WSR 12-06-036



(Medicaid Program)

[ Filed March 2, 2012, 1:09 p.m. ]

Subject of Possible Rule Making: Amend WAC 182-501-0135 Patient review and coordination (PRC), and possibly other related WAC sections.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Pursuant to 2ESHB 1087, effective April 1, 2012, health care authority (HCA) is directed to pay for only medically necessary emergency services performed in the emergency room. HCA is also adding criteria for Alcohol and Drug Addiction Treatment and Support Act clients and changing the re-review and hearing processes.

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 notice of proposed rule making (CR-102) with the office of the code reviser. 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 Jason Crabbe, P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1346, fax (360) 586-9727, TTY 1-800-848-5429, e-mail

March 2, 2012

Kevin M. Sullivan

Rules Coordinator

Washington State Code Reviser's Office