WSR 15-12-082 PROPOSED RULES HEALTH CARE AUTHORITY (Washington Apple Health) [Filed June 1, 2015, 12:48 p.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 15-07-013.
Title of Rule and Other Identifying Information: WAC 182-502-0060 Reapplying for participation.
Hearing Location(s): Health Care Authority (HCA), Cherry Street Plaza Building, Sue Crystal Conference Room 106A, 626 8th Avenue, Olympia, WA 98504 (metered public parking is available street side around building. A map is available at http://www.hca.wa.gov/documents/directions_to_csp.pdf or directions can be obtained by calling (360) 725-1000), on July 7, 2015, at 10:00 a.m.
Date of Intended Adoption: Not sooner than July 8, 2015.
Submit Written Comments to: HCA Rules Coordinator, P.O. Box 42716, Olympia, WA 98504-2716, delivery 626 8th Avenue, Olympia, WA 98504, e-mail arc@hca.wa.gov, fax (360) 586-9727, by 5:00 p.m., July 7, 2015.
Assistance for Persons with Disabilities: Contact Kelly Richters by July 1, 2015, TTY (800) 848-5429 or (360) 725-1307 or e-mail kelly.richters@hca.wa.gov.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The agency is revising this rule to clarify that individual providers who work in a group practice that has been terminated by the agency may reapply for participation.
Reasons Supporting Proposal: The current version of this rule states that all providers removed from participation are not eligible to reapply for five years. The rule conflicts with WAC 182-502-0030(3), which allows providers who are not full or partial owners to reapply.
Statutory Authority for Adoption: RCW 41.05.021, 41.05.160.
Statute Being Implemented: RCW 41.05.021, 41.05.160.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: HCA, governmental.
Name of Agency Personnel Responsible for Drafting: Melinda Froud, P.O. Box 42716, Olympia, WA 98504-2716, (360) 725-1408; Implementation and Enforcement: Maureen Guzman, P.O. Box 45502, Olympia, WA 98504-5502, (360) 725-1622.
No small business economic impact statement has been prepared under chapter 19.85 RCW. This rule does not impose a disproportionate cost on small businesses.
A cost-benefit analysis is not required under RCW 34.05.328. RCW 34.05.328 does not apply to HCA rules unless requested by the joint administrative rules review committee or applied voluntarily.
Wendy Barcus
Rules Coordinator
AMENDATORY SECTION (Amending WSR 13-17-047, filed 8/13/13, effective 10/1/13)
WAC 182-502-0060 Reapplying for participation.
(1) Providers who are denied enrollment or removed from participation are not eligible to reapply for participation with the medicaid agency for five years from the date of denial or termination.
(2) Providers who are denied enrollment or removed from participation more than once are not eligible to reapply for participation with the agency.
(3) A provider who is terminated solely under WAC 182-502-0030(3) is eligible for immediate reapplication with the agency if the provider is not a full or partial owner of a terminated group practice.
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