I've got a long post on this while I'm testing this on spiceworks and I'd be more than happy to migrate all the images and such over here so anyone interested can review what I've done so far, but the TL;DR (for now) is:
WSUS does not appear to circumvent the requirements
3rd Party patching may circumvent (using K1000 for testing)
KB4012218 is a recommended (for now) patch so if you do not install recommended you may or may not be affected by this (for now)
The patch only affects detecting patches from WSUS, not installing
The patch can be uninstalled as well but we don't have any post-KB4012218 patches to see if those will patch without KB4012218 installed or not.