Apple Health Rule Making Notice


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Apple Health (Medicaid): Provider Alert


Permanent Adoption (CR103P)

Resending this notice.  The CR103P in the original notice referred to the incorrect CR102 Public Hearing Notice under the Public Notice box.  The CR103P was corrected.   

182-554-100, -200, -300, -7400, -500, -525, -550, -600,-700, -800, -900, Enteral Nutrition, (WSR 17-08-009)
Purpose: All of the sections in this chapter have been amended to update outdated references to Title 388 WAC, MAA, etc., and have been simplified for easier reading. The amendment to WAC 182-554-400 adds valid prescription and proof of delivery requirements. The amendment to WAC 182-554-500 includes requirements regarding registered dietitian evaluations and recordkeeping for WIC clients and amended authorization requirements and clinical criteria. The amendment to WAC 182-554-600 adds requirements for recordkeeping for WIC clients. The amendment to WAC 182-554-700 adds prior authorization instructions. The requirements for clients with specific medical conditions who need oral enteral nutrition were relocated from WAC 182-554-500 to new sections WAC182-554-525 and 182-554-550. Authorization requirements were added to WAC 182-554-525 to protect clients under one year of age who receive thickeners. The FDA issued a warning not to give babies thickeners, particularly those born prematurely, because there is substantial evidence that it puts them at risk of necrotizing enterocolitis. The recommendation is supported by the American Academy of Pediatrics.