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Recently Adopted Rules (CR-103P and CR-103E)

The permanent rules listed below have been filed and will remain on this page for a period of one year after adoption. The rule title links to the CR-103P or CR-103E form and text. Emergency rules will remain until they are replaced or the 120-day limit has elapsed.

DSHS filing notices ("CR" forms), WAC text and related materials that appear on this website are facsimiles of official rule-making notices filed with the Office of the Code Reviser. Some information - such as the effective date of a final or emergency rule - may be added by DSHS to rule-making notices appearing on this website. Such added information is intended for clarity only and does not alter the effect of the official notice.

Aging & Disability Services | Children's | Economic Services | Health & Recovery Services | Juvenile Rehabilitation | Management Services | Office of the Secretary

Aging & Disability Services Administration
Rule Title/Subject Contact Person Washington State Register Citations
WAC 388-825-068

What medicaid state plan services can DDD authorize?
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-22-038
Effective date: October 28, 2009
WAC 388-850-045

What is the formula for distribution of funding to the counties?
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-22-028
Effective date: October 28, 2009
WAC 388-828-1620, 8500, 8505, 8510, 8515, 8520

DDD is incorporating rules for the CIIBS eligibility algorithm into chapter 388-828 WAC.
Mark Eliason
(360) 725-2517
EMERGENCY ADOPTION
WSR 09-21-103
Effective date: October 22, 2009
WAC 388-76-10025, 10070 and 10073

Recently enacted 2SHB 1935 increased the application processing and yearly license fees for adult family home applicants and providers.
Maureen Lally
(360) 725-3204
PERMANENT ADOPTION
WSR 09-21-075
Effective date: November 16, 2009
WAC 388-106-0125

The department is adopting new WAC 3o comply with a United States Court order to exclude children and youth under the age of 21 from the rules filed as WSR 09-14-046.
Tiffany Sevruk
(360) 725-2583
EMERGENCY ADOPTION
WSR 09-21-074
Effective date: October 16, 2009
WAC 388-828-9040 and 9060

The department plan to amend these existing rules to clarify language used to describe the individual and family services level.
Mark Eliason
(360) 725-2517
PERMANENT ADOPTION
WSR 09-21-033
Effective date: November 13, 2009
WAC 388-106-0125

The department is revising this rule to amend the in-home classifications to allow for the reduction of in-home base hours for each of the 17 classification groups.
Tiffany Sevruk
(360) 725-2583
EMERGENCY ADOPTION
WSR 09-20-038
Effective date: October 1, 2009
WAC 388-71-0724

The purpose of this change is to update the payment rates to Adult Day Health centers.
Tiffany Sevruk
(360) 725-2583
EMERGENCY ADOPTION
WSR 09-20-037
Effective date: October 1, 2009
WAC 388-105-0005 and 0045

The purpose of this rule making is to adopt the four percent reduction to the rates of the 17 level payment system.
Patricia Hague
(360) 725-2447
PERMANENT ADOPTION
WSR 09-20-011
Effective date: October 26, 2009
WAC 388-829C-230; 388-828-5990, 6010, 6011 and 6012

The purpose of these rules is to provide rules governing the process DDD uses to determine the number of respite hours clients may receive annually when they are approved to receive companion home services.
Mark Eliason
(360) 725-2517
PERMANENT ADOPTION
WSR 09-20-004
Effective date: October 26, 2009
WAC 388-827-0115

What are the programmatic eligibility requirements for DDD/SSP?
Meredith Kelly
(360) 725-3524
PERMANENT ADOPTION
WSR 09-19-107
Effective date: October 1, 2009
WAC 388-110-140

The purpose of this rule action is to include kitchen sink requirements for assisted living resident units in boarding homes, clarify language and delete unnecessary or redundant language.
Judy Johnson
(360) 725-2591
PERMANENT ADOPTION
WSR 09-19-042
Effective date: October 11, 2009
WAC 388-831-0010 and 0030

This amendment reflects the legislation contained in RCW 71A.12.210.
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-18-095
Effective date: September 3, 2009
WAC 388-71-0515, 0540 and 388-106-1303

The department is amending these rules in accordance with chapter 571, laws of 2009.
Tiffany Sevruk
(360) 725-2583
EMERGENCY ADOPTION
WSR 09-18-060
Effective date: August 28, 2009
Chapter 388-845 WAC

DDD Home and Community Based Waivers.
Mark Eliason
(360) 725-2517
EMERGENCY ADOPTION
WSR 09-18-059
Effective date: August 28, 2009
WAC 388-832-0145

Senate bill 5547 directed the department to change eligibility for respite for individuals participating in the individual and family services program.
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-16-020
Effective date: July 26, 2009
WAC 388-76-10025 and 10070

Increases adult family home application processing fee and yearly licensing fee.
Maureen Lally
(360) 725-3204
EMERGENCY ADOPTION
WSR 09-16-019
Effective date: July 26, 2009
WAC 388-105-0005

To reduce by approximately four percent the rates of all levels of the 17 level medicaid payment system for adult family homes and licensed boarding homes with contracts to provide assisted living, adult residential care and enhanced adult residential care services.
Patricia Hague
(360) 725-2447
EMERGENCY ADOPTION
WSR 09-14-094
Effective date: July 1, 2009
WAC 388-850-045

This amendment implements changes made to the county funding formula as a result of changes in the state budget appropriation for county programs.
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-14-089
Effective date: July 1, 2009
WAC 388-825-068

What medicaid state plan services can DDD authorize?
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-14-084
Effective date: July 1, 2009
WAC 388-106-0125

The department is revising this rule to amend the in-home classifications to allow for the reduction of in-home base hours for each of the 17 classification groups. The Washington State 2009-11 Operating Budget directs the department to reduce the number of in-home care hours authorized.
Tiffany Sevruk
(360) 725-2583
EMERGENCY ADOPTION
WSR 09-14-046
Effective date: July 1, 2009
WAC 388-71-0724, 0726, 0728, 0734, 0815, and 0820

Amending and adopting new rules to implement changes required due to federal requirements and the 2009-11 Washington State legislative budget.
Tiffany Sevruk
(360) 725-2583
EMERGENCY ADOPTION
WSR 09-14-045
Effective date: July 1, 2009
EMERGENCY ADOPTION RESCINDED BY MEMO FILED AS WSR 09-20-036 ON SEPTEMBER 30, 2009
Chapter 388-828 WAC

Division of developmental disabilities assessment.
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-14-044
Effective date: June 24, 2009
WAC 388-515-1507

What are the financial requirements for home and community based (HCB) services when you are eligible for a noninstitutional categorically needy (CN) medicaid program?
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 09-14-043
Effective date: June 25, 2009
WAC 388-827-0115

What are the programmatic eligibility requirements for DDD/SSP?
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-12-116
Effective date: June 3, 2009
WAC 388-513-1350

Defining the resource standard and determining resource eligibility for long-term care (LTC) services.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 09-12-058
Effective date: July 1, 2009
WAC 388-105-0005 and 0045

This amendment adopts rates of the 17 CARE Level Payment System.
Patricia Hague
(360) 725-2447
PERMANENT ADOPTION
WSR 09-11-053
Effective date: June 13, 2009
Chapter 388-832 WAC

These rules clarify existing language and remove certain limitations for the receipt of services under the Individual and Family Services Program.
Meredith Kelly
(360) 725-3524
PERMANENT ADOPTION
WSR 09-11-054
Effective date: June 13, 2009
WAC 388-831-0010 and 0030

DDD is amending these sections to include individuals who have a history of violent behavior which demonstrates the likelihood to commit a violent act. This reflects legislation contained in RCW 71A.12.210.
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-10-084
Effective date: May 6, 2009
Chapter 388-845 WAC

DDD Home and Community Based Waivers.
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-10-035
Effective date: May 1, 2009
WAC 388-845-0060

Can my waiver enrollment be terminated?
Meredith Kelly
(360) 725-3524
PERMANENT ADOPTION
WSR 09-10-021
Effective date: May 29, 2009
WAC 388-513-1340

Determining excluded income for long-term care (LTC) services.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 09-09-101
Effective date: May 21, 2009
WAC 388-515-1507

What are the financial requirements for home and community based services when you are eligible for a noninstitutional categorically needy (CN) medicaid program?
Lori Rolley
(360) 725-2271
EMERGENCY ADOPTION
WSR 09-08-082
Effective date: April 1, 2009
WAC 388-96-758 and 759

The Legislature directed the department to increase compensation for low-wage workers in nursing homes beginning July 1, 2009. The department may reduce the level of add-on if necessary to fit within the appropriation if the caseload forecasted days increase from the February 2008 forecast.
Patricia Hague
(360) 725-2447
PERMANENT ADOPTION
WSR 09-08-081
Effective date: April 30, 2009
WAC 388-513-1380

Determining a client's participation in the cost of care for long-term care services.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 09-07-037
Effective date: April 10, 2009
WAC 388-513-1315 and 1320

These changes update WAC references and clarify language.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 09-07-036
Effective date: April 10, 2009
WAC 388-78A-2770, 2773, 2775, 2777, 2780, 2783, 2785

Boarding home licensing rules.
Todd Henry
(360) 725-2580
PERMANENT ADOPTION
WSR 09-06-063
Effective date: April 2, 2009
WAC 388-828-1620, 8500, 8505, 8510, 8515, 8520

The department is amending chapter 388-828 to add children's intensive in-home behavioral support program (CIIBS) eligibility algorithm.
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-06-049
Effective date: February 25, 2009
WAC 388-561-0200 and 0201

Rules are amended to include new requirements of the DRA and clarify language.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 09-06-048
Effective date: April 1, 2009
WAC 388-828-5020, 5520, 8020, 9520, 9530, 9540, 9700

DDD renumbered rule section for the Residential Algorithm rules previously filed as WAC 388-828-10000 through 10380 because the numbering was not compatible with the Office of the Code Reviser's computer publishing system.
Meredith Kelly
(360) 725-3524
PERMANENT ADOPTION
WSR 09-06-047
Effective date: March 28, 2009
WAC 388-105-0005

The purpose of this change is to implement the 17 level medicaid payment system.
Patricia Hague
(360) 725-2447
EMERGENCY ADOPTION
WSR 09-06-032
Effective date: February 24, 2009
WAC 388-96-758 and 759

The department is creating new rules to increase compensation for low-wage workers in nursing homes beginning July 1, 2008, and to establish a system of reporting to ensure that the low wage add-on increased the compensation/benefits for low wage workers, increased staff, and/or paid for wage compression when low wage workers' compensation was increased.
Patricia Hague
(360) 725-2447
EMERGENCY ADOPTION
WSR 09-06-031
Effective date: February 24, 2009
WAC 388-827-0115

What are the programmatic eligibility requirements for DDD/SSP?
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 09-05-001
Effective date: February 4, 2009
Chapter 388-71 and 388-112 WAC

Chapter 146, Laws of 2008 require that all nursing assistants who will be delegated the task of insulin injections complete a specialized diabetes nurse delegation training.
Barbara Hanneman
(360) 725-2540
PERMANENT ADOPTION
WSR 09-03-066
Effective date: February 14, 2009
WAC 388-76-10036, 10040, 10080, 10105, 10170, 10173, 10174, 10335, 10645, 10783, 10784, 11015, 10785

The purpose of the rule amendment is to clarify requirements and make grammatical correction.
Maureen Lally
(360) 725-3204
PERMANENT ADOPTION
WSR 09-03-030
Effective date: February 12, 2009
WAC 388-76-10000, 10230, 10235, 10330, 10355, 10650, 10720, 10725, 10775, 10840, 10845, 10870, 10930 and 10995

The purpose of the rule amendment is to clarify requirements and make grammatical correction.

Maureen Lally
(360) 725-3204
PERMANENT ADOPTION
WSR 09-03-029
Effective date: February 12, 2009
WAC 388-76-10120, 10125, 10955, 10960

The purpose of the rule amendment is to clarify requirements and make grammatical correction.
Maureen Lally
(360) 725-3204
PERMANENT ADOPTION
WSR 09-03-028
Effective date: February 12, 2009
WAC 388-831-0010 and 0030

DDD is amending rules to include individuals who have a history of violent behavior which demonstrates the likelihood to commit a violent act. This amendment reflects the legislation contained in RCW 71A.12.210.
Steve Brink
(360) 725-3416
EMERGENCY ADOPTION
WSR 09-02-077
Effective date: January 7, 2009
WAC 388-78A-2202, 2204, 2206, 2208, 2600, 2730, 3150, 3152

Changes implement Engrossed Second Substitute House Bill 2668 (chapter 146, laws of 2008).
Todd Henry
(360) 725-2580
PERMANENT ADOPTION
WSR 09-01-079
Effective date: January 15, 2009 for WACs 388-78A-2202, 2204, 2206, 2208, 2600 and 2730.
Effective date: May 1, 2009 for WACs 388-78A-3150 and 3152.
WAC 388-78A-2470, 2680, 2690, 2950, 2980, 3030, 3450, 3460

Changes clarify and enhance readability and usability of rules.

Todd Henry
(360) 725-2580
PERMANENT ADOPTION
WSR 09-01-052
Effective date: January 10, 2009
WAC 388-515-1512, 1514

These changes incorporate the $20 disregard and increase the personal needs allowance to match Home and Community Services categorically needy (CN) waiver programs.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 08-24-069
Effective date: January 1, 2009

WAC 388-106-0130

How does the department determine the number of hours I may receive for in-home care?

Susan Engels
(360) 725-2353
PERMANENT ADOPTION
WSR 08-23-011
Effective date: December 7, 2008
WAC 388-106-0225; 388-515-1505, 1506, 1507, 1508, 1509

Personal needs allowance changes and adopting new WACs 388-515-1506 through 388-515-1509 to break up WAC 388-515-1505 for clarity and readability.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 08-22-052
Effective date: December 4, 2008
WAC 388-828-1620, 8500, 8505, 8510, 8515, 8520

The department is amending rules to add the Children's Intensive In-Home Behavioral Support Program (CIIBS) eligibility algorithm.
Meredith Kelly
(360) 725-3524
EMERGENCY ADOPTION
WSR 08-22-040
Effective date: November 3, 2008
WAC 388-96-758 and 759

The department is creating new rules to increase compensation for low-wage workers in nursing homes beginning July 1, 2008, and to establish a system of reporting to ensure that the low wage add-on increased the compensation/benefits for low wage workers, increased staff, and/or paid for wage compression when low wage workers' compensation was increased.
Patricia Hague
(360) 725-2447
EMERGENCY ADOPTION
WSR 08-22-016
Effective date: October 28, 2008
WAC 388-105-0005

The purpose of this rule change is to implement the 17 level Medicaid payment system for Adult Family Homes (AFH) and licensed boarding homes with contracts to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.
Patricia Hague
(360) 725-2447
EMERGENCY ADOPTION
WSR 08-22-015
Effective date: October 28, 2008
WAC 388-106-0225 and 388-515-1505

The department is amending these rules to increase the personal needs allowance 3.3%, as directed by the Washington State 200-09 Operating Budget (SHB 1128, Chapter 522, Laws of 2007).
Lori Rolley
(360) 725-2271
EMERGENCY ADOPTION
WSR 08-22-013
Effective date: October 27, 2008
WAC 388-561-0200, 0201

The purpose of this CR-103 is to correct an error in the effective date listed on the CR-103 filed as WSR 08-20-117. The department inadvertently listed the effective date as November 1, 2009, rather than November 1, 2008, as intended. The department is recommencing the rule making process to change the rules to have a new effective date and will be re-filing a Preproposal Statement of Inquiry in October.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 08-21-083
Effective date: April 1, 2009
Chapter 388-831 WAC

Community protection program.
Steve Brink
(360) 725-3416
PERMANENT ADOPTION
WSR 08-20-118
Effective date: October 31, 2008
WAC 388-561-0200, 0201

Amendments and new rule are necessary to meet the requirements of section 6012 of the Deficit Reduction Act of 2005.
Lori Rolley
(360) 725-2271
PERMANENT ADOPTION
WSR 08-20-117
Effective date: November 1, 2008
Chapter 388-97 WAC

Nursing homes.
Judy Johnson
(360) 725-2591
PERMANENT ADOPTION
WSR 08-20-062
Effective date: November 1, 2008
Chapter 388-845 WAC

DDD home and community based services waivers.
Steve Brink
(360) 725-3416
PERMANENT ADOPTION
WSR 08-20-033
Effective date: October 23, 2008
WAC 388-106-0080, 0110 and 0115

The department is amending sections to phase in a 17 level CARE assessment payment system effective July 1, 2008 as directed by ESHB 2687).
Susan Engels
(360) 725-2353
PERMANENT ADOPTION
WSR 08-19-102
Effective date: October 18, 2008
WAC 388-106-0250, 0255, 0260, 0265

Roads to community living (RCL) is a demonstration project, funded by a five-year "Money Follows the Person" grant authorized under section 6071 of the Deficit Reduction Act of 2005 (P.L. 109-171).
Tiffany Sevruk
(360) 725-2583
PERMANENT ADOPTION
WSR 08-18-046
Effective date: September 29, 2008
WAC 388-825-100, 101 and 102

The department is amending rules to clarify who will be notified of decisions made by the Division of Developmental Disabilities and to specify that both notices and correspondence will be sent to the appropriate parties.
Steve Brink
(360) 725-3416
PERMANENT ADOPTION
WSR 08-16-122
Effective date: September 5, 2008
Chapter 388-828 and 388-832 WAC

Individual and family services program.
Steve Brink
(360) 725-3416
PERMANENT ADOPTION
WSR 08-16-121
Effective date: September 5, 2008
WAC 388-828-9000, 9020, 9040, 9060, 9100, 9120, 9140

Individual and family services program.
Steve Brink
(360) 725-3416
EMERGENCY ADOPTION
WSR 08-15-115
Effective date: July 21, 2008
WAC 388-96-758 and 759

The department is creating new sections to increase compensation for low-wage workers in nursing homes beginning July 1, 2008, and to establish a system of reporting to ensure that the low wage add-on increased the compensation/benefits for low wage workers, increased staff, and/or paid for wage compensation when low wage workers' compensation was increased.
Patricia Hague
(360) 725-2447
EMERGENCY ADOPTION
WSR 08-14-106
Effective date: July 1, 2008
WAC 388-105-0005

The purpose of this rule change is to implement the 17 level Medicaid payment system for adult family homes (AFH) and licensed boarding homes with contracts to provide AL, ARC and EARC services.
Patricia Hague
(360) 725-2447
EMERGENCY ADOPTION
WSR 08-14-100
Effective date: July 1, 2008
WAC 388-106-0225 and 388-515-1505

SHB 128, chapter 522, Laws of 2007 increases the personal needs allowance (PNA) 3.3% effective July 1, 2008.
Tiffany Sevruk
(360) 725-2583
EMERGENCY ADOPTION
WSR 08-14-099
Effective date: July 1, 2008
WAC 388-106-0080, 0110 and 0115

ESHB 2687 directs the department to phase in full implementation of a 17 level CARE assessment payment system by July 1, 2008.
Tiffany Sevruk
(360) 725-2538
EMERGENCY ADOPTION
WSR 08-14-098
Effective date: July 1, 2008

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Children's Administration
Rule Title/Subject Contact Person Washington State Register Citations
Chapter 388-25 WAC

The purpose is to clarify the scope and nature of the right of a foster parent to notice and an opportunity for a hearing to contest a foster care rate assessment.
Carrie Kendig
(360) 902-7568
PERMANENT ADOPTION
WSR 09-16-045
Effective date: August 28, 2009
WAC 388-15-021

This rule change establishes a ninety day timeline for a CPS investigation.
Tina Stern
(360) 902-0860
PERMANENT ADOPTION
WSR 09-07-001
Effective date: April 4, 2009
WAC 388-15-005 and 077

The new language is essential for Children's Administration to implement the legislature's intent in SSB 5321, amending Child Protective Services (CPS) rules to establish a two-tiered findings system and new record expungement timeframes.
Colette McCully
(360) 902-7918
PERMANENT ADOPTION
WSR 08-18-040
Effective date: October 1, 2008

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Economic Services Administration
Rule Title/Subject Contact Person Washington State Register Citations
WAC 388-450-0185

What income deductions does the department allow when determining if I am eligible for food benefits and the amount of my monthly benefits?
Holly St. John
(360) 725-4895
PERMANENT ADOPTION
WSR 09-23-004
Effective date: November 15, 2009
WAC 388-412-0025

The department is adopting rules to reflect the adjustment of Basic Food and cash benefit client debit transactions.
Holly St. John
(360) 725-4895
PERMANENT ADOPTION
WSR 09-21-071
Effective date: November 16, 2009
WAC 388-424-0020; 388-466-0120 and 0130

The purpose of these amendments is to allow Special Immigrants from Afghanistan to be eligible for Refugee Cash Assistance (RCA), Refugee Medical Assistance (RMA), and federally funded Washington Basic Food program benefits for up to eight months as allowed under federal law.
Olga Walker
(360) 725-4641
PERMANENT ADOPTION
WSR 09-21-046
Effective date: November 4, 2009
WAC 388-412-0040

Can I get my benefits replaced?
Don Winslow
(360) 725-4580
PERMANENT ADOPTION
WSR 09-21-009
Effective date: November 15, 2009
WAC 388-406-0055

The purpose of this change is to eliminate the 45-day processing timeframe for general assistance applications filed by a person in confinement in a correctional facility or institution.
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 09-20-031
Effective date: November 1, 2009
Chapter 388-14A WAC

Division of child support rules.
Nancy Koptur
(360) 664-5065
EMERGENCY ADOPTION
WSR 09-20-030
Effective date: October 1, 2009
WAC 388-450-0185, 0190; 388-478-0060; 388-492-0070

The department is amending sections to implement annual adjustments to standards for WASHCAP.
Holly St. John
(360) 725-4895

EMERGENCY ADOPTION
WSR 09-20-029
Effective date: October 1, 2009

WAC 388-406-0005, 0035 and 0045

The purpose of this rule change is to eliminate the 45-day processing timeframe for general assistance applications filed by a person in confinement in a correctional facility or institution.

Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 09-19-129
Effective date: November 1, 2009
WAC 388-450-0175

Does the department offer an income deduction for the general assistance program as an incentive for clients to work?
Melissa Mathson
(360) 725-4563
PERMANENT ADOPTION
WSR 09-18-079
Effective date: October 1, 2009
WAC 388-466-0120 and 0130

To extend the duration of eligibility of special immigrants from Afghanistan for public benefits from six to eight months as required by the Office of Refugee Resettlement Letter #09-17.
Olga Walker
(360) 725-4641
EMERGENCY ADOPTION
WSR 09-18-006
Effective date: August 22, 2009
WAC 388-450-0015

The purpose of this CR-103 is to extend the effective date listed on the CR-103 filed as WSR 09-15-085.
Don Winslow
(360) 725-4580
PERMANENT ADOPTION
WSR 09-16-095
Effective date: November 15, 2009 - Extending effective date of WSR 09-15-085.
WAC 388-310-0700

WorkFirst--Comprehensive evaluation.
Jenny Grayum
(360) 725-4583
PERMANENT ADOPTION
WSR 09-16-100
Effective date: September 4, 2009
WAC 388-310-0350

The department is streamlining the WorkFirst exemption process.
Sandy Jsames
(360) 725-4648
PERMANENT ADOPTION
WSR 09-16-079
Effective date: September 1, 2009
WAC 388-14A-4500, 4505, 4510, 4512, 4515, 4520, 4525, 4527, 4530, 4535, 4540

DCS is adopting rules to implement license suspension for noncompliance with child support orders.
Nancy Koptur
(360) 664-5065
EMERGENCY ADOPTION
WSR 09-15-183
Effective date: July 26, 2009
WAC 388-450-0015

What types of income does the department not use to figure out my benefits?
Don Winslow
(360) 725-4580
PERMANENT ADOPTION
WSR 09-15-085
Effective date: August 14, 2009
WAC 388-310-0200

WorkFirst -- Activities.
Allen Shanafelt
(360) 725-4631
PERMANENT ADOPTION
WSR 09-15-084
Effective date: August 14, 2009
WAC 388-424-0020

How does my alien status impact my eligibility for the federally funded Washington Basic Food program benefits?
Olga Walker
(360) 725-4641
EMERGENCY ADOPTION
WSR 09-15-029
Effective date: July 7, 2009
WAC 388-436-0050

Determining financial need and benefit amount for CEAP.
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 09-14-040
Effective date: July 25, 2009
WAC 388-310-0400, 0500, 0900, 1000, 1050

The department is clarifying that WorkFirst participants can call in on the same day or as soon as possible thereafter if unable to attend a WorkFirst appointment or activity.
Stephanie Nielsen
(360) 725-4699
PERMANENT ADOPTION
WSR 09-14-019
Effective date: July 23, 2009
WAC 388-412-0015, 388-444-0030 and 388-478-0060

These amendments permanently adopt requirements under the American Recovery and Reinvestment Act of 2009 related to the SNAP or Food Stamp Program.
Holly St. John
(360) 725-4895
PERMANENT ADOPTION
WSR 09-14-018
Effective date: July 23, 2009
WAC 388-492-0070

These amendments implement changes necessary to meet cost neutrality requirements between the WASHCAP and SNAP as specifed in teh approved WASHCAP demonstration project waiver.
Don Winslow
(360) 725-4580
PERMANENT ADOPTION
WSR 09-12-068
Effective date: July 1, 2009
WAC 388-448-0050

The amendments replace obsolete and outdated medical descriptions and references.
Melissa Mathson
(360) 725-4563
PERMANENT ADOPTION
WSR 09-11-078
Effective date: June 19, 2009
WAC 388-310-0500, 0900, 1000, 1050

These amendments need to be made via emergency rule because the final rule of the DRA went into effect October 1, 2008.
Ian Horlor
(360) 725-4634
EMERGENCY ADOPTION
WSR 09-12-017
Effective date: May 22, 2009
WAC 388-466-0120 and 0130

This rule change allows Afghan Special Immigrants to be eligible for RMA and RCA for up to eight months.
Olga Walker
(360) 725-4641
EMERGENCY ADOPTION
WSR 09-10-011
Effective date: April 24, 2009
WAC 388-450-0015 and 388-470-0045

This rule change is necessary to allow the department to apply the federal policy regarding the economic stimulus rebates equally to all programs.
Melissa Mathson
(360) 725-4563
PERMANENT ADOPTION
WSR 09-09-103
Effective date: April 21, 2009
WAC 388-412-0015, 388-444-0030 and 388-478-0060

These changes must be implemented effective April 1, 2009 to comply with federal requirements for the supplemental nutrition assistance program under the American Recovery and Reinvestment Act of 2009.
John Camp
(360) 725-4616
EMERGENCY ADOPTION
WSR 09-08-084
Effective date: April 1, 2009
WAC 388-400-0040, 0045; 388-450-0162, 0185

These amendments ensure rules are consistent with Food and Nutrition Act of 2008.
John Camp
(360) 725-4616
PERMANENT ADOPTION
WSR 09-07-054
Effective date: April 11, 2009
WAC 388-310-0800

This rule change is needed to remove support services for recipients of diversion cash assistance who are receiving career services through the employment security department.
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 09-06-053
Effective date: April 1, 2009
WAC 388-310-0500, 0900, 1000 and 1050

These amendments will enable the department to invoke new options under the final Deficit Reduction Act (DRA) and to maximize the state's ability to meet the federal work participation rate.
Stephanie Nielsen
(360) 725-4699
EMERGENCY ADOPTION
WSR 09-04-011
Effective date: January 28, 2009
WAC 388-444-0005 and 0040

These amendments allow participants in the Food Stamp Employment & Training (FSE&T) program the option to volunteer to participate more than 120 hours per month.

Nick Espinosa
(360) 725-4620
EMERGENCY ADOPTION
WSR 09-04-010
Effective date: January 27, 2009
WAC 388-444-0005 and 0040

These amendments allow participants in the Food Stamp Employment & Training (FSE&T) program the option to volunteer to participate more than 120 hours per month.
Nick Espinosa
(360) 725-4620
PERMANENT ADOPTION
WSR 09-04-009
Effective date: February 22, 2009
Chapter 388-14A WAC

Division of child support rules.
Nancy Koptur
(360) 664-5065
PERMANENT ADOPTION
WSR 09-02-059
Effective date: January 27, 2009
WAC 388-310-2100

Career services program.
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 09-02-029
Effective date: February 1, 2009
WAC 388-450-0015 and 388-470-0045

This change is necessary in order to apply the federal policy to General Assistance programs.
Melissa Mathson
(360) 725-4563
EMERGENCY ADOPTION
WSR 09-01-148
Effective date: December 24, 2008
WAC 388-489-0025

Can my transitional food assistance benefits end before the end of my five-month transition period?
John Camp
(360) 725-4616
PERMANENT ADOPTION
WSR 09-01-049
Effective date: January 10, 2009
WAC 388-478-0015

Need standards for cash assistance.
Jenny Grayum
(360) 725-4583
PERMANENT ADOPTION
WSR 08-24-070
Effective date: January 1, 2009
WAC 388-412-0015 and 388-450-0185

These changes update income and deduction standards used for Basic Food and WASHCAP as required under regulations for the Food Stamp program.
Don Winslow
(360) 725-4580
PERMANENT ADOPTION
WSR 08-24-051
Effective date: December 26, 2008
WAC 388-450-0190 and 388-478-0060

These changes update income and deduction standards used for Basic Food and WASHCAP as required under regulations for the Food Stamp program.
Don Winslow
(360) 725-4580
PERMANENT ADOPTION
WSR 08-24-050
Effective date: December 26, 2008
WAC 388-478-0005

The department is amending this rule to comply with Engrossed Substitute House Bill 2687 requiring a three percent increase in the payment standards for Temporary Assistance for Needy Families (TANF).
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 08-21-134
Effective date: October 28, 2008
WAC 388-450-0195 and 388-492-0070

These amendments update utility standards for Basic Food, the WASHCAP high cost shelter standard, the WASHCAP low cost shelter standard, and the WASHCAP shelter threshold.
John Camp
(360) 725-4616
PERMANENT ADOPTION
WSR 08-21-106
Effective date: November 16, 2008
WAC 388-492-0090

This amendment extends the certification period to thirty-six months per an approved waiver from Food and Nutrition Service (FNS).
Rebecca Henrie
(360) 725-4615
PERMANENT ADOPTION
WSR 08-20-098
Effective date: November 1, 2008
WAC 388-310-0500, 0900, 1000 and 1050

These amendments will enable the department to invoke new options under the final Deficit Reduction Act (DRA) and to maximize the state's ability to meet the federal work participation rate.
Stephanie Nielsen
(360) 725-4699
EMERGENCY ADOPTION
WSR 08-20-097
Effective date: October 1, 2008
WAC 388-450-0190 and 388-478-0060

These changes update income and deduction standards used for Basic Food and WASHCAP as required under regulations for the Food Stamp program.
Don Winslow
(360) 725-4580
EMERGENCY ADOPTION
WSR 08-20-086
Effective date: October 1, 2008
WAC 388-450-0195 and 388-492-0070

These amendments include updates to utility allowances, the standard income deduction, WASHCAP high cost shelter standard, and the minimum monthly benefit amount.
John Camp
(360) 725-4616
EMERGENCY ADOPTION
WSR 08-20-085
Effective date: October 1, 2008
WAC 388-444-0005 and 0040

This amendment is to allow participants in the Food Stamp Employment and Training (FS E&T) program the option to volunteer to participate more than 120 hours per month.
Nick Espinosa
(360) 725-4620
EMERGENCY ADOPTION
WSR 08-20-084
Effective date: October 1, 2008
WAC 388-412-0015 and 388-450-0185

This amendment implements annual adjustments to standards for the Washington Basic Food program.
John Camp
(360) 725-4616
EMERGENCY ADOPTION
WSR 08-20-083
Effective date: October 1, 2008
Chapter 388-14A WAC

Division of child support.
Onika Garvin
(360) 664-5230
EMERGENCY ADOPTION
WSR 08-20-082
Effective date: October 1, 2008
WAC 388-310-0800

WorkFirst--Support services.
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 08-18-045
Effective date: October 1, 2008
WAC 388-448-0180

How do we redetermine your eligibility when we decide you are eligible for general assistance expedited Medicaid (GAX)?
Melissa Mathson
(360) 725-4563
PERMANENT ADOPTION
WSR 08-18-044
Effective date: October 1, 2008
WAC 388-470-0055

How do my resources count toward the resource limit for Basic Food?
John Camp
(360) 725-4616
PERMANENT ADOPTION
WSR 08-18-043
Effective date: October 1, 2008
WAC 388-450-0015 and 388-470-0045

This rule change is necessary to allow the department to apply the federal policy regarding the economic stimulus rebates equally to all programs.
Melissa Mathson
(360) 725-4563
EMERGENCY ADOPTION
WSR 08-18-025
Effective date: August 27, 2008
WAC 388-436-0050

Determining financial need and benefit amount for CEAP.
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 08-18-009
Effective date: September 22, 2008
WAC 388-436-0045, 0055 and 0060

Disaster cash assistance program (DCAP).
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 08-18-008
Effective date: September 22, 2008
WAC 388-472-0005

What are my rights and responsibilities?
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 08-18-007
Effective date: September 22, 2008
WAC 388-310-2100

WorkFirst career services program.
Ian Horlor
(360) 725-4634
PERMANENT ADOPTION
WSR 08-16-102
Effective date: October 1, 2008
WAC 388-414-0001

Do I have to meet all eligibility requirements for Basic Food?
John Camp
(360) 725-4616
PERMANENT ADOPTION
WSR 08-15-137
Effective date: October 1, 2008
WAC 388-478-0005

The department is proposing to amend by emergency adoption to comply with ESHB 2687, section 207(1)(e) requiring a three percent increase in the payment standards for TANF, SFA and RCA.
Ian Horlor
(360) 725-4634
EMERGENCY ADOPTION
WSR 08-14-103
Effective date: July 1, 2008
WAC 388-450-0015 and 388-470-0045

The department is amending rules to exclude economic stimulus payments, authorized by HR 5140, as income in the month of receipt and to exclude the payments as a resource for an additional two months. This change is necessary in order to apply for federal policy to general assistance programs.
Melissa Mathson
(360) 725-4563
EMERGENCY ADOPTION
WSR 08-10-040
Effective date: May 1, 2008

Back to top
Health & Recovery Services Administration
Rule Title/Subject Contact Person Washington State Register Citations
WAC 388-438-0110

Alien medical programs.
Kevin Sullivan
(360) 725-1344
EMERGENCY ADOPTION
WSR 09-22-055
Effective date: November 1, 2009
WAC 388-543-1150, 1300, 1600 and 2300

Durable medical equipment.
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 09-22-047
Effective date: November 28, 2009
WAC 388-535-1084, 1090, 1100, 1261, 1267, 1269 and 1271

Dental services.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-22-037
Effective date: October 28, 2009
WAC 388-546-5500

Modifications of privately owned vehicles -- Noncovered.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-22-036
Effective date: October 28, 2009
Chapter 388-554 WAC

Enteral nutrition.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-22-035
Effective date: October 28, 2009
WAC 388-533-0365, 0370 and 0386

Infant case management services.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-22-034
Effective date: October 28, 2009
WAC 388-533-0315, 0320 and 0345

Funding for maternity support services is reduced by twenty percent from current levels.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-22-033
Effective date: October 28, 2009
WAC 388-550-4670, 4900, 5150, 5200, 5210 and 5220

Disproportionate share hospital.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-22-032
Effective date: October 28, 2009
WAC 388-543-2900

Medical supplies and nondurable medical equipment (DME)--Reimbursement methodology.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-22-031
Effective date: October 28, 2009
WAC 388-549-1100, 1400 and 1500

Rural health clinics.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-22-030
Effective date: October 28, 2009
Chapter 388-548 WAC

Federally qualified health centers.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-22-029
Effective date: October 28, 2009
WAC 388-530-2000 and 2100

The department is reducing the coverage of cough and cold products to a few basic products (expectorant, decongestant, cough suppressant and saline nose drops).
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 09-22-005
Effective date: November 22, 2009
WAC 388-530-4100, 4125 and 4150

These amendments are required to comply with ESSB 5892 which authorizes state purchased health care programs to maximize appropriate prescription drug use in a cost-effective manner.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-20-044
Effective date: October 1, 2009
WAC 388-517-0310

Eligibility for federal medicare savings and state-funded medicare buy-in programs.
Kevin Sullivan
(360) 725-1344

PERMANENT ADOPTION
WSR 09-20-027
Effective date: October 30, 2009

WAC 388-533-1000

Under the 2009-11 Omnibus Operating Budget, funding for Maternity Support Services is reduced by 20% from current levels. In order to meet this legislatively-mandated reduction, this rule is being repealed.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-20-003
Effective date: September 26, 2009
WAC 388-865-0405, 0452, 0456, 0466 and 0468

Legislation passed in 2007 established safety requirements for mental health professionals who conduct home visits to stablize persons in crisis.
Kevin Sullivan
(360) 725-1344
PERMANENT ADOPTION
WSR 09-19-012
Effective date: October 4, 2009
WAC 388-530-2000 and 2100

The department is reducing the coverage of cough and cold products to a few basic products (expectorant, decongestat, cough suppressant, and saline nose drops).
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-18-074
Effective date: September 1, 2009
WAC 388-501-0055

Healthcare coverage--How the department determines coverage of services for its healthcare programs using health technology assessments.
Kevin Sullivan
(360) 725-1344
PERMANENT ADOPTION
WSR 09-17-004
Effective date: September 6, 2009
WAC 388-543-1150, 1300, 1600 and 2300

These amendments are necessary to meet the legislative requirements of sections 201 and 209 of the operating budget for fiscal years 2010 and 2011 for durable medical equipement.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-16-078
Effective date: August 1, 2009
WAC 388-517-0400

Repealing obsolete rule already addressed in WAC 388-517-0320.
Kevin Sullivan
(360) 725-1344
PERMANENT ADOPTION
WSR 09-16-021
Effective date: August 24, 2009
WAC 388-424-0006, 0010 and 0016

Citizenship and alien status--Date of entry and Eligibility.
Kevin Sullivan
(360) 725-1344
PERMANENT ADOPTION
WSR 09-15-082
Effective date: August 14, 2009
WAC 388-535-1084, 1090, 1100, 1261, 1266, 1267, 1269 and 1271

Under sections 201 and 209 of operating budget for fiscal years 2010 and 2011, funding for dental services is reduced from current levels.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-14-093
Effective date: July 1, 2009
WAC 388-533-0365, 0370 and 0386

Under sections 201 and 209 of operating budget for fiscal years 2010 and 2011, funding for maternity support services is reduce by twenty percent from current levels.

Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-14-092
Effective date: July 1, 2009
WAC 388-533-0315, 0320 and 0345

Under sections 201 and 209 of operating budget for fiscal years 2010 and 2011, funding for maternity support services is reduce by twenty percent from current levels.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-14-091
Effective date: July 1, 2009
WAC 388-554-100, 200, 300, 400, 500, 600, 700, 800 and 900

Enteral nutrition program.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-14-090
Effective date: July 1, 2009
WAC 388-550-4670, 4900, 5150, 5200, 5210 and 5220

The department is amending language in accordance with section 201 and 209 of the operating budget for fiscal years 2010 and 2011pertaining to disproportionate share hospitals.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-14-088
Effective date: July 1, 2009
WAC 388-546-5500

The department is amending this section because it will no longer cover modifications to privately owned vehicles.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-14-087
Effective date: July 1, 2009
Chapter 388-548 WAC

Federally qualified health centers.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-14-086
Effective date: July 1, 2009
WAC 388-549-1100, 1400, 1500

These amendments are necessary to describe the reimbursement methodology the department will use for rural health clinics.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-14-085
Effective date: July 1, 2009
WAC 388-543-2900

Medical supplies and nondurable medical equipment (MSE)--Reimbursement methodology.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-14-083
Effective date: July 1, 2009
WAC 388-502-0150; 388-550-2800, 3000, 3010, 3020, 3460, 3900, 4000

The department will be adjusting its payment rates.
Kathy Sayre
(360) 725-1342
PERMANENT ADOPTION
WSR 09-12-063
Effective date: July 1, 2009
WAC 388-550-3600, 3700, 4500, 4550, 7050, 7100, 7450, 7500, 7600

The department will be adjusting payment rates for inpatient and outpatient hospital services.
Kathy Sayre
(360) 725-1342
PERMANENT ADOPTION
WSR 09-12-062
Effective date: July 1, 2009
WAC 388-533-1000

First steps child care program.
Kathy Sayre
(360) 725-1342
EMERGENCY ADOPTION
WSR 09-12-051
Effective date: June 1, 2009
WAC 388-544-1010, 1100, 1200, 1300, 1400

The purpose of this rule change is to bring the Hearing Aids and Services program inline with current industry standards.
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 09-12-034
Effective date: July 1, 2009
WAC 388-424-0006, 0010 and 0016

Implementing this rule change will save the state money by allowing DSHS to draw down federal matching funds and will extend assistance to needy immigrant children, pregnant women and Afghan immigrants.
Kevin Sullivan
(360) 725-1344
EMERGENCY ADOPTION
WSR 09-10-010
Effective date: April 24, 2009
WAC 388-424-0006, 0010 and 0016

Recently passed federal legislation allows states, beginning April 1, 2009, to provide medicaid and state children's health insurance program coverage to legal immigrant children and pregnant women without the 5-year delay from the time of their U.S. entry.
Kevin Sullivan
(360) 725-1344
EMERGENCY ADOPTION
WSR 09-08-083
Effective date: April 1, 2009
WAC 388-519-0100 and 0110

The department is clarifying language, updating outdated references, and adding additional provisions relating to expenses an individual can use toward meeting spenddown.
Jonell Blatt
(360) 725-1571
PERMANENT ADOPTION
WSR 09-08-003
Effective date: April 19, 2009
WAC 388-416-0015; 418-0025; 478-0075; 505-0210, 0211; 388-542-0010, 0020, 0050 and 0300

Legislation passed approving expansion of the premium-based Children's Healthcare for children in households with incomes up to and including 300% of FPL. The program name is changed from "Children's Healthcare" to "Apple Health for Kids". This rule will increase the number of children who qualify for healthcare coverage.
Kevin Sullivan
(360) 725-1344
PERMANENT ADOPTION
WSR 09-07-086
Effective date: April 17, 2009
WAC 388-527-2730, 2737, 2750, 2820

Adds language relating to rights and responsibilities for state registered domestic partners, recognizing the partnerships for DSHS medical programs, whether federally matched or state-funded.
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 09-07-038
Effective date: April 10, 2009
WAC 388-537-0100, 0200, 0300, 0350, 0400, 0500, 0600, 0700, 0800

School-based healthcare services for children in special education.
Jonell Blatt
(360) 725-1571
PERMANENT ADOPTION
WSR 09-07-004
Effective date: April 4, 2009
WAC 388-416-0015; 418-0025; 478-0075; 505-0210, 0211; 542-0010, 0020, 0050 and 0300

RCW 74.09.470(5)(b) requires expansion of premium-based children's healthcare for households with incomes up to and including 300% of FPL. The program name is changed from children's healthcare to apple health for kids. This rule will increase the number of children who qualify for medical coverage.
Jonell Blatt
(360) 725-1571
EMERGENCY ADOPTION
WSR 09-06-035
Effective date: February 24, 2009
Chapter 388-505 WAC

The department is codifying institutional medical eligibility for clients who are categorically related to the TANF program.
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 09-06-029
Effective date: March 27, 2009
WAC 388-519-0110

This emergency rule is essential so the program is compliant with federal regulations that allow both paid and unpaid medical expenses incurred by a client during the retroactive eligibility period to be applied towards the client's spenddown in the current eligibility period.
Jonell Blatt
(360) 725-1571
EMERGENCY ADOPTION
WSR 09-05-031
Effective date: February 11, 2009
WAC 388-543-1200

This rule change removes the requirement for durable medical equipment providers under WAC 388-543-1200(1)(b).
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 09-05-008
Effective date: March 8, 2009
WAC 388-530-1000, 2000, 2100

This rule change is to clarify that the department does not cover over-the-counter drugs, vitamins, and minerals except when determined by the department to be the least costly therapeutic alternative for a medically accepted indication.
Jonell Blatt
(360) 725-1571
PERMANENT ADOPTION
WSR 09-05-007
Effective date: March 8, 2009
WAC 388-490-0005

The department requires proof before authorizing benefits for cash, medical, and Basic Food.
Kathy Sayre
(360) 725-1342
PERMANENT ADOPTION
WSR 09-02-057
Effective date: February 5, 2009
WAC 388-865-0105, 0106, 0410, 0484, 0511, 0526

This rule change allows a community mental health agency to contract directly with MHD on a fee-for-service basis when the local RSN chooses not to administer mental health services for the state.
Kevin Sullivan
(360) 725-1344
PERMANENT ADOPTION
WSR 09-02-030
Effective date: January 30, 2009
WAC 388-505-0230

HRSA is creating this new rule to codify institutional medical eligibility for clients who are categorically related to the TANF program.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 09-01-152
Effective date: January 1, 2009
WAC 388-865-0105, 0410, 0484, 0511, 0526

Mental Health Division is codifying its policy on how it administers community mental health services in the event of a nonparticipating regional support network.
Kevin Sullivan
(360) 725-1344
EMERGENCY ADOPTION
WSR 09-01-099
Effective date: December 18, 2008
Chapter 388-805 WAC

Certification requirements for chemical dependency service providers.
Deb Cummins
(360) 725-3716
PERMANENT ADOPTION
WSR 08-24-083
Effective date: 1/1/09
WAC 388-475-0300

The purpose of this change is to strike the duplicative word "other" and correct a cross reference from "chapters 388-531 and 388-515 WAC" to "chapters 388-513 and 388-515 WAC".
Jonell Blatt
(360) 725-1571
PERMANENT ADOPTION
WSR 08-23-101
Effective date: December 20, 2008
WAC 388-530-2000 and 2100

This emergency rule implements chapter 245 Laws of 2008 which states: The department shall provide coverage for smoking cessation counseling services, as well as prescription and nonprescription agents when used to promote smoking cessation, so long as such agents otherwise meet the definitions of "covered outpatient drug" in 42 USC Sec. 1396r-8(k).
Jonell Blatt
(360) 725-1571
EMERGENCY ADOPTION
WSR 08-22-014
Effective date: October 28, 2008
WAC 388-519-0110

The department has started the permanent rule-making process, but adopting an emergency rule in the interim is essential so the program is compliant with the federal regulations that allow both paid and unpaid medical expenses incurred by a client during the retroactive eligibility period to be applied towards the client's spenddown in the current eligibility period.
Jonell Blatt
(360) 725-1571
EMERGENCY ADOPTION
WSR 08-21-126
Effective date: October 20, 2008
WAC 388-416-0020

The department is removing references to hospital expenses to comply with federal regulations.
Kevin Sullivan
(360) 725-1344
PERMANENT ADOPTION
WSR 08-21-108
Effective date: November 16, 2008
WAC 388-530-1000, 1050, 2000, 2100, 3000, 3200, 4100 and 4150

These rule changes improve provider community understanding about Outpatient Drug coverage and limitations to th expansion of the smoking cessation benefit, and clarifies "over-the-counter" coverage due to the questions that the department receives from pharmacy providers.
Jonell Blatt
(360) 725-1571
PERMANENT ADOPTION
WSR 08-21-107
Effective date: November 16, 2008
WAC 388-550-2570, 2580 and 2590

The department is amending the rule to update and clarify sections in chapter 388-550 WAC, pertaining to the department's Long Term Acute Care (LTAC) program definitions, requirements, and processes.
Kathy Sayre
(360) 725-1342
PERMANENT ADOPTION
WSR 08-21-039
Effective date: November 8, 2008
WAC 388-550-4670, 4690 and 5410

Hospital services.
Kathy Sayre
(360) 725-1342
PERMANENT ADOPTION
WSR 08-20-032
Effective date: October 23, 2008
WAC 388-505-0220

This is a corrected filing to fix a textual error in CR-103 filed as WSR 08-19-099.
Jonell Blatt
(360) 725-1571
PERMANENT ADOPTION
WSR 08-20-014
Effective date: October 19, 2008
CORRECTION FILING TO WSR 08-19-099.
WAC 388-505-0220

The purpose of this amendment is to correct outdated cross-references.
Jonell Blatt
(360) 725-1571
PERMANENT ADOPTION
WSR 08-19-099
Effective date: October 18, 2008
WAC 388-544-0475

Vision care--Noncovered services, eyeglasses, and contact lenses.
Wendy Boedigheimer
(360) 725-1306
EMERGENCY ADOPTION
WSR 08-19-041
Effective date: September 12, 2008
WAC 388-544-0475

Vision care--Noncovered services, eyeglasses, and contact lenses.
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 08-19-026
Effective date: October 9, 2008
WAC 388-505-0230

Family related institutional medical.
Kevin Sullivan
(360) 725-1344
EMERGENCY ADOPTION
WSR 08-18-076
Effective date: September 4, 2008
WAC 388-531-2000

Increased payments for physician-related services for qualified trauma cases.
Jonell Blatt
(360) 725-1571
PERMANENT ADOPTION
WSR 08-18-029
Effective date: September 27, 2008
WAC 388-865-0105, 0106, 0410, 0484, 0511 and 0526

The Mental Health Division is codifying its policy on how it administers community mental health services in the event of a nonparticipating regional support network.
Kevin Sullivan
(360) 725-1344
EMERGENCY ADOPTION
WSR 08-17-105
Effective date: August 23, 2008
WAC 388-501-0100

Subrogation.
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 08-17-046
Effective date: December 1, 2008
WAC 388-535A-0010, 0020, 0030, 0040, 0050, 0060

Orthodontic-related services.
Kathy Sayre
(360) 725-1342
PERMANENT ADOPTION
WSR 08-17-009
Effective date: September 7, 2008
WAC 388-530-2000 and 2100

The department must amend rules to implement requirements of chapter 245. Laws of 2008.
Jonell Blatt
(360) 725-1571
EMERGENCY ADOPTION
WSR 08-14-097
Effective date: July 1, 2008
WAC 388-501-0100

The department is extending the effective date of the permanent rule filed as WSR 07-23-080 on Subrogation. The new effective date is December 1, 2008.
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 08-01-041
Effective date: December 1, 2008
WAC 388-501-0100

The department is adopting these rules to codify the department's reimbursement policy for medical services paid on behalf of an injured client by the department when the injured client receives settlement or judgment from a liable third party's insurer, or the injured client's own insurance.
Wendy Boedigheimer
(360) 725-1306
PERMANENT ADOPTION
WSR 07-23-080
Effective date: December 20, 2007
CHANGE: EFFECTIVE DATE EXTENDED UNTIL DECEMBER 1, 2008. SEE WSR 08-01-041.

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Juvenile Rehabilitation Administration
Rule Title/Subject Contact Person Washington State Register Citations
WAC 388-740-0010, 0040 and 0070

The department is amending these rules to implement RCW 13.40.210 incorporating statutory language and defining behavior which may be cause for the secretary to modify parole and return a juvenile sex offender to confinement for up to twenty-four weeks.
Kecia Rongen
(360) 902-7952
PERMANENT ADOPTION
WSR 08-21-038
Effective date: November 8, 2008

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Management Services Administration
Rule Title/Subject Contact Person Washington State Register Citations
WAC 388-06-0110, 0150 and 0160

The purpose of this rule-making action is to comply with new statutes, chapter 387, Laws of 2007 (ESSB 5774) and chapter 410, Laws of 2007 (SHB 1333), impacting background check requirements for certain child care providers and children returning to their home; and to comply with the federal Adam Walsh Act of 2006.
Cindy LaRose
(360) 902-8072
PERMANENT ADOPTION
WSR 09-06-028
Effective date: March 6, 2009
WAC 388-02-0025

Where is the office of administrative hearings located?
Brian Lindgren
(360) 664-6093
PERMANENT ADOPTION
WSR 09-05-032
Effective date: March 14, 2009
WAC 388-06-0010, 0600, 0605, 0610, 0615, 0620, 0625, 0630, 0635 and 0640

The purpose of this rule-making action is to comply with a new statute, chapter 387 Laws of 2007 (ESSB 5774), related to DSHS employee background check rules.
Cindy LaRose
(360) 902-8072
PERMANENT ADOPTION
WSR 09-03-003
Effective date: February 8, 2009
WAC 388-06-0010, 0600, 0605, 0610, 0615, 0620, 0625, 0630, 0635 and 0640

The purpose of this rule-making action is to comply with a new statute, chapter 387 Laws of 2007 (ESSB 5774), relating to DSHS employee background check rules.
Cindy LaRose
(360) 902-8072
EMERGENCY ADOPTION
WSR 08-23-009
Effective date: November 8, 2008
WAC 388-06-0110, 0150 and 0160

The purpose of this rule-making action is to comply with new statutes, chapter 387, Laws of 2007 (ESSB 5774) and chapter 410, Laws of 2007 (SHB 1333), impacting background check requirements for certain child care providers and children returning to their home; and to comply with the federal Adam Walsh Act of 2006.
Cindy LaRose
(360) 902-8072
EMERGENCY ADOPTION
WSR 08-23-010
Effective date: November 8, 2008
WAC 388-02-0010, 0215, 0217, 0218, 0524, 0527, 0530, 0550, 0555, 0560, 0565, 0570, 0575, 0580, 0585, 0590, 0595 and 0600

These rules clarify, update and make other changes to chapter 388-02 WAC in order to improve efficiency, accuracy and consistency in DSHS hearings and the review process.

Brian Lindgren
(360) 664-6093

PERMANENT ADOPTION
WSR 08-21-144
Effective date: November 21, 2008

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Office of the Secretary
Rule Title/Subject Contact Person Washington State Register Citations
Chapter 388-885 WAC

Civil commitment cost reimbursement.
Mark Davis
(253) 617-6283
PERMANENT ADOPTION
WSR 08-19-042
Effective date: October 12, 2008