Apple Health (Medicaid) rulemaking

The agency is adding Independent Diagnostic Testing Facilities as a provider type.

HCA is amending these rules to align them with current policies and practices.

The agency is revising this section to update language in subsection (3)(d) allowing the agency to adjust fees using market research as necessary to align with other reimbursement WACs and the state plan amendment.

The agency is establishing rules to allow for the payment of services under the Apple Health program by anesthesiologist assistants, as established in Chapter 18.71D RCW.

The agency is revising these rules to change the title of the rule section to Enhanced reimbursement – medication for opioid use disorder (MOUD). The agency is also revising the section to clarify the requirements for receiving the enhanced reimbursement for MOUD.

The agency is revising these sections to add behavioral support specialists as an eligible provider type and add behavioral health support specialist definition to align with the state plan definition.

The agency is revising these rules to remove the requirement that physician assistants work under the supervision of a physician. This change aligns with ESHB 2041 which authorizes physician assistants to enter into collaborative agreements with physicians to provide team-based care and enhance access to health care for people in Washington state.

HCA is reviewing these rules to evaluate their alignment with current billing practices.

The agency intends to amend this rule to reflect current standards of care.

HCA is expanding the age limit for the enhancement rate for pediatric care services and the administration of vaccines provided to clients from age 18 and younger to age 20 and younger.