Health Care Authority Rulemaking Notice

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Health Care Authority Rulemaking Notice

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Proposal - Public Hearings (CR102)

182-551-3000, -3100, -3200, -3300, -3400, Private-duty nursing services for clients age seventeen and younger.
Purpose: The agency is amending WAC 182-551-3000, Private Duty nursing services for clients age seventeen and younger – General, as follows: (1) Renaming the title to reflect that it contains general information about private duty nursing for clients age seventeen and younger; (2) Removing the definition of "private duty nursing" and moving it to a new section for definitions; (3) Adding information about receiving services through a managed care organization (MCO); (4) Adding information about coverage for services when the client has third-party liability (TPL) coverage; (5) Removing and moving to new sections all information regarding client eligibility, provider requirements, application requirements, and authorization; and (6) Housekeeping changes. Changes to WAC 182-551-3000 explain that private duty nursing services are provided to fee-for-service clients through the Medically Intensive Children’s Program (MICP) and further clarify how services are provided through MCOs and when clients have TPL coverage. The agency is creating a new WAC 182-551-3050, Private Duty nursing services for clients age seventeen and younger – Definitions, to define terms not previously found in WAC regarding private duty nursing services. The agency is creating new sections for client eligibility, provider requirements, application requirements, and authorization (new WACs 182-551-3100 through -3400). These sections are being added to make information easier to find. Additionally, the language in the new WAC sections contains some changes (from the original language in WAC 182-551-3000) to clarify information and update policy. 
(WSR 17-17-105)

182-535-1050, -1060, -1066, -1070, -1079, -1082, -1084, -1086, -1088, -1090, -1094, -1098, -1099, -1100, -1220, -1245; 182-535A-0010, -0020, -0040, -0600, Dental-Related Services, Orthodontic Services
Purpose: The agency is amending several sections of Chapters 182-535 WAC, Dental-related services, and 182-535A WAC, Orthodontic services. Amendments are being made to: add, remove, or update definitions; add covered services; clarify or change coverage limits; remove or update some prior authorization requirements; and clarify processes described in WAC. The revisions also include housekeeping changes. (WSR 17-17-155)