PREPROPOSAL STATEMENT OF INQUIRY
HEALTH CARE AUTHORITY
[Filed October 28, 2020, 10:53 a.m.]
Subject of Possible Rule Making: WAC 182-501-0135 Patient review and coordination; other related rules as appropriate.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The agency is revising this section to clarify that a client with private full coverage insurance is not reviewed or placed into the patient review and coordination (PRC) program unless the client does not have pharmacy coverage. In this situation, if the client qualifies for PRC and is placed into the PRC program, the restriction is only to a pharmacy. During the course of this review, the agency may identify additional related 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: Not applicable.
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 Michael Williams, Rulemaking Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1346, fax 360-586-9727, telecommunication[s] relay service (TRS) 711, email email@example.com, website www.hca.wa.gov/about-hca/rulemaking; Suzanne Cunningham, Policy Questions, P.O. Box 45530, Olympia, WA 98504-5530, phone 360-725-1679, fax 360-725-1346, TRS 711, email Suzanne.firstname.lastname@example.org, website www.hca.wa.gov/about-hca/rulemaking.
October 28, 2020