PROPOSED RULES
SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
Original Notice.
Preproposal statement of inquiry was filed as WSR 00-03-011.
Title of Rule: New WAC 388-556-0200 Chiropractic services for children; and repealing WAC 388-86-0019 Chiropractic services and 388-87-0019 Payment -- Chiropractic services.
Purpose: Medical Assistance Administration is establishing new chapters in WAC in order to concentrate the bulk of its rules in one area of Title 388 WAC. Chiropractic services policy is being moved into a new WAC section and the old WAC sections are being repealed. At the same time, the proposed rule has been rewritten to meet the clear writing standards in the Governor's Executive Order 97-02.
Statutory Authority for Adoption: RCW 74.08.090, 74.09.035.
Statute Being Implemented: RCW 74.08.090, 74.09.035.
Summary: See Purpose above.
Name of Agency Personnel Responsible for Drafting: Kevin Sullivan, 925 Plum Street, P.O. Box 45533, Olympia, WA 98504-5533, (360) 725-1344; Implementation and Enforcement: Patty Balestra, 623 8th Avenue S.E., P.O. Box 45510, Olympia, WA 98504-5510, (360) 725-1840.
Name of Proponent: Department of Social and Health Services, governmental.
Rule is not necessitated by federal law, federal or state court decision.
Explanation of Rule, its Purpose, and Anticipated Effects: See Purpose above.
Proposal Changes the Following Existing Rules: Although the policy has not changed, the rule has been rewritten to make it clearer and easier to understand, and the location of the rule in WAC has changed.
No small business economic impact statement has been prepared under chapter 19.85 RCW. Small businesses are not affected by this proposed rule.
RCW 34.05.328 does not apply to this rule adoption. The rule does not meet the definition of a "significant legislative rule."
Hearing Location: Lacey Government Center (behind Tokyo Bento Restaurant), 1009 College Street S.E., Room 104-B, Lacey, WA 98503, on June 27, 2000, at 10:00 a.m.
Assistance for Persons with Disabilities: Contact Fred Swenson by June 16, 2000, phone (360) 664-6097, TTY (360) 664-6178, e-mail swensfh@dshs.wa.gov.
Submit Written Comments to: Identify WAC Numbers, DSHS Rules Coordinator, Rules and Policies Assistance Unit, P.O. Box 45850, Olympia, WA 98504-5850, fax (360) 664-6185, by June 27, 2000.
Date of Intended Adoption: Not sooner than June 28, 2000.
May 17, 2000
Marie Myerchin-Redifer, Manager
Rules and Policies Assistance Unit
2755.1MEDICAL CARE -- OTHER SERVICES PROVIDED
(1) MAA will pay only for chiropractic services:
(a) For MAA clients who are:
(i) Under twenty-one years of age; and
(ii) Referred by a screening provider under the healthy kids/early and periodic screening, diagnosis, and treatment (EPSDT) program.
(b) That are:
(i) Listed in subsection (1)(c);
(ii) Medically necessary;
(iii) Provided by a chiropractor licensed in the state where services are provided; and
(iv) Within the scope of the chiropractor's license.
(c) Limited to:
(i) Chiropractic manipulative treatments of the spine; and
(ii) X-rays of the spine, limited to:
(A) Single view when the treatment area can be isolated; or
(B) The cervical, thoracic, and lumbo-sacral (antero-posterior and lateral views) areas of the spine when treatment cannot be isolated.
(2) Chiropractic services are paid according to fees established by MAA using methodology set forth in WAC 388-531-1850.
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The following sections of the Washington Administrative Code are repealed:
| WAC 388-86-019 | Chiropractic services. |
| WAC 388-87-019 | Payment -- Chiropractic services. |