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.

Preproposal - Notice of Intent (CR101)

182-513-1330 Determining available income for legally married couples for long-term care (LTC) services

Purpose: The agency is modifying WAC 182-513-1330 to add WAC references for sponsored immigrants and how to determine if sponsors’ income counts in determining benefits. (WSR 18-08-045)

182-560-100 Achieving a Better Life Experience

Purpose: The agency is amending WAC 182-560-100, Achieving a Better Life Experience (ABLE) Act, to comply with amendments to federal rules under 26 USC Sec.529A, Qualified ABLE programs, and to clarify how contributions to ABLE accounts count towards countable income in determining eligibility for Apple Health programs. (WSR 18-08-071)

Permanent Adoption (CR103P)

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 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 to WAC 182-501-0135. (WSR 18-08-075)