Apple Health (Medicaid) rulemaking

The agency is amending this rule to correct the number of service hours identified in the eligibility criteria for Tier 4 and Tier 5 community behavioral health
support services.

HCA is amending WAC 182-501-0213, Case management services, and writing new rules under new Chapter 182-563 WAC to provide limited coverage for certain services for incarcerated individuals up to 90 days before their expected release date. This rulemaking aligns with Washington’s Medicaid Transformation Project 2.0, in accordance with Section 1115(a) of the Social Security Act and the Consolidated Appropriations Act (CAA).

The agency is developing rules to implement housing transition navigation services provided through the Washington State Health-Related Social Needs (HSRN) services program. Under the Washington State Section 1115 Medicaid Demonstration waiver, the HSRN services program allows qualifying Medicaid enrollees to receive evidence-based, non-medical services to address unmet, adverse social conditions that contribute to poor health. The housing transition navigation services program provides short-term assistance to remove barriers in order to obtain or maintain affordable housing. The agency is developing rules to implement rent/temporary housing services provided through the Washington State Health-Related Social Needs (HSRN) services program. Under the Washington State Section 1115 Medicaid Demonstration waiver, the HSRN services program allows qualifying Medicaid enrollees to receive evidence-based, non-medical services to address unmet, adverse social conditions that contribute to poor health. The rent/temporary housing benefit provides stable independent living situations for people transitioning out of institutional care or congregate settings who are homeless or at risk of homelessness. Payment
may cover rent and/or short-term temporary stays for up to six months.