PROPOSED RULES
SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
Original Notice.
Preproposal statement of inquiry was filed as WSR 00-01-155.
Title of Rule: Repealing WAC 388-87-060 Payment -- Extended care patient -- Coinsurance; and new WAC 388-517-0400 Medicare coinsurance payment -- Extended care patient.
Purpose: To meet the clear-writing standards required by Governor's Executive Order 97-02 and to move the rule out of chapter 86 [388-87] WAC, which is being phased out by MAA.
Statutory Authority for Adoption: RCW 74.04.050, 74.08.090, and 74.09.055.
Statute Being Implemented: RCW 74.04.050, 74.08.090, and 74.09.055.
Summary: See Purpose above.
Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Kevin Sullivan, 925 Plum Street, P.O. Box 45533, Olympia, WA 98504-5533, (360) 725-1344.
Name of Proponent: Department of Social and Health Services, Medical Assistance Administration, governmental.
Rule is not necessitated by federal law, federal or state court decision.
Explanation of Rule, its Purpose, and Anticipated Effects: See Purpose above.
Proposal Changes the Following Existing Rules: The proposal simplifies the rule and makes it easier to understand.
No small business economic impact statement has been prepared under chapter 19.85 RCW. This rule does not impact small businesses.
RCW 34.05.328 does not apply to this rule adoption. RCW 34.05.328 (5)(b)(vii) exempts DSHS rules that apply to client medical or financial eligibility.
Hearing Location: Lacey Government Center (behind Tokyo Bento Restaurant), 1009 College Street S.E., Room 104-B, Lacey, WA 98503, on September 26, 2000, at 10:00 a.m.
Assistance for Persons with Disabilities: Contact Kelly Cooper, Rules Coordinator, by September 19, 2000, phone (360) 664-6094, TTY (360) 664-6178, e-mail coopeKD@dshs.wa.gov.
Submit Written Comments to: Identify WAC Numbers, Kelly Cooper, Rules Coordinator, Rules and Policies Assistance Unit, P.O. Box 45850, Olympia, WA 98504-5850, fax (360) 664-6185, by September 26, 2000.
Date of Intended Adoption: Not before September 27, 2000.
August 8, 2000
Marie Myerchin-Redifer, Manager
Rules and Policies Assistance Unit
2815.1The department will pay for a long-term care client's Medicare coinsurance if the:
(1) Client is eligible for extended care Medicare benefits;
(2) Client is eligible for Medicaid, qualified Medicare beneficiary (QMB) program, or the special low-income Medicare beneficiary (SLMB) program; and
(3) Medicare coinsurance costs less than the Medicaid nursing facility rate.
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The following section of the Washington Administrative Code is repealed:
| WAC 388-87-060 | Payment -- Extended care patient -- Coinsurance. |