PERMANENT RULES
SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
(Economic Services Administration)
Date of Adoption: January 12, 2000.
Purpose: To clarify that this chapter does not apply to requests for noncovered medical or dental services or equipment, and to refer the reader to WAC 388-501-0160 for that information.
Citation of Existing Rules Affected by this Order: Amending WAC 388-440-0001 and 388-440-0005.
Statutory Authority for Adoption: RCW 74.04.050, [74.04.]055, [74.04.]057, and 74.08.090.
Adopted under notice filed as WSR 99-20-108 on October 6, 1999.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 2, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 2, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 2, Repealed 0. Effective Date of Rule: Thirty-one days after filing.
January 12, 2000
Marie Myerchin-Redifer, Manager
Rules and Policies Assistance Unit
2590.5(1) The secretary of the department, or designee, authorizes department staff to request an exception to a rule in the Washington Administrative Code (WAC) for individual cases, except as noted in subsection (5) of this section, when:
(a) The exception would not contradict a specific provision of federal law or state statute; and
(b) The client's situation differs from the majority; and
(c) It is in the interest of overall economy and the client's welfare; and
(d) It increases opportunities for the client to function effectively; or
(e) A client has an impairment or limitation that significantly interferes with the usual procedures required to determine eligibility and payment.
(2) The secretary or the secretary's designee makes the final decision on all requests for exceptions to a rule.
(3) Clients have no fair hearing rights as defined under chapter 388-08 WAC regarding exception to rule decisions by department staff.
(4) Clients who do not agree with a decision on an exception to rule may file a complaint according to chapter 388-426 WAC.
(5) This section does not apply to requests for noncovered medical or dental services or related equipment. See WAC 388-501-0160.
[Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, § 388-440-0001, filed 7/31/98, effective 9/1/98.]
(1) Clients are notified in writing within ten days of:
(a) The department staff's decision to file an exception to rule request; and
(b) The department's decision to approve or deny an exception to rule request.
(2) The notice will include the complaint procedures as specified in chapter 388-426 WAC.
(3) This section does not apply to notification requirements for exceptions to rules concerning noncovered medical or dental services or related equipment. See WAC 388-501-0160.
[Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, § 388-440-0005, filed 7/31/98, effective 9/1/98.]