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Committee trims Medicaid rulebook, clarifies provider definition and alignment with Medicare policy
Summary
The committee adopted a pared‑down Medicaid Basic Plan Benefits rule docket (160309‑2401). Department leaders said the rewrite removes duplication with federal law, clarifies that Medicaid covers services while the Legislature defines provider scope, and aligns prosthetic/orthotic limits with Medicare policy.
The House Health and Welfare rules committee adopted docket 160309‑2401, a substantially pared‑down rewrite of the Medicaid Basic Plan Benefits rule chapter that Department staff said was reduced from about 100 pages to roughly 80.
Jared Larson told the committee the department removed text duplicative of federal law and clarified the policy levers the Legislature controls. One explicit change defines a “provider” as an entity or individual who: (1) is licensed by the applicable board; (2)…
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