WSR 13-05-065



(Medicaid Program)

[ Filed February 15, 2013, 1:34 p.m. ]

     Subject of Possible Rule Making: WAC 182-530-7700 Reimbursement -- Dual eligible clients/medicare.

     Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021; chapter 5, Laws of 2011 (ESHB 1086, 2010 2nd sp.s. c 1 s 208(25)); and Section 1902 (n)(3)(B) of the Social Security Act, as modified by Section 4714 of the Balanced Budget Act of 1997.

     Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The following revisions to this rule are necessary:

Clarify payment criteria for Medicare Part B deductible and coinsurance amounts; and
Eliminate reference to Medicare Part D copay.

     Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: Centers for Medicare and Medicaid Services.

     Process for Developing New Rule: The health care authority (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, P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1306, fax (360) 586-9727, TTY 1-800-848-5429, e-mail

February 15, 2013

Kevin M. Sullivan

Rules Coordinator