WSR 17-13-071

PREPROPOSAL STATEMENT OF INQUIRY

[Filed June 16, 2017, 9:39 a.m.]

Subject of Possible Rule Making: WAC 182-531-0050 Physician-related services definitions, 182-531-0950 Office and other outpatient physician-related services, 182-531-1850 Payment methodology for physician-related services—General and billing modifiers, and other related rules as appropriate.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021, 41.05.160, 42 C.F.R Part 447, Subpart 1.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The agency is revising these rules to align with the Centers for Medicare and Medicaid Services (CMS) covered outpatient drug rule, CMS-2345-FC. Specifically, the agency will replace estimated acquisition cost with actual acquisition cost. During the course of this review, the agency may identify additional changes that are required in order to improve clarity or update policy.

Process for Developing New Rule: The agency welcomes the public to take part in developing this rule. If interested, contact the person identified below to receive an early rule draft to review. After the early review, the agency will send a notice of proposed rule making (CR-102) to everyone receiving this notice and anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Vance Taylor, P.O. Box 42716, Olympia, WA 98504-2716, fax (360) 586-9727, TTY 1-800-848-5429, email vance.taylor@hca.wa.gov.

June 16, 2017

Wendy Barcus

Rules Coordinator