Health Care Authority Rulemaking Notice

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Health Care Authority Rulemaking Notice

You are receiving this notice because you signed up to receive alerts for any rulemaking that occurs to one or more of the following rules.

Proposal - Public Hearings (CR102)

182-513-1215 Community First Choice - eligibility
182-513-1220 Community First Choice - Spousal impoverishment protections for noninstitutional WA Apple Health clients
Purpose: Section 2404 of the Affordable Care Act amended section 1924 of the Social Security Act, for the five-year period beginning January 1, 2014, to require states to apply the spousal impoverishment rules to additional individuals receiving long-term services and supports under 1915(d). The agency is amending this section to end the time-limited spousal impoverishment provisions for the Community First Choice program.
(WSR 18-03-078)

182-501-0135 Patient review and coordination (PRC)
182-502-0160 Billing a client
Purpose: The agency is amending WAC 182-501-0135, Patient review and coordination (PRC), as follows: adding types of patient review and coordination (PRC) program clients that may change managed care organizations (MCOs) and assigned primary care providers in a time period of less than twelve months; revising the section about billing PRC program clients that receive nonemergency health care services obtained from providers to specify "nonpharmacy" providers; and clarifying information about administrative hearing and appeals for clients receiving services through fee-for-service (FFS) and MCOs. The agency is amending WAC 182-502-0160, Billing a client: specifically subsection (6)(c), to correct a WAC reference, and subsection (6)(d), to align the language with changes being proposed to WAC 182-501-0135.  (WSR 18-03-085)