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Attached are the proposed Apple Health Expansion rules; the agency has made revisions following input received from external reviewers. We are providing an additional review for these rules, which will be filed next month as emergency rules. After we respond to stakeholder comments, we will propose the emergency rules, including any revisions, as the permanent rules. There will be another opportunity to comment on the Apple Health Expansion rules when we schedule the public hearing for the permanent rules.
Please note that WAC 182-501-0065 is not included with the draft rules. After further review, agency staff determined it is not necessary to revise this rule because Apple Health Expansion is included in WAC 182-501-0060.
Proposed revisions:
Chapter 182-525 WAC – Washington apple health expansion - Coverage benefits
Chapter 182-525A WAC – Washington apple health expansion - Health plan administration of benefits
Chapter 182-525B WAC – Washington apple health expansion 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 182-503-0510 - 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), 68th 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.
To comment: Download the Word document, use track changes, save, and return to the email address in the first column below.
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