AGENDA
January through June 2012
There may be additional rule-making activity not on the agenda as conditions warrant.
If you have questions about this rule-making agenda, please contact Kevin M. Sullivan, Rules Coordinator, P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1344, e-mail Kevin.Sullivan@hca.wa.gov.
| WAC Citation | Subject Matter | Current Activity | ||
| CR-101 Preproposal |
CR-102 or CR-105 |
CR-103 | ||
| 182-501-0050, 182-501-0060, 182-501-0065, 182-501-0070, 182-502-0160 | Updating healthcare services categories to reflect what is currently available to HCA medicaid clients. | WSR 10-22-121 filed November 3, 2010 |
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182-502-0005 |
Core provider agreement (CPA) -- adding requirement that all ordering, prescribing, or referring providers be enrolled as participating providers under the billing providers' CPA. | WSR 11-23-089 filed November 17, 2011 |
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| 182-502-0115 | Adding requirements and prohibition of payment for provider preventable conditions (PPC). | WSR 11-19-008 filed September 7, 2011 |
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| Chapters 182-503, 182-504, 182-506, 182-507, 182-508, and 182-509 | ESSB [ESHB] 2082 requires HCA to establish an incapacity-based medical care services program for adults effective November 1, 2011. | WSR 11-16-104 filed August 3, 2011 |
WSR 11-23-164 filed November 22, 2011 |
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| 388-517-0320 | Amending payment methodology for medicare/medicaid eligible clients ("dual eligibles") to align with payment formula established in WAC 182-502-0110 regarding medicare deductible and coinsurance. | WSR 11-09-056 filed April 18, 2011 |
WSR 12-01-127 filed December 21, 2011 |
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| Chapter 182-526 | Medical administrative hearings. Required due to HCA being designated as the "single state medicaid agency" per HB 1738. | WSR 11-19-004 filed September 7, 2011 |
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| Chapter 182-530 | Drug formulary. To avoid elimination of the prescription drug benefit for medicaid clients due to budget cuts, HCA intends to implement a drug formulary. | WSR 12-01-081 filed December 19, 2011 |
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| 182-530-7000, 182-531-0050, and 182-531-1625 | Hemophilia products and supplies. Requires treatment of hemophilia disorders to be provided by a comprehensive hemophilia treatment center. | WSR 11-19-005 filed September 7, 2011 |
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| Chapter 182-535 | Dental-related services. Elimination of adult services due to budget cuts. | WSR 10-20-160 filed October 6, 2010 |
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| Chapter 182-537 | School-based healthcare services. To avoid elimination of the program, HCA is revising rules to allow school districts to provide the state funds to match the federal participation. | WSR 10-20-160 filed October 6, 2010 |
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| 182-543-5500, 182-543-9100, 182-543-9200, 182-543-9300, and 182-543-9400 | Durable medical equipment. Reinserting policy language regarding "base year" that was inadvertently deleted under WSR 11-14-052. | WSR 11-23-088 filed November 17, 2011 |
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| 182-548-1400 182-549-1400 |
Federally qualified health centers and rural health clinics. New alternative payment methodology. Requires state plan amendment. | WSR 11-23-017 filed November 17 [7], 2011 |
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| 182-550-4650 and 182-550-5400 | Hospital payments. Clarifying that hospitals must be "operated" (rather than "owned") by a public hospital district to qualify for certified public expenditure payments. | WSR 11-21-067 filed October 17, 2011 |
WSR 12-01-042 filed December 13, 2011 |
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| Chapter 182-551 | Hospice services. Clients under twenty-one years of age receiving hospice no longer have to waive treatment for the terminal illness. | WSR 11-07-092 filed March 22, 2011 |
WSR 11-24-060 filed December 5, 2011 |
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| Chapter 182-552 | Oxygen services. Updating policy for oxygen and respiratory therapy. | WSR 09-13-099 filed June 17, 2009 |
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Kevin M. Sullivan
Rule [Rules] Coordinator