Rule notices 2023
| Sent date | WSR # | Description |
|---|---|---|
| 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 182-508-0005, 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) Hospital services - CUP Women Program Name change 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 182-531-1400, Psychiatric physician-related services and other professional mental health services Respiratory care 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 182-535A-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 182-509-0320, MAGI income - noncountable income Chapter 182-558 WAC, Premium Payment Program (PPP) WAC 182-555-0300, -0500, Medical nutrition therapy - Eligibility, Covered services 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 182-531-1400, Psychiatric physician-related services and other professional mental health services WAC 182-512-0880, SSI-related medical – Special income disregards 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) WAC 182-500-0075, Medical assistance definitions - N 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) |
| 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 WAC 182-535A-0040, Orthodontic treatment and orthodontic-related services- Covered, noncovered, and limitations to coverage Hospital services WAC 182-550-4400, Services—Exempt from DRG payment 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 182-540-030, 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 |
| 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 182-531-2040, 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 182-550-2600, Inpatient psychiatric services WAC 182-517-0100, Federal Medicare savings WAC 182-509-0220, How resources are considered 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 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 |
| 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 182-500-0010, -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 |
| 10/5/2023 | 23-20 |
WAC 182-531-0150, -0950, Adult Travel Vaccines WAC 182-504-0015, -0035 WAC 182-503-0535, Washington apple health – Citizenship and immigration status 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 182-550-2590 WAC 182-501-0200, Third Party Resources WAC 182-533-0390, Childbirth Education Classes |