Source: http://lawfilesext.leg.wa.gov/Law/WSR/2011/14/11-14-027.htm
Timestamp: 2020-08-15 17:46:04
Document Index: 566616285

Matched Legal Cases: ['§ 1109', '§ 388', '§ 388', '§ 388', '§ 1109', '§ 388', '§ 388', '§ 1109', '§ 388', '§ 388', '§ 1109', '§ 388', '§ 388', '§ 1109', '§ 388', '§ 388']

WSR 11-14-027
[ Filed June 27, 2011, 9:08 a.m. , effective June 29, 2011 ]
Effective Date of Rule: June 29, 2011.
Purpose: The legislature passed ESHB 1086, which reduces funding for maternity support services and mandates medicaid purchasing administration (MPA) to prioritize evidence-based practices for delivery of maternity support services and to target funding for maternity support services by leveraging local public funding for those services. In addition, upon order of the governor, the MPA must reduce its budget expenditures for the current fiscal year ending June 30, 2011, by 6.3 percent.
Citation of Existing Rules Affected by this Order: Amending WAC 388-533-0300, 388-533-0320, 388-533-0325, 388-533-0370, and 388-533-0380.
Statutory Authority for Adoption: Chapter 5, Laws of 2011, ESHB 1086 and HB 1248 which extends the allowance of emergency rule filing through fiscal year 2013.
Reasons for this Finding: See Purpose above. This emergency rule is necessary to continue the emergency rule that is currently in effect under WSR 11-06-040 while the permanent rule-making process initiated under WSR 10-20-165 is completed.
Date Adopted: June 27, 2011.
AMENDATORY SECTION(Amending WSR 10-12-011, filed 5/21/10, effective 6/21/10)
WAC 388-533-0300 Services under First Steps. (1) Under the 1989 Maternity Care Access Act, and RCW 74.09.760 through 74.09.910, the department established First Steps to provide access to services for eligible women and their infants.
(a) Maternity support services (MSS) component of First Steps are found in WAC 388-533-0310 through 388-533-0345.
(b) Infant case management (ICM) component of First Steps are found in WAC 388-533-0360 through 388-533-0386.
[Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910, and 2009 c 564 § 1109. 10-12-011, § 388-533-0300, filed 5/21/10, effective 6/21/10. Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910. 04-13-049, § 388-533-0300, filed 6/10/04, effective 7/11/04. Statutory Authority: RCW 74.08.090, 74.09.770, and 74.09.800. 00-14-068, § 388-533-0300, filed 7/5/00, effective 8/5/00.]
WAC 388-533-0320 Maternity support services -- Client eligibility. (1) To receive maternity support services (MSS), a client must:
(ii) CNP -- Children's health insurance program;
(b) Be within the eligibility period of a maternity cycle as defined in WAC 388-533-0315; and
(3) Clients meeting the eligibility criteria in this section who are enrolled in a department-contracted managed care plan, are eligible for MSS outside their plan.
(5) Clients receiving MSS before ((July 1, 2009)) March 1, 2011, are subject to the transition plan as determined and published by the department in numbered memoranda.
[Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910, and 2009 c 564 § 1109. 10-12-011, § 388-533-0320, filed 5/21/10, effective 6/21/10. Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910. 04-13-049, § 388-533-0320, filed 6/10/04, effective 7/11/04.]
WAC 388-533-0325 Maternity support services -- Provider requirements. (1) To be paid for providing maternity support services (MSS) and infant case management (ICM) services to eligible clients, an agency or entity must:
(a) Be currently approved as an MSS/ICM provider by the department of ((health (DOH))) social and health services (department);
(b) Be enrolled as an eligible provider with the ((department of social and health services' (department's) health and recovery services administration (HRSA))) department's medicaid purchasing administration (see WAC 388-502-0010);
[Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910, and 2009 c 564 § 1109. 10-12-011, § 388-533-0325, filed 5/21/10, effective 6/21/10. Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910. 04-13-049, § 388-533-0325, filed 6/10/04, effective 7/11/04.]
AMENDATORY SECTION(Amending WSR 10-12-010, filed 5/21/10, effective 6/21/10)
WAC 388-533-0370 Infant case management -- Eligibility. (1) To receive infant case management (ICM), an infant must:
(a) Be covered under one of the medical assistance programs listed in WAC 388-533-0320(1);
(b) Meet the age requirement for ICM which is the day after the maternity cycle (defined in WAC 388-533-0315) ends, through the last day of the month of the infant's first birthday;
(c) Reside with at least one parent (see WAC 388-533-0315 for definition of parent);
(3) Clients meeting the eligibility criteria in subsection (1) of this section who are enrolled in a department-contracted managed care plan are eligible for ICM services outside their plan.
(5) Clients receiving ICM before ((July 1, 2009)) March 1, 2011, are subject to the transition plan as determined and published by the department in numbered memoranda.
[Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910, and 2009 c 564 § 1109. 10-12-010, § 388-533-0370, filed 5/21/10, effective 6/21/10. Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910. 04-13-049, § 388-533-0370, filed 6/10/04, effective 7/11/04.]
WAC 388-533-0380 Infant case management -- Covered services. (1) The department covers infant case management (ICM) services subject to the restrictions and limitations in this section and other applicable WAC.
(a) An initial in-person screening for ICM services which includes ((an assessment)) identification of risk factors, and the development of an individualized care plan;
(3) The department pays for covered ICM services according to WAC 388-533-0386.
[Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910, and 2009 c 564 § 1109. 10-12-010, § 388-533-0380, filed 5/21/10, effective 6/21/10. Statutory Authority: RCW 74.08.090, 74.09.760 through 74.09.910. 04-13-049, § 388-533-0380, filed 6/10/04, effective 7/11/04.]