WSR 12-05-026



(Medicaid Program)

[ Filed February 8, 2012, 12:06 p.m. ]

Subject of Possible Rule Making: Chapter 182-526 WAC, Administrative hearings rules for medical services programs; WAC 182-538-112 Hearing process for enrollee appeals of managed care organization (MCO) actions; and possibly other related chapters and sections as necessary.

Statutes Authorizing the Agency to Adopt Rules on this Subject: Chapter 15, Laws of 2011, 2E2SHB 1738, section 53; chapters 74.09, 34.05 RCW, 10-08 WAC.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: To establish and consolidate most of the hearing rules related to medicaid funded services into a single chapter within the health care authority (HCA). This need is based on the change of the single state medicaid agency from the department of social and health services to the HCA. This CR-101 was previously filed under WSR 11-19-004, filed September 7, 2011. The only change is the correction of the citation error WAC 182-526-112 should have been WAC 182-538-112.

Process for Developing New Rule: HCA welcomes the public to take part in developing the rules. Anyone interested should contact the staff person identified below. At a later date, HCA will file a proposal with the office of the code reviser with a notice of proposed rule making. A copy of the proposal will be sent to everyone on the mailing list and to anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Wendy L. Boedigheimer, Rules Program Manager, P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1306, fax (360) 586-9727, TTY (800) 848-5429, e-mail

February 8, 2012

Kevin M. Sullivan

Rules Coordinator

Washington State Code Reviser's Office