, and distributes the data collected.

The purpose of the rule is to inform provider about current MAA policy, and to make that policy clearly understood.

Its anticipated effect is a clearer understanding of MAA policy.

Proposal Changes the Following Existing Rules: The rule is amended with updated language that replaces "vendor reports" with "provider reports."

No small business economic impact statement has been prepared under chapter 19.85 RCW. The department has analyzed the proposed rule amendments and concludes that no new costs will be imposed on businesses affected by them.

RCW 34.05.328 does not apply to this rule adoption. The department has analyzed this rule and concluded that it is not a significant legislative rule.

Hearing Location: Lacey Government Center (behind Tokyo Bento Restaurant), 1009 College Street S.E., Room 104-B, Lacey, WA 98503, on June 6, 2000, at 10:00 a.m.

Assistance for Persons with Disabilities: Contact Fred Swenson by May 26, 2000, phone (360) 664-6097, TTY (360) 664-6178, e-mail

Submit Written Comments to: Identify WAC Numbers, DSHS Rules Coordinator, Rules and Policies Assistance Unit, P.O. Box 45850, Olympia, WA 98504-5850, fax (360) 664-6185, by June 6, 2000.

Date of Intended Adoption: No sooner than June 7, 2000.

April 26, 2000

Marie Myerchin-Redifer, Manager

Rules and Policies Assistance Unit

AMENDATORY SECTION(Amending Order 3732, filed 5/3/94, effective 6/3/94)

WAC 388-502-0210
Statistical data-((vendor)) provider reports.

(1) ((When requested by the department, all vendors under the program shall submit full reports of goods furnished and services rendered to the department in the manner specified. The department shall provide the vendor with standardized forms to report these data)) At the request of the medical assistance administration (MAA), all providers enrolled with MAA programs must submit full reports, as specified by MAA, of goods and services furnished to eligible medical assistance clients. MAA furnishes the provider with a standardized format to report these data.

(2) ((The department shall tabulate and analyze)) MAA analyzes the data collected from the providers' reports to secure statistics on costs of goods and ((the)) services ((rendered in the various phases of the program. The department shall make available such tabulations and analyses to the department's advisory committee, state welfare medical care committee, official organizations of vendor groups participating in the program, and other appropriate persons or groups)) furnished and makes a report of the analysis available to MAA's advisory committee, the state welfare medical care committee, representative organizations of provider groups enrolled with MAA, and any other interested organizations or individuals.

[Statutory Authority: RCW 74.08.090. 94-10-065 (Order 3732), 388-502-0210, filed 5/3/94, effective 6/3/94. Formerly WAC 388-81-020.]

Washington State Code Reviser's Office