PREPROPOSAL STATEMENT OF INQUIRY
HEALTH CARE AUTHORITY
[Filed May 20, 2019, 10:20 a.m.]
Subject of Possible Rule Making: WAC 182-502-0012 When the medicaid agency does not enroll, 182-502-0040 Termination of a provider agreement—For convenience, 182-502-0060 Reapplying for participation, and other related rules as appropriate.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The agency is amending WAC 182-502-0012(5) and 182-502-0040(2) to allow providers to request the agency to reconsider agency decisions to deny enrollment applications, and to request the agency to reconsider terminations of a provider agreement for convenience. The reconsideration process being added to WAC 182-502-0012 is a separate process from the reconsideration process in chapter 182-526 WAC and separate from the dispute resolution process in WAC 182-502-0050. The agency is amending WAC 182-502-0060 to remove subsections (1) and (2) that prohibit providers from reapplying for participation after the agency denies enrollment or removes a provider from participation. The agency has determined that the rules need to be amended to allow for due process and for reporting purposes. During the course of this review, the agency may identify additional changes that are required in order to improve clarity or update policy.
Process for Developing New Rule: The agency welcomes the public to take part in developing this rule. If interested, contact the person identified below to receive an early rule draft to review. After the early review, the agency will send a notice of proposed rule making (CR-102) to everyone receiving this notice and 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 Amy Emerson, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1348, fax 360-586-9727, telecommunication relay services 711, email firstname.lastname@example.org, web site www.hca.wa.gov/about-hca/rulemaking.
May 20, 2019