WSR 13-12-028



(Medicaid Program)

[ Filed May 29, 2013, 10:17 a.m. ]

     Subject of Possible Rule Making: WAC 182-537-0600 School-based health care services for children in special education -- School district requirements for billing and payment, and possibly amending other related WAC sections, as appropriate.

     Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021.

     Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Effective March 18, 2013, the United States Department of Education revised 34 C.F.R. 300.154(d) related to parental consent for school districts to access public benefits or insurances. Parental consent is no longer required annually to pay for medicaid health care-related services under the Individual Disability Education Act (IDEA) Part B. For this reason, medicaid agency will no longer require prior, informal, written notification for parents or guardians by school districts to submit claims for third-party insurance or medicaid reimbursement. During the course of this review, the agency may identify additional changes that are required to improve clarity or update policy.

     Process for Developing New Rule: The health care authority (HCA) 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, HCA 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 Katey Simetra, P.O. Box 42716, Olympia, WA 98504-2716, phone (360) 725-1842, fax (360) 586-9727, TTY 1-800-848-5429, e-mail

May 29, 2013

Kevin M. Sullivan

Rules Coordinator