Title of Rule and Other Identifying Information: WAC 182-502-0002 Eligible provider types.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: To fix erroneous cross-reference in subsection (1)(c) and align the titles of the applied behavior analysis (ABA) professionals in subsection (1)(c)(i)-(iii) with those listed in WAC 182-531A-0800.
Reasons Supporting Proposal: These housekeeping fixes are required to align this section with the ABA rules in WAC 182-531A-0800.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Health care authority, governmental.
Name of Agency Personnel Responsible for Drafting: Valerie Freudenstein, P.O. Box 42716, Olympia, WA 98504-2716, 360-725-1344; Implementation and Enforcement: Melissa Kundur, P.O. Box 45502, Olympia, WA 98504-5502, 360-725-5297.
This notice meets the following criteria to use the expedited adoption process for these rules:
Corrects typographical errors, make address or name changes, or clarify language of a rule without changing its effect.
THIS RULE IS BEING PROPOSED UNDER AN EXPEDITED RULE-MAKING PROCESS THAT WILL ELIMINATE THE NEED FOR THE AGENCY TO HOLD PUBLIC HEARINGS, PREPARE A SMALL BUSINESS ECONOMIC IMPACT STATEMENT, OR PROVIDE RESPONSES TO THE CRITERIA FOR A SIGNIFICANT LEGISLATIVE RULE. IF YOU OBJECT TO THIS USE OF THE EXPEDITED RULE-MAKING PROCESS, YOU MUST EXPRESS YOUR OBJECTIONS IN WRITING AND THEY MUST BE SENT TO Rules Coordinator, Health Care Authority, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1306, fax 360-586-9272, email arc@hca.wa.gov, AND RECEIVED BY July 19, 2022.
The following health care professionals, health care entities, suppliers or contractors of service may request enrollment with the Washington state health care authority (medicaid agency) to provide covered health care services to eligible clients. For the purposes of this chapter, health care services include treatment, equipment, related supplies, and drugs.
(1) Professionals:
(a) Advanced registered nurse practitioners;
(b) Anesthesiologists;
(c) Applied behavior analysis (ABA) professionals, as provided in WAC ((182-531-1410 through 182-531-1436))182-531A-0800:
(i) ((Certified agency-affiliated counselors))Licensed behavior analyst;
(ii) ((Certified counselors))Licensed assistant behavior analyst; and
(iii) Certified ((counselor advisors))behavior technician.
(d) Audiologists;
(e) Chemical dependency professionals:
(i) Mental health care providers; and
(ii) Peer counselors.
(f) Chiropractors;
(g) Dentists;
(h) Dental health aide therapists, as provided in chapter
70.350 RCW;
(i) Dental hygienists;
(j) Denturists;
(k) Dietitians or nutritionists;
(l) Hearing aid fitters/dispensers;
(m) Marriage and family therapists;
(n) Mental health counselors;
(o) Mental health care providers;
(p) Midwives;
(q) Naturopathic physicians;
(r) Nurse anesthetist;
(s) Occularists;
(t) Occupational therapists;
(u) Ophthalmologists;
(v) Opticians;
(w) Optometrists;
(x) Orthodontists;
(y) Orthotist;
(z) Osteopathic physicians;
(aa) Osteopathic physician assistants;
(bb) Peer counselors;
(cc) Podiatric physicians;
(dd) Pharmacists;
(ee) Physicians;
(ff) Physician assistants;
(gg) Physical therapists;
(hh) Prosthetist;
(ii) Psychiatrists;
(jj) Psychologists;
(kk) Radiologists;
(ll) Registered nurse delegators;
(mm) Registered nurse first assistants;
(nn) Respiratory therapists;
(oo) Social workers; and
(pp) Speech/language pathologists.
(2) Agencies, centers and facilities:
(a) Adult day health centers;
(b) Ambulance services (ground and air);
(c) Ambulatory surgery centers (medicare-certified);
(d) Birthing centers (licensed by the department of health);
(e) Cardiac diagnostic centers;
(f) Case management agencies;
(g) Chemical dependency treatment facilities certified by the department of social and health services (DSHS) division of behavioral health and recovery (DBHR), and contracted through either:
(i) A county under chapter 388-810 WAC; or
(ii) DBHR to provide chemical dependency treatment services.
(h) Centers for the detoxification of acute alcohol or other drug intoxication conditions (certified by DBHR);
(i) Community AIDS services alternative agencies;
(j) Community mental health centers;
(k) Diagnostic centers;
(l) Early and periodic screening, diagnosis, and treatment (EPSDT) clinics;
(m) Family planning clinics;
(n) Federally qualified health centers (designated by the federal department of health and human services);
(o) Genetic counseling agencies;
(p) Health departments;
(q) Health maintenance organization (HMO)/managed care organization (MCO);
(r) HIV/AIDS case management;
(s) Home health agencies;
(t) Hospice agencies;
(u) Hospitals;
(v) Indian health service facilities/tribal 638 facilities;
(w) Tribal or urban Indian clinics;
(x) Inpatient psychiatric facilities;
(y) Intermediate care facilities for individuals with intellectual disabilities (ICF-IID);
(z) Kidney centers;
(aa) Laboratories (CLIA certified);
(bb) Maternity support services agencies; maternity case managers; infant case management, first steps providers;
(cc) Neuromuscular and neurodevelopmental centers;
(dd) Nurse services/delegation;
(ee) Nursing facilities (approved by the DSHS aging and long-term support administration);
(ff) Pathology laboratories;
(gg) Pharmacies;
(hh) Private duty nursing agencies;
(ii) Radiology - Stand-alone clinics;
(jj) Rural health clinics (medicare-certified);
(kk) School districts and educational service districts;
(ll) Sleep study centers; and
(mm) Washington state school districts and educational service districts.
(3) Suppliers of:
(a) Blood, blood products, and related services;
(b) Durable and nondurable medical equipment and supplies;
(c) Complex rehabilitation technologies;
(d) Infusion therapy equipment and supplies;
(e) Prosthetics/orthotics;
(f) Hearing aids; and
(g) Respiratory care, equipment, and supplies.
(4) Contractors:
(a) Transportation brokers;
(b) Spoken language interpreter services agencies;
(c) Independent sign language interpreters; and
(d) Eyeglass and contact lens providers.