WSR 25-14-114
PREPROPOSAL STATEMENT OF INQUIRY
HEALTH CARE AUTHORITY
[Filed July 1, 2025, 3:12 p.m.]
Subject of Possible Rule Making: New subchapters under chapter 182-565 WAC, Health-related social needs (HRSN), relating to nutrition supports; caregiver respite services; environmental accessibility, remediation, and adaptation services; and other related rules as appropriate.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) is developing rules for the HRSN services program. Under the Washington state section 1115 medicaid demonstration wavier, the HRSN services program allows qualifying medicaid enrollees to receive evidence-based, nonmedical services to address unmet, adverse social conditions that contribute to poor health. The agency plans to have new rules to implement:
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| • | Nutritional supports for people who screen positive for certain chronic conditions or for people post-discharge from a hospital, institutional, or congregate setting who screen positive for food insecurity or need assistance to maintain nutrition goals; |
| • | Caregiver respite services that provide temporary, short-term supervision and services usually furnished by a caregiver to people whose caregivers need relief or who have trouble finding alternative affordable care; and |
| • | Environmental accessibility, remediation, and adaptation services to provide physical changes to a home that promote health, safety, or independence to people who meet certain chronic conditions and whose health has been impacted by their living conditions. |
During this review, the agency may identify additional related changes that improve clarity or update policy.
Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: Centers for Medicare and Medicaid Services; department of social and health services.
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 Melinda Froud, Rule-making Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1408, fax 360-586-9727, telecommunication relay services (TRS) 711, email melinda.froud@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking; or Cassidy Farrow, Program Questions, P.O. Box 42732, Olympia, WA 98504-2716, phone 360-725-9548, fax 360-586-9727, TRS 711, email cassidy.farrow@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking.
July 1, 2025
Wendy Barcus
Rules Coordinator