HCA External Review | Apple Health Expansion Rules | Due date extended to 2-27-24

Washington State Health Care Authority sent this bulletin at 02/21/2024 03:12 PM PST

February 21, 2024

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WAC external review

COMMENT PERIOD EXTENDED TO 2/27/2024

Proposed revisions:

Chapter 182-525 WAC - Apple Health Expansion (AHE) - Coverage benefits
Chapter 182-525A WAC - Apple Health Expansion (AHE) - Health plan administration of benefits
Chapter 182-525B WAC - Apple Health Expansion (AHE) Outpatient Drug Program
WAC 182-500-0120 - Medical assistance definitions - W
WAC 182-501-0060 - Health care coverage - Program benefit packages - Scope of service categories
WAC 182-501-0065 - Health care coverage - Description of service categories
WAC 182-503-0510 - Washington apple health - Program summary
WAC 182-503-0515 - Washington apple health - Social Security number requirements
WAC 182-509-0220 – Washington apple health – How resources are considered
WAC 182-526-0005 - Purpose and scope

Purpose

On June 28, 2023, HCA filed a preproposal statement of inquiry (CR-101) under WSR 23-14-063 to develop new rules under ESSB 5187 Sec. 211 (83), 68^th Legislature, Regular Session. This legislation directs the agency to implement a program with coverage comparable to the categorically needy Medicaid program for certain adults who do not qualify for Medicaid or other federally funded medical assistance programs or subsidies.
WAC 182-501-0065 includes a revision that relates to a concurrent rulemaking project. On April 19, 2022, HCA filed a CR-101 under WSR 22-09-074 to develop new rules in Title 182 WAC regarding the Community Behavioral Health Support Services (CBHS) benefit. This rulemaking was postponed after necessary funding for the program was not provided. HCA is restarting this rulemaking in anticipation of funding. WAC 182-501-0065 includes an amendment to include the CBHS benefit.

To comment: Download the Word document, use track changes, save, and return to the email address in the first column below.

Review Chapter 182-525

Review Chapter 182-525A

Review Chapter 182-525B

Review 182-500-0120

Review 182-501-0060 & -0065

Review 182-503-0510 & -0515

Review 182-509-0220

Review 182-526-0005

Comments due by: February 23, 2024

Return comments on proposed rules to:

Melinda Froud
Rules and Publications
Program Manager

Direct policy questions to:

Rebecca Carrell
Medicaid Programs Division
with cc to
Melinda Froud

All comments are considered

Thank you for your interest in the Health Care Authority’s (HCA) rulemaking process. There will be another opportunity to comment after the official draft is published. All comments are retained in HCA’s permanent rule file and are subject to public review and disclosure, as are the names of those who comment.

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.