PROPOSED RULES
SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
Original Notice.
Preproposal statement of inquiry was filed as WSR 00-03-011.
Title of Rule: Repealing WAC 388-86-120 Medical care services, and new 388-556-0500 Medical care services under state-administered cash programs.
Purpose: To incorporate language from repealed WAC 388-86-120 into a new section 388-556-0500 which clarifies and updates program requirements. The new section defines "medical care services (MCS)" as medical care services provided to clients under the state-administered cash programs, and lists services covered under MCS by cross-referencing WAC 388-529-0200 Medical services available to eligible clients. By repealing WAC 388-86-120 and incorporating the language into a new section, the department is complying with the Governor's Executive Order 97-02, which mandates all rules be reviewed for clarity, necessity, fairness, etc.
Statutory Authority for Adoption: RCW 74.08.090 and 74.09.035.
Statute Being Implemented: RCW 74.08.090 and 74.09.035.
Summary: The new section updates and clarifies department policy on medical care services provided to clients under state-administered cash programs.
Reasons Supporting Proposal: To set in rule current department policy regarding medical care services provided to clients who are eligible under the state-administered cash programs. To comply with the Governor's Executive Order 97-02.
Name of Agency Personnel Responsible for Drafting: Kathy Sayre, DPS/RIP, P.O. Box 45533, Olympia, WA 98507, (360) 725-1342; Implementation and Enforcement: Diane Stevens, DHSQS, P.O. Box 45506, Olympia, WA 98507, (360) 725-1551.
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 updates and clarifies department policy on the limitations of medical care services coverage for clients eligible under the state-administered cash programs.
Purpose: To set in rule current department policy by: 1) Defining "medical care services" which are medical care services provided to clients under the state-administered cash programs; 2) updating the list of services in repealed WAC 388-86-120 that MAA will not cover by cross referencing WAC 388-529-0200 which lists the scope of care for medical care services coverage under the state-administered cash programs; 3) cross-referencing WAC 388-501-0175, which lists the Washington state border areas in which clients under the state-administered cash programs are eligible to receive medical care services; and 4) eliminating the cross reference in repealed WAC 388-86-120(3) to 388-84-120 regarding certification dates for medical care services clients as this information is found in WAC 388-416-0010.
Anticipated Effect: To provide a clearer understanding of MAA policy.
Proposal Changes the Following Existing Rules: WAC 388-86-120 Medical care services is being repealed and the policy is being written into new section 388-556-0500 Medical care services under state-administered cash programs.
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 does not fit the definition of 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 September 26, 2000, at 10:00 a.m.
Assistance for Persons with Disabilities: Contact Kelly Cooper, Rules Coordinator, by September 19, 2000, phone (360) 664-6094, TTY (360) 664-6178, e-mail coopeKD@dshs.wa.gov.
Submit Written Comments to: Identify WAC Numbers, Kelly Cooper, Rules Coordinator, Rules and Policies Assistance Unit, P.O. Box 45850, Olympia, WA 98504-5850, fax (360) 664-6185, by September 26, 2000.
Date of Intended Adoption: No sooner than September 27, 2000.
August 7, 2000
Marie Myerchin-Redifer, Manager
Rules and Policies Assistance Unit
2778.4Medical care services (MCS) are state-administered medical care services provided to a client receiving cash benefits under the general assistance-unemployable (GA-U) program or the Alcohol and Drug Addiction Treatment and Support Act (ADATSA) program. For a client eligible for MCS:
(1) The medical assistance administration (MAA) covers only the medically necessary services within the notated applicable program limitations listed in the MCS column under WAC 388-529-0200.
(2) MAA does not cover medical services received outside the state of Washington unless the medical services are provided in a border area listed under WAC 388-501-0175.
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2774.1 The following section of the Washington Administrative Code is repealed:
| WAC 388-86-120 | Medical care services. |