WSR 07-04-018

PREPROPOSAL STATEMENT OF INQUIRY

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Health and Recovery Services Administration)

[ Filed January 25, 2007, 2:23 p.m. ]

     Subject of Possible Rule Making: WAC 388-543-1100 Scope of coverage and coverage limitations for DME and related supplies, prosthetics, orthotics, medical supplies and related services, 388-543-1150 Limits and limitation extensions, 388-543-1600 Items and services which require prior authorization, 388-543-1700 When MAA covers rented DME, 388-543-2000 Wheelchairs, and 388-543-2800 Reusable and disposable medical supplies.

     Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.04.050 and 74.08.090.

     Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The department is making the following changes:

Correcting cross references;
Changing all references to "MAA" to "the department;"
Clarifying the department's coverage of a speech generating device, wheelchair, and/or specialty bed for clients in a nursing facility;
Removing lice comb from list of covered products because these combs are included with the "nontoxic gel" which is covered;
Clarifying prescribing requirements for dual-eligible clients;
Clarifying the department's policy on client's use of a combination of products; and
Adding and removing items from the covered services list.
     During the course of this review, the department may identify additional changes that are required in order to improve clarity or to update policy.

     Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None.

     Process for Developing New Rule: Other [no further information supplied by agency.]

     Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Wendy L. Boedigheimer, Rules Program Manager, 626 8th Avenue S.E., P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1306, fax (360) 586-9727, TTY 1-800-848-5429, e-mail boediwl@dshs.wa.gov.

January 25, 2007

Jim Schnellman, Chief

Office of Administrative Resources

© Washington State Code Reviser's Office