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Apple Health (Medicaid): Provider Alert

Preproposal - Notice of Intent (CR101)

Chapter 182-502A WAC, Program Integrity, (WSR 17-10-057)
Purpose: The agency is amending Chapter 182-502A, Program integrity, to update definitions and clarify processes.

Permanent Adoption (CR103P)

182-550-2531, -2551, Physical Medicine and Rehabilitation (PM&R) (WSR 17-10-058)
Purpose: The agency is amending WAC 182-550-2531 to strike the requirement of an agency facility site visit in order to qualify as an agency-approved acute physical medicine and rehabilitation (PM&R) hospital. The agency is amending WAC 182-550-2551 as follows: reorganizing the section to clarify that acute PM&R services may be authorized when all criteria in the section are met; adding acute inflammatory demyelinating polyneuropathy (AIDP) to the list of conditions that qualifies clients for acute PM&R services; and adding language that says the agency will evaluate requests per WAC 182-501-0165 for acute PM&R services that do not meet the criteria in the section. The agency also made housekeeping changes.