WSR 26-01-211
AGENDA
HEALTH CARE AUTHORITY
[Filed December 24, 2025, 9:52 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 during the next six months. Additional rule-making activity may occur which is not listed on this agenda as conditions warrant.
This agenda and HCA's rule-making information is available at https://www.hca.wa.gov/about-hca/rulemaking.
To be notified of any changes, you may sign up for email notifications at https://public.govdelivery.com/accounts/WAHCA/subscriber/new?qsp=WAHCA_10.
If you have questions about this rule-making agenda, contact Wendy Barcus, HCA 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 through June 2026
WAC Chapter
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
182-70
All payer health claims database - HB 1382
(Removing references to proprietary financial information)
HCA intends to begin rule making soon.
 
 
182-600
WA Cares fund program
(responsibilities of HCA)
WSR 25-19-032
Filed 9/8/2025
 
 
PUBLIC EMPLOYEES BENEFITS
Chapters 182-08, 182-12, 182-16
HCA intends to begin rule making in early 2026
 
 
 
SCHOOL EMPLOYEES BENEFITS
Chapters 182-30, 182-31, 182-32
HCA intends to begin rule making in early 2026
 
 
 
BEHAVIORAL HEALTH
182-116
Certified peer support specialist trainersApproval process, monitoring, complaints, corrective action
WSR 25-21-151
Filed 10/22/2025
 
 
182-140
Mobile rapid response crisis team endorsement standards
WSR 25-22-029
Filed 10/28/2025
 
 
182-145 (New)
Preadmission screening and resident review
WSR 25-12-017
Filed 5/22/2025
 
 
182-155 (New)
Involuntary treatmentLegal representation provided by the office of public defense
RCW 71.05.110 and 71.05.620(2)
WSR 26-01-131
Filed 12/18/2025
 
 
WASHINGTON APPLE HEALTH
182-502-0100
General conditions of payment
To be filed soon.
 
 
182-502-0030, 182-502-0040
Termination of provider enrollmentFor cause; termination of provider enrollmentFor convenience
WSR 25-19-093
Filed 9/27/2025
 
 
182-505-0120, 182-507-0110
Washington apple health breast and cervical cancer treatment program for womenClient eligibility; alien medical programs
HCA intends to begin rule making soon.
 
 
182-513-1215, 182-513-1350
Community first choiceEligibility; defining the resource standard and determining resource eligibility for SSI-related long-term care services
WSR 25-22-050
Filed 10/30/2025
 
 
182-513-1660
Medicaid alternative care and tailored supports for older adultsSpousal impoverishment
WSR 25-22-036
Filed 10/29/2025
 
 
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 25-21-010
Filed 10/2/2025
182-526-0025, 182-526-0110, 182-526-0290, 182-526-0575
Administrative hearingsUse and location of the office of administrative hearings; process after a hearing is requested; reinstating a hearing after an order of default or an order of dismissal; how to request review of an initial order
WSR 25-23-041
Filed 11/13/2025
 
 
182-531A-0900,
182-533-0400,
182-533-0600,
182-537-0200,
182-537-0500,
182-538-050,
182-538B-040,
182-538D-0200,
182-546-5100,
182-546-5500,
182-550-1100,
182-553-500,
182-555-0500
Early periodic screening, diagnosis, and treatment, revising rules to align with chapter 182-534 WAC
WSR 25-17-037
Filed 8/13/2025
 
 
182-531-0200, 182-531-0600, 182-531-0750, 182-531-0800, 182-531-1050, 182-531-1300, 182-531-1450, 182-531-1650, 182-531-1900
Physician-related services, revising to align with current billing practices
WSR 25-05-012
Filed 2/7/2025
 
 
182-531-0150, 182-531-1250, 182-533-0400
Noncovered physician-related and health care professional servicesGeneral and administrative; physician stand-by services; maternity care and newborn delivery
WSR 25-20-109
Filed 10/1/2025
 
WSR 25-20-080
Filed 9/30/2025
182-533-0300, 182-533-0310, 182-533-0330, 182-533-0345
Services under first steps; maternity support servicesPurpose, provider requirements, covered services, payment
WSR 25-21-141
Filed 10/21/2025
CR-102
WSR 26-01-176
Public hearing scheduled for 1/27/2026
 
182-535-1098
CoveredAdjunctive general services
WSR 25-23-021
Filed 11/7/2025
 
 
182-543-2200
Proof of delivery
WSR 24-17-065
Filed 8/15/2024
 
 
182-543-3000, 182-543-7000, 182-543-7100, 182-543-7200, 182-543-7300
CoveredHospital beds, mattresses, and related equipment, and authorization
WSR 24-07-007
Filed 3/7/2024
 
 
182-543-0500, 182-543-1000, 182-543-4000, 182-543-4100, 182-543-4200, 182-543-4300, 182-543-4400, 182-543-5700
Medical equipment nursing facilities
WSR 25-23-020
Filed 11/7/2025
 
 
182-550-3600, 182-550-3700
Diagnosis-related group (DRG) paymentHospital transfers; DRG high outliers
WSR 25-21-140
Filed 10/21/2025
 
 
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
CR-102
WSR 25-15-142
Filed 7/22/2025
 
182-551-2230
Electronic visit verificationSystem requirements
WSR 24-05-023
Filed 2/12/2024
 
 
182-560-100
Achieving a better lifeChanging age from 26 to 46
WSR 26-01-149
Filed 12/19/2025
 
 
182-565, Subchapter IV (New)
Health-related social needs (HRSN), Subchapter IV, community care hubs
WSR 25-09-154
Filed 4/22/2025
CR-102
WSR 26-01-167
Public hearing scheduled for 1/27/2026
 
182-565, Subchapter V, VI, VII
HRSN, Subchapters V-VII, nutrition supports, home accessibility modifications, and caregiver respite services
WSR 25-14-114
Filed 7/1/2025
 
 
182-566 (New)
Certified community behavioral health clinics
WSR 25-13-053
Filed 6/12/2025
 
 
182-567 (New)
Contingency management
HCA intends to begin rule making soon.
 
 
182-XXX
To be determined
Postdelivery and transitional care (SB 5580)
HCA intends to begin rule making soon.
 
 
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-103: 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