13-03-074

WSR 13-03-074

AGENDA

HEALTH CARE AUTHORITY

[ Filed January 14, 2013, 12:40 p.m. ]

Semi-Annual Rule-Making Agenda

January through June 2013

     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
Chapters 182-08, 182-12, and 182-16 WAC	Public employee's benefits board (PEBB) -- Annual review of eligibility, enrollment, and appeal rules.	April 2013
Chapters 182-503, 182-504, 182-505, 182-506, 182-507, 182-508, 182-509, 182-510, 182-511, 182-512, 182-514, 182-518, 182-519, 182-520, 182-523 WAC	Medicaid expansion, implementation of Affordable Care Act provisions by January 2014.	WSR 12-19-092 filed September 19, 2012
WAC 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
WAC 182-502-0115	Adding requirements and prohibition of payment for provider preventable conditions (PPC).	WSR 11-19-008 filed September 7, 2011
Chapter 182-537 WAC	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	WSR 13-02-073 filed December 31, 2012
WAC 182-501-0135	Patient review and coordination. HCA will pay only for medically necessary emergency services performed in the emergency room.	WSR 12-06-036 filed March 2, 2012	WSR 12-21-113 filed October 23, 2012
WAC 182-502-0010, 182-502-0012, 182-502-0014, 182-502-0016, and 182-502-0020	Provider screening and enrollment. Implementing new requirements per federal Affordable Care Act.	WSR 12-17-060 filed August 10, 2012	WSR 12-24-088 filed December 5, 2012
WAC 182-530-1000 and 182-531-0100	Outpatient drug program and physicians. Implementing new federal requirement that ordering, prescribing, or referring providers must be enrolled as participating providers.	WSR 12-09-080 filed April 17, 2012	WSR 12-21-110 filed October 23, 2012
WAC 182-531-1410	Applied behavioral analysis (ABA) therapy for children with autism spectrum disorders.	WSR 12-14-100 filed July 3, 2012
WAC 182-531-1500, 182-550-1800, and 182-550-6350	Sleep studies. Allowing nonhospital-owned and operated facilities to be included on the agency-approved sleep study list.	WSR 12-11-103 filed May 21, 2012
Chapter 182-532 WAC	TAKE CHARGE program. Amending rules to comply with new federal waiver and discontinuing payment for application assistance.	WSR 12-16-100 filed August 1, 2012
WAC 182-540-001 through 182-540-065	Kidney disease program. Restructuring program to include changes to client eligibility and the application process, client and contractor accountability, and adding a standardized administrative hearing process.	WSR 12-05-021 filed February 7, 2012
Chapter 182-550 WAC	Hospital services. Implementing safety net assessments.
Chapter 182-551 WAC	Home health services. Implementing ACA requirement that a health care provider must have a face-to-face encounter with a client before ordering or recertifying services.
Chapter 182-557 WAC	Chronic care management. Implementing ACA requirement regarding utilizing health homes in managing chronic care.	WSR 12-22-074 filed November 7, 2012

Kevin M. Sullivan

Rule Coordinator