Apple Health : Rule Making Notification

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Apple Health (Medicaid): Provider Alert

Proposal - Public Hearings (CR102)

182-502-0110, Conditions of Payment - Medicare coinsurance, copayments, and deductibles,
 (WSR 17-03-113) Purpose:  The agency is revising WAC 182-502-0110 to clarify prior authorization requirements for dual-eligible clients when their Medicare benefits are exhausted. The proposed amendments also add language to clarify that timely billing requirements must be met and that the agency may do post payment review on paid claims. The revisions do not change current policy. The WAC title is being changed to better reflect the information in the WAC section.

Permanent Adoption (CR103P)

182-507-0125, 182-512-0400, 182-512-0960, 182-513-1100, 182-513-1200, 182-513-1205, 182-513-1210, 182-513-1215, 182-513-1220, 182-513-1225, 182-513-1230, 182-513-1235, 182-513-1240, 182-513-1245, 182-513-1300,182-513-1301, 182-513-1305, 182-513-1315, 182-513-1316, 182-513-1317, 182-513-1318, 182-513-1319, 182-513-1320, 182-513-1325, 182-513-1330, 182-513-1340, 182-513-1345, 182-513-1350, 182-513-1355, 182-513-1363, 182-513-1364, 182-513-1365, 182-513-1366, 182-513-1367, 182-513-1380, 182-513-1385, 182-513-1395, 182-513-1400, 182-513-1405, 182-513-1410, 182-513-1415, 182-513-1420, 182-513-1425, 182-513-1430, 182-513-1435, 182-513-1450, 182-513-1455, 182-513-1440, 182-513-1445, 182-513-1450, 182-513-1455, 182-515-1500, 182-515-1505, 182-515-1506, 182-515-1507, 182-515-1508, 182-515-1509, 182-515-1510, 182-515-1511, 182-515-1512, 182-515-1513, 182-515-1514
Long-Term Care Eligibility Rules , (WSR 17-03-116) Purpose: The agency revised eligibility rules for institutional medical assistance programs, and creating new regulations to implement the Patient Protection and Affordable Care Act established under Public Law 111-148.