WSR 12-15-027



(Medicaid Program)

[ Filed July 11, 2012, 1:17 p.m. ]

Subject of Possible Rule Making: Chapter 182-538 WAC, Managed care, other rules as appropriate.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021, 42 C.F.R. 438.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The healthy options and the former general assistance-unemployable managed care plans have both changed since the WAC was last updated due to federal regulation changes and legislative updates; the WAC must be updated to ensure compliance with new laws and federal regulation. During the course of this review, the health care authority (HCA) may identify additional changes that are required in order to improve clarity or update policy.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: Centers for Medicare and Medicaid (CMS) - through the Code of Federal Regulation; and state office of the insurance commissioner (OIC) - through regulations for financial and contractual requirements. The HCA works with both CMS and the OIC to ensure HCA rule does not conflict with other rules and policies.

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 Wendy L. Boedigheimer, Rules Program Manager, P.O. Box 45504, Olympia, WA 98504-5504, fax (360) 586-9727, TTY 1-800-848-5429, e-mail

July 11, 2012

Kevin M. Sullivan

Rules Coordinator

Washington State Code Reviser's Office