12/23/2022 |
23-01 |
WAC 182-537-0700, School district documentation requirements
Chapter 182-80 (new), Primary Care Transformation Model (PCTM) Provider Certification
WAC 182-513-1110 (new), Presumptive eligibility - Long-term services and supports in a home setting or in an alternative living facility authorized by home and community services
Hospital services
WAC 182-550-3830, Adjustments to inpatient rates
WAC 182-550-7500, OPPS rate
WAC 182-550-7550, OPPS payment enhancements |
1/05/2023 |
23-02 |
WAC 182-538D-0262, Behavioral health administrative service organizations and managed care organizations—Behavioral health ombuds office |
1/19/2023 |
23-03 |
WAC 182-543-8200, Billing for clients eligible for medicare and medicaid
WAC 182-538-070, Payments, corrective action, and sanctions for managed care organizations (MCOs)
WAC 182-538-140, Quality of care
WAC 182-508-0005, Washington apple health medical care services - Eligibility and scope of coverage
WAC 182-531-1675, Washington apple health - Gender affirming interventions for gender dysphoria
|
2/02/2023 |
23-04 |
WAC 182-501-0215, 182-502-0022, Wraparound with intensive services (WISe) and Provider preventable conditions (PPCs)—Payment policy
WAC 182-507-0125, 182-513,-514, -515, -517, Client Eligibility (website address change)
WAC 182-513-1445 Designating a protected asset and required proof
WAC 182-501-0300, Telemedicine and store and forward technology (new)
WAC 182-531-0100, Scope of coverage for physician-related and health care professional services- General and administrative
WAC 182-531-1730, Telemedicine (Repealed)
WAC 182-537-0200, Definitions
WAC 182-538-195, Telemedicine and store and forward technology
WAC 182-551-2010, Definitions
WAC 182-551-2125, Home health services delivered using telemedicine
WAC 182-551-2040, Face-to-face encounter requirements
WAC 182-551-2210, Provider requirements
Hospital services - CUP Women Program Name change
WAC 182-550-1100, Hospital care - General
WAC 182-550-1200, Restrictions on hospital coverage
WAC 182-550-3000, Payment method
WAC 182-550-3850, Budget neutrality adjustment and measurement
WAC 182-550-4300, Hospitals and units exempt from the DRG payment method
WAC 182-531A-1200, Applied behavior analysis (ABA) - Services provided via telemedicine
WAC 182-500-0050, 182-502-0002, Washington apple health Definitions I and Eligible provider types
|
2/16/2023 |
23-05 |
WAC 182-513-1100, -1215, -1220, -1660, Extending Spousal Impoverishment Protections
WAC 182-512-0500, SSI-related medical -Burial funds, contracts and spaces excluded as resources.
WAC 182-512-0880, SSI-related medical -Special income disregards
WAC 182-509-0300, -0305, Modified adjusted gross income (MAGI), MAGI income - Persons subject to the modified adjusted gross income methodology
WAC 182-531-1400, Psychiatric physician-related services and other professional mental health services
Respiratory care
WAC 182-552-0005, Definitions; -0200 Provider requirements; -0800, Covered- Oxygen and oxygen equipment
WAC 182-540-030, Kidney disease program (KDP) - Resource eligibility
WAC 182-512-0500, SSI-related medical -Burial funds, contracts and spaces excluded as resources.
WAC 182-537-0700, School district documentation
WAC 182-555-0300, -0500, Eligibility and covered services
WAC 182-501-0060, Scope of service categories
WAC 182-535A-0040, Orthodontic treatment and orthodontic-related services - Covered, noncovered, and limitations to coverage
|
3/02/2023 |
23-06 |
WAC 182-530-5000, Billing requirements - Pharmacy claim payment
WAC 182-80, (New Chapter) Primary Care Transformation Model Provider Certification
WAC 182-535-1098, -1100, Dental-related services—Not covered, Covered—Adjunctive general services
WAC 182-550-4400, Services exempt from DRG payment
WAC 182-543-8200, Billing for clients eligible for Medicare and Medicaid
WAC 182-507-0115, Alien Emergency Medical (AEM) program
WAC 182-503-0005, -0510, 182-505-0300, 182-513-1605, -1615, 182-530-7250, 182-550-4900, Family planning only Take charge corrections
WAC 182-508-0001, 182-509-0001, 182-519-0050, -0100, Correcting references to repealed rules
|
3/23/2023 |
23-07 |
WAC 182-530-1050, -7100, -7250, -7900, Definitions, Reimbursement - Compounded prescriptions, Reimbursement - Miscellaneous, Drugs purchased under the Public Health Services (PHS) Act
WAC 182-531-0050, -1625, Definitions, Outpatient hemophilia treatment requirements - Center of excellence
WAC 182-532-001, -140,-550, Reproductive health services - Definitions, Reproductive health services - Reimbursement and payment limitations, Family planning only programs - Payment limitations
WAC 182-509-0320, MAGI income - noncountable income
WAC 182-512-0860, SSI related medical - income exclusions under federal statute or other state laws
Chapter 182-558 WAC, Premium Payment Program (PPP)
WAC 182-555-0300, -0500, Medical nutrition therapy - Eligibility, Covered services
WAC 182-501-0060, Health care coverage - Program benefit packages - Scope of service categories
WAC 182-537-0700, School district documentation requirements
|
4/07/2023 |
23-08 |
WAC 182-531-2040, Enhanced reimbursement—Medication assisted treatment for opioid use disorder
WAC 182-521-0200, Coverage after the public health emergency (PHE) ends
WAC 182-512-0500, SSI-related medical -Burial funds, contracts and spaces excluded as resources
WAC 182-513-1100, -1215, -1220, -1660, Extending Spousal Impoverishment Protections
Chapter 182-561 WAC, Community behavioral health support services benefit (new)
WAC 182-502-0002, Eligible provider types
WAC 182-531-1400, Psychiatric physician-related services and other professional mental health services
WAC 182-512-0880, SSI-related medical – Special income disregards
WAC 182-509-0300, -0305, Modified adjusted gross income (MAGI) and MAGI-income – Persons subject to the modified adjusted gross income (MAGI) methodology
WAC 182-535A-0040, Orthodontic treatment and orthodontic-related services—Covered, noncovered, and limitations to coverage
WAC 182-535-1098, -1100, Covered—Adjunctive general services, Dental-related services—Not covered
WAC 182-550-4400, Services -- Exempt from DRG payment
WAC 182-521-0200, Coverage after the public health emergency (PHE) ends.
|
5/03/2023 |
23-10 |
Electronic visit verification (EVV)
Chapter 182-551 WAC, Subchapter II - Home Health Services;
Chapter 182-538 WAC, Managed care
WAC 182-502-0002, Eligible provider types
WAC 182-502-0016, Continuing requirements
WAC 182-502-0020 - Health care record requirements
WAC 182-502-0100, General conditions of payment
WAC 182-500-0075, Medical assistance definitions - N
WAC 182-500-0085, Medical assistance definitions - P
WAC 182-502-0005, Core provider agreement (CPA)
WAC 182-502-0030, Termination of provider agreement - For cause
WAC 182-502-0270, Review of agency's provider dispute decision
Chapter 182-530 WAC, Prescription drugs (Outpatient)
WAC 182-531-0250, Who can provide and bill for physician-related and health care professional services
WAC 182-530-5000, Billing requirements - Pharmacy claim payment
Chapter 182-561 (new), Community behavioral health support services benefit WAC 182-502-0002, Eligible provider types
WAC 182-509-0300, Modified gross income (MAGI)
WAC 182-509-0305, MAGI income - Persons subject to the MAGI methodology WAC 182-512-0880, SSI-related medical - Special income disregards
|
5/24/2023 |
23-11 |
Chapter 182-135 WAC, Recovery residence revolving loan
WAC 182-509-0320, 182-512-0860, Income exclusion for Working Families Tax Credit
WAC 182-501-0135, Patient review and coordination
WAC 182-540-030, Kidney disease program - resource eligibility
WAC 182-552-0005, -0200, -0800, Respiratory Care
WAC 182-503-0005, 182-503-0510, 182-505-0300, 182-513-1605, 182-513-1615, 182-530-7250, 182-550-4900, Take Charge Housekeeping
WAC 182-508-0001, 182-509-0001, 182-519-0050,182-519-0100, Correcting references to repealed rules
WAC 182-512-0500, SSI-related medical Burial funds, contracts and spaces excluded as resources
WAC 182-513-1100, -1215, -1220, -1660, Spousal impoverishment protections
WAC 182-531-1400, Psychiatric physician-related services and other professional mental health services
WAC 182-507-0115, Alien Emergency Medical (AEM) program
|
6/09/2023 |
23-12 |
WAC 182-504-0035, Washington Apple Health Renewals
WAC 182-550-2600, Inpatient Psychiatric services
|
6/22/2023 |
23-13 |
WAC 182-535-1088, Dental-related services - Covered - Periodontic services
Applied behavior analysis
Chapter 182-531A WAC, Sections -0200, 0400, -0500, -0600, -0800
WAC 182-535A-0040, Orthodontic treatment and orthodontic-related services- Covered, noncovered, and limitations to coverage
Hospital services
Chapter 182-550 WAC, Sections -2750, -2900, -3800, -3830, -4500, -5425, -7200, -7550, -8000, -8100
WAC 182-550-4400, Services—Exempt from DRG payment
WAC 182-550-4550, Administrative day rate and swing bed day rate
WAC 182-550-4800, Hospital payment methods—State-administered programs
WAC 182-521-0200, Coverage after the PHE ends
WAC 182-531-1850, Payment methodology for physician services - General and billing modifiers
WAC 182-531-2040, Enhanced reimbursement - Medication assisted treatment for opioid use disorder
WAC 182-530-5000, Billing requirements - Pharmacy claim payment
|
7/05/2023 |
23-14 |
WAC 182-503-0535, WAC 182-507-0135, Citizenship & Immigration Status - Afghan/Ukranian
New Rule Apple Health Expansion
WAC 182-504-0015, 182-504-0035, 182-505-0210, Child Continuous Coverage
WAC 182-501-0200, Third party resources
WAC 182-546-5000, -5100, -5550, -5600, -5800, -5900, -6200, Nonemergency transportation (NEMT)
WAC 182-552-0005, Definitions
WAC 182-552-0200, Provider Requirements
WAC 182-552-0800, Respiratory therapy - Covered- Oxygen and oxygen equipment
WAC 182-540-030, Kidney disease program (KDP) - Resource eligibility
WAC 182-501-0135, Patient review and coordination
WAC 182-509-0320, 182-512-0860, Working families tax credit
WAC 182-513-1110, Presumptive eligibility for HCS HCB waiver
WAC 182-503-0535. WAC 182-507-0135, Citizenship & Immigration Status - Afghan/Ukranian
WAC 182-504-0015, 182-504-0035, 182-505-0210, Child Continuous Coverage
WAC 182-513-1625, -1635, -1640, Tailored supports for older adults (TSOA)
Hospital rules
Chapter 182-550 WAC, Sections -1100, -2750, -4700, and -5425
|
7/19/2023 |
23-15 |
WAC 182-533-0390, Childbirth education (CBE) classes |
8/4/2023 |
23-16 |
WAC 182-500-0010, -0095, -0100, Medical assistance definitions
WAC 182-532-001, -510, Family Planning Only - Eligibility
WAC 182-531-0150, -0950, Coverage for adult vaccines
WAC 182-513-1625, Tailored supports for older adults (TSOA) - Applications
WAC 182-513-1635, TSOA - Income eligibility
WAC 182-513-1640, TSOA - Resource eligibility
WAC 182-531-2040, Enhanced reimbursement - Medication assisted treatment for opioid use disorder
WAC 182-531-1850, Payment methodology for physician-related services - General and billing modifiers
WAC 182-521-0200, Coverage after the PHE ends
|
8/24/2023 |
23-17 |
WAC 182-531-0200, -0375, Physician-related and health care professional services requiring prior authorization
WAC 182-547-0850, Audiology services
WAC 182-550-2600, Inpatient psychiatric services
WAC 182-517-0100, Federal Medicare savings
WAC 182-509-0220, How resources are considered
WAC 182-519-0050, Monthly income and countable resource standards for medically needy (MN)
WAC 182-513-1100, Definitions related to long-term services and supports (LTSS)
WAC 182-559-300, Eligibility for community support services
Chapter 182-550 WAC, multiple sections
WAC 182-535-1088, Covered - Periodontic Services
WAC 182-535A-0040, Orthodontic treatment and orthodontic related services - Covered, noncovered, and limitations to coverage
Chapter 182-531A WAC, multiple sections
Chapter 182-135 WAC, multiple sections
WAC 182-503-0535, Citizenship and Immigration status
WAC 182-507-0135, Immigration status requirement for refugee medical assistance (RMA)
Chapter 182-546 WAC, multiple sections
|
9/7/2023 |
23-18 |
WAC 182-550, Multiple sections
WAC 182-533-0390, Childbirth Education (CBE) classes
WAC 182-501-0200, Third-party resources
WAC 182-500, multiple sections
WAC 182-502, multiple sections
WAC 182-526-0195, Prehearing conferences
WAC 182-530-1000, Outpatient drug program
WAC 182-531-0250, Who can provide and bill for physician-related and health care professional services
|
9/21/2023 |
23-19 |
WAC 182-513-1110, Presumptive eligibility (PE) - Long term services and supports (LTSS) in a home setting or alternative living facility (ALF) authorized by home and community services (HCS)
Chapter 182-551 WAC, Subchapter II – Home Health Services
WAC 182-502-0002, Eligible provider types
WAC 182-502-0100, General conditions of payment
WAC 182-538-070, Payments, corrective action, and sanctions for MCOs
WAC 182-500-0010, -0095 and -0100 Medical Definitions, A, R, & S
WAC 182-513-1625, -1635, -1640 Tailored Supports for Older Adults
WAC 182-550, multiple sections
WAC 182-513-1110, Presumptive eligibility (PE) - Long term services and supports (LTSS) in a home setting or alternative living facility (ALF) authorized by home and community services (HCS)
WAC 182-531-0150, Noncovered physician-related and health care professional services – General and administrative
WAC 182-531-0950, Office and other outpatient physician-related services
|
10/5/2023 |
23-20 |
WAC 182-531-0150, -0950, Adult Travel Vaccines
WAC 182-504-0015, -0035
WAC 182-505-0210, Child Continuous Coverage
WAC 182-503-0535, Washington apple health – Citizenship and immigration status
WAC 182-507-0135, Immigration status requirement for refugee medical assistance (RMA)
Chapter 182-135, Recovery Residence Program
WAC 182-550, multiple sections
WAC 182-531A, multiple sections
WAC 182-535-1088, Dental-related services - Covered- Periodontic services
|
10/19/2023 |
23-21 |
WAC 182-559-300, Eligibility for community support services
Chapter 182-52 WAC, Prescription Drug Affordability Board
WAC 182-500-0075, -0085
WAC 182-502-0005, -0030
WAC 182-526-195
WAC 182-530-1000
WAC 182-531-0250, Provider Termination
WAC 182-550-2590
WAC 182-550-3381
WAC 182-550-4550, Administrative Day Rate
WAC 182-501-0200, Third Party Resources
WAC 182-533-0390, Childbirth Education Classes
|