Date of Adoption: July 24, 2000.

Purpose: Medical Assistance Administration is establishing new chapters in WAC in order to concentrate the bulk of its rules in one area of Title 388 WAC. Chiropractic services policy is being moved into new WAC 388-556-0200 and existing WAC 388-86-019 and 388-87-019 are being repealed. The proposed rule has been rewritten to meet the clear writing standards in the Governor's Executive Order 97-02.

Citation of Existing Rules Affected by this Order: Repealing WAC 388-86-019 and 388-87-019.

Statutory Authority for Adoption: RCW 74.08.090, 74.09.035.

Adopted under notice filed as WSR 00-11-138 on May 23, 2000.

Changes Other than Editing from Proposed to Adopted Version: The restrictions about the type and number of x-rays allowed for children have been eliminated, and conditions have been added that limit chiropractic services to those that are safe, effective, and not experimental.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 1, Amended 0, Repealed 2.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 1, Amended 0, Repealed 2.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 0, Repealed 2. Effective Date of Rule: Thirty-one days after filing.

July 24, 2000

Marie Myerchin-Redifer, Manager

Rules and Policies Assistance Unit

(1) MAA will pay only for chiropractic services:

     (a) For MAA clients who are:

     (i) Under twenty-one years of age; and

     (ii) Referred by a screening provider under the healthy kids/early and periodic screening, diagnosis, and treatment (EPSDT) program.

     (b) That are:

     (i) Medically necessary, safe, effective, and not experimental;

     (ii) Provided by a chiropractor licensed in the state where services are provided; and

     (iii) Within the scope of the chiropractor's license.

     (c) Limited to:

     (i) Chiropractic manipulative treatments of the spine; and

     (ii) X-rays of the spine.

     (2) Chiropractic services are paid according to fees established by MAA using methodology set forth in WAC 388-531-1850.

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     The following sections of the Washington Administrative Code are repealed:

WAC 388-86-019	Chiropractic services.
WAC 388-87-019	Payment -- Chiropractic services.

© Washington State Code Reviser's Office