Rule Updates

Rules Under Development

Medical Aid Rules

Chapter 296-20, WAC

All updates for this rule:

Medical Aid Rules Update (WAC 296-20-135, WAC 296-23-220, WAC 296-23-230)

The purpose of this rulemaking is to update the Medical Aid Rules rates. The affected rules describe elements used in the process of updating the maximum allowable payments for most professional health care services. These elements are set in rule in order to follow the established methodologies of the department and maintain consistency with the Health Care Authority and Medicaid Purchasing Administration. Specifically, the proposed rule changes will do the following: 1. WAC 296-20-135: Update the conversion factors used by the department for calculating reimbursement rates for most professional health care and anesthesia services. The conversion factors will be updated to correspond to changes in the medical procedure codes, the relative value units, and anesthesia base units. These changes will enable the department to continue a reimbursement methodology consistent with other state agencies. Cost-of-living increases may be incorporated into the changes in the conversion factors. 2. WAC 296-23-220 and 230: Update the maximum daily reimbursement level for physical and occupational therapy services so the department may, if necessary, give cost-of-living increases to affected providers.839.

12/18/2018

PDF: Preproposal (CR-101)

Hearing Aid Replacement (WAC 296-20-1101)

This rulemaking amends WAC 296-20-1101, Hearing aids and masking devices, allowing the replacement of hearing aids upon request five years after the issue date of the current hearing aids. The rule language was developed through the recommendations and consensus of a department initiated and led workgroup of expert and interested parties. The changes were adopted 4/2/2019 and became effective on 5/15/2019.822.

5/15/2019

Rule Changes Effective

4/2/2019

PDF: Adoption (Rule-Making Order CR-103)

PDF: Adopted Rule Language

PDF: Response to Public Comments (CES)

2/28/2019

Public Hearing

2/28/2019

Comments Due

1/22/2019

PDF: Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language

2/6/2018

PDF: Preproposal (CR-101)

Medical Aid Rules Update (WAC 296-20-135, WAC 296-23-220, WAC 296-23-230)

This rulemaking adopts amendments that update the Medical Aid Rules rates by updating conversion factors provided in WAC 296-20-135 Conversion Factors, and maximum daily fees provided in WAC 296-23-220 Physical Therapy Rules and WAC 296-23-230 Occupational Therapy Rules for certain professional health care services for injured workers. These amendments are necessary to maintain current overall fees for health care services, which are published annually in the Medical Aid Rules and Fee Schedules. These amendments increase the resource based relative value scale (RBRVS), anesthesia conversion factors and the maximum daily caps to be consistent with the changes for other professional fees resulting from increases in the relative value units published by the Centers for Medicare and Medicaid Services. The changes were adopted 5/1/2018 and became effective on 7/1/2018.817.

7/1/2018

Rule Changes Effective

5/1/2018

PDF: Adoption (Rule-Making Order CR-103)

PDF: Adopted Rule Language

3/28/2018

Public Hearing

3/28/2018

Comments Due

2/6/2018

PDF: Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language

12/19/2017

PDF: Preproposal (CR-101)

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