WSR 18-12-031
PREPROPOSAL STATEMENT OF INQUIRY
HEALTH CARE AUTHORITY
[Filed May 29, 2018, 9:50 a.m.]
Subject of Possible Rule Making: WAC 182-532-500 Family planning only programPurpose, 182-532-510 Family planning only programClient eligibility, 182-532-520 Family planning only programProvider requirements, 182-532-530 Family planning only programCovered yearly exams, 182-532-533 Family planning only programOther covered services, 182-532-540 Family planning only programNoncovered services, 182-532-550 Family planning only programReimbursement and payment limitations, 182-532-700 TAKE CHARGE programPurpose, 182-532-720 TAKE CHARGE programEligibility, 182-532-730 TAKE CHARGE programProvider requirements, 182-532-740 TAKE CHARGE programCovered yearly exams for women, 182-532-743 TAKE CHARGE programOther covered services for women, 182-532-745 TAKE CHARGE programCovered services for men, 182-532-750 TAKE CHARGE programNoncovered services, 182-532-760 TAKE CHARGE programDocumentation requirements, 182-532-780 TAKE CHARGE programReimbursement and payment limitations and 182-532-790 TAKE CHARGE programGood cause exemption from billing third party insurance; and other 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 agency is modifying the family planning only program and take charge program sections to: (1) Meet clinical standards, (2) align with current eligibility and provider enrollment policies, and (3) assure compliance with the recently approved federal extension of the Washington family planning only program (demonstration project) granted under the authority of Section 1115(a) of the Social Security Act. During the course of this review, the agency may identify additional changes that are required in order to improve clarity or update policy.
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 Vance Taylor, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1344, fax 360-586-9727, TTY 1-800-848-5429, email vance.taylor@hca.wa.gov, web site www.hca.wa.gov/about-hca/rulemaking.
May 29, 2018
Wendy Barcus
Rules Coordinator