WSR 12-15-047 AGENDA
HEALTH CARE AUTHORITY [ Filed July 16, 2012, 2:19 p.m. ]
Semi-Annual Rule-Making Agenda July through December 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 (360) 725-1344, e-mail Kevin.Sullivan@hca.wa.gov.
Current Activity WAC Citation Subject Matter CR-101 Preproposal
CR-102 or CR-105
CR-103 Chapters 182-08, 182-12, and 182-16 Public employee's benefits board (PEBB) - eligibility, enrollment, and appeal rules. Implementing legislation authorizing the Washington health benefit exchange to participate in PEBB healthcare coverage. WSR 12-09-064 filed April 17, 2012
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, and 182-523 Medicaid expansion -- Implementation of Affordable Care Act provisions by January 2014. 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
182-502-0115 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
Supplemental CR-102
WSR 12-12-068
filed June 5, 2012
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
WSR 12-13-075 filed June 19, 2012
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
WSR 12-09-087 filed April 18, 2012
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
WSR 12-13-088 filed June 19, 2012
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, 2011
WSR 12-13-087 filed June 19, 2012
Chapter 182-552 Oxygen services. Updating policy for oxygen and respiratory therapy, WSR 09-13-099 filed June 17, 2009
WSR 12-09-076 filed April 17, 2012
WSR 12-14-022 filed June 25, 2012 (effective August 1, 2012)
Kevin M. Sullivan
Rule[s] Coordinator
