WSR 03-16-007

AGENDA

HEALTH CARE AUTHORITY


[ Filed July 24, 2003, 11:16 a.m. ]


Washington State Health Care Authority

Melodie Bankers, Rules Coordinator, (360) 923-2728


July 31, 2003, Semi-Annual Rule-Making Agenda



Approximate Preproposal
1.

2.

3.

Date

Subject Area

Contact/Telephone Number

Purpose of the Rule

Why is this Significant?

Rule(s)

Mandate

Other Agencies who

may have Interest in

the Subject of Rule(s)

1.

2.

3.

Winter 2003-4

Prescription drug programs

Duane Thurman, (206) 521-2036

Required to implement interagency prescription drug project and effectuate SB 6088. DSHS/MAA, L&I
1.

2.

3.

September 2003

Recoupment of subsidy

overpayment

Rosanne Reynolds, (360) 923-2948

Define criteria for approving extended payment schedules for Basic Health members who are billed for a subsidy overpayment. No mandate Department of Social and Health Services
1.

2.

3.

November 2003

Twelve month wait to reenroll after disenrollment

Rosanne Reynolds, (360) 923-2948

Revise rules that require former members who are disenrolled from Basic Health to wait at least twelve months before reenrolling. No mandate Department of Social and Health Services
1.

2.

3.

September 2003

Limitations on award

Bob Blacksmith, (360) 923-2755

Limitations on award per chapter 25, Laws of 2003, E1 for nonprofit community clinics funded under the community health services program. Chapter 25, Laws of 2003, E1 None
1.

2.

3.

July 2003

PEBB program

Barbara Scott, (360) 923-2642

HCA plans to review and possibly amend sections of chapters 182-08 and 182-12 WAC for clarity and to update procedures and requirements. No mandate State agencies, state institutions of higher education, state K-12 school districts
1.

2.

3.

CR-102 (AO #02-07) filed June 18, 2003

Chapters 182-08 and 182-12 WAC

Barbara Scott, (360) 923-2642

HCA completed an annual review of chapters 182-08 and 182-12 WAC and filed proposed amendments to clarify eligibility rules affecting PEBB-sponsored coverage for active and retired public employees. No mandate State agencies, state institutions of higher education, state K-12 school districts and state political subdivisions that participate in the PEBB program.
Proposed amendments to chapter 182-08 WAC will clarify employee enrollment options, the consequences for late payment of employer or member premium payment, the member's responsibility for reporting eligibility changes and the HCA's policy for refunding premium payments. No mandate
Proposed amendments to WAC 182-12-111 effectuate statutory changes passed by the 2003 legislature, affecting health care premium cost sharing between K-12 school districts or educational service districts and their employees who participate in the PEBB-sponsored benefit program. Chapter 158, Laws of 2003
Proposed amendments to WAC 182-12-117 will clarify retiree enrollment election and premium payment requirements and clarify the retiree's responsibility for providing requested information such as would affect their and/or their dependents eligibility. No mandate
Proposed amendments to WAC 182-12-119 simplify the eligibility for dependent children, making it less of an administrative burden for the member and produces efficiency for the HCA. No mandate
Proposed amendment to WAC 182-12-132 will modify retiree eligibility to allow for deferral or waiving of enrollment in PEBB retiree coverage while the member is enrolled in retirement coverage through their and/or their spouses employer. No mandate

Melodie Bankers

Rules Coordinator

Legislature Code Reviser 

Register

Washington State Code Reviser's Office