12-02-029

WSR 12-02-029

AGENDA

HEALTH CARE AUTHORITY

[ Filed December 28, 2011, 3:12 p.m. ]

Semi-Annual Rule-Making Agenda

January through June 2012

     The following is the Washington health care authority's (HCA) semi-annual rule-making agenda for publication in the Washington State Register pursuant to RCW 34.05.314.

     There may be additional rule-making activity not on the agenda as conditions warrant.

     If you have questions about this rule-making agenda, please contact Kevin M. Sullivan, Rules Coordinator, P.O. Box 45504, Olympia, WA 98504-5504, phone [phone], e-mail [e-mail].

WAC Citation	Subject Matter	Current Activity
		CR-101 Preproposal	CR-102 or CR-105	CR-103
182-501-0050, 182-501-0060, 182-501-0065, 182-501-0070, 182-502-0160	Updating healthcare services categories to reflect what is currently available to HCA medicaid clients.	WSR 10-22-121 filed November 3, 2010
182-502-0005	Core provider agreement (CPA) -- adding requirement that all ordering, prescribing, or referring providers be enrolled as participating providers under the billing providers' CPA.	WSR 11-23-089 filed November 17, 2011
182-502-0115	Adding requirements and prohibition of payment for provider preventable conditions (PPC).	WSR 11-19-008 filed September 7, 2011
Chapters 182-503, 182-504, 182-506, 182-507, 182-508, and 182-509	ESSB [ESHB] 2082 requires HCA to establish an incapacity-based medical care services program for adults effective November 1, 2011.	WSR 11-16-104 filed August 3, 2011	WSR 11-23-164 filed November 22, 2011
388-517-0320	Amending payment methodology for medicare/medicaid eligible clients ("dual eligibles") to align with payment formula established in WAC 182-502-0110 regarding medicare deductible and coinsurance.	WSR 11-09-056 filed April 18, 2011	WSR 12-01-127 filed December 21, 2011
Chapter 182-526	Medical administrative hearings. Required due to HCA being designated as the "single state medicaid agency" per HB 1738.	WSR 11-19-004 filed September 7, 2011
Chapter 182-530	Drug formulary. To avoid elimination of the prescription drug benefit for medicaid clients due to budget cuts, HCA intends to implement a drug formulary.	WSR 12-01-081 filed December 19, 2011
182-530-7000, 182-531-0050, and 182-531-1625	Hemophilia products and supplies. Requires treatment of hemophilia disorders to be provided by a comprehensive hemophilia treatment center.	WSR 11-19-005 filed September 7, 2011
Chapter 182-535	Dental-related services. Elimination of adult services due to budget cuts.	WSR 10-20-160 filed October 6, 2010
Chapter 182-537	School-based healthcare services. To avoid elimination of the program, HCA is revising rules to allow school districts to provide the state funds to match the federal participation.	WSR 10-20-160 filed October 6, 2010
182-543-5500, 182-543-9100, 182-543-9200, 182-543-9300, and 182-543-9400	Durable medical equipment. Reinserting policy language regarding "base year" that was inadvertently deleted under WSR 11-14-052.	WSR 11-23-088 filed November 17, 2011
182-548-1400 182-549-1400	Federally qualified health centers and rural health clinics. New alternative payment methodology. Requires state plan amendment.	WSR 11-23-017 filed November 17 [7], 2011
182-550-4650 and 182-550-5400	Hospital payments. Clarifying that hospitals must be "operated" (rather than "owned") by a public hospital district to qualify for certified public expenditure payments.	WSR 11-21-067 filed October 17, 2011	WSR 12-01-042 filed December 13, 2011
Chapter 182-551	Hospice services. Clients under twenty-one years of age receiving hospice no longer have to waive treatment for the terminal illness.	WSR 11-07-092 filed March 22, 2011	WSR 11-24-060 filed December 5, 2011
Chapter 182-552	Oxygen services. Updating policy for oxygen and respiratory therapy.	WSR 09-13-099 filed June 17, 2009

Kevin M. Sullivan

Rule [Rules] Coordinator