WSR 17-04-007
HEALTH CARE AUTHORITY
[Filed January 19, 2017, 11:29 a.m.]
NOTICE
Title or Subject: Complex Dental Services Provided at the University of Washington Center of Pediatric Dentistry - Medicaid State Plan Amendment (SPA) 17-0008.
Effective Date: February 16, 2017.
Description: The health care authority intends to submit medicaid SPA 17-0008 to allow payment for the treatment of additional complex dental services provided by the University of Washington Center of Pediatric Dentistry to patients associated with Seattle Children's Hospital. Expanding treatment for patients with more complex dental needs will not affect the patients currently treated or the services currently provided by the center.
The funds for the added services will be provided through the intergovernmental transfer program. The total computable funds will be $3 million.
SPA 17-0008 is in the development process; therefore a copy is not yet available for review. The health care authority would appreciate any input or concerns regarding this SPA. To request a copy when it becomes available, you may contact the person named below or the agency in your county listed below. To submit comments, please contact Rene Newkirk, Financial Services, 626 8th Avenue S.E., Olympia, WA 98501, phone (360) 725-1307, TDD/TTY 1-800-848-5429, email rene.newkirk@hca.wa.gov, web site http://www.hca.wa.gov/medicaid (please note that all comments are subject to public review and disclosure, as are the names of those who comment).
Adams County
Adams County Health Department
108 West Main
Ritzville, WA 99169
Phone (509) 659-3315
Asotin County
Home and Community Services
Clarkston HCS Office
525 Fifth Street
Clarkston, WA 99403
Phone (509) 751-4672
Alt Phone 1-800-310-4881
Fax (509) 758-4593
http://www.altcwashington.com
Benton County
Tri-Cities Home and Community Services
500 North Morain Street
Suite 2210
Kennewick, WA 99336
Phone (509) 374-2100
Alt Phone 1-800-310-4833
Fax (509) 734-7559
Chelan County
Chelan Community Services Office
805 South Mission Street
Wenatchee, WA 98801
Phone (509) 667-6000
Clallam County
Port Angeles Home and Community Services
235 West 1st Street
Port Angeles, WA 98362
Phone (360) 565-2160
Alt Phone 1-800-280-9891
TTY (360) 417-5651
Fax (360) 417-1416
Jefferson County
Port Townsend Home and Community Services
915 Sheridan Street
Suite 201
Port Townsend, WA 98368
Phone (360) 379-4326
Alt Phone 1-800-280-9991
Fax (360) 344-4600
King County
King County Home and Community Services
1737 Airport Way South
Suite 130
P.O. Box 24847
Seattle, WA 98134
Phone (206) 341-7750
Alt Phone 1-800-346-9257
TTY 1-800-833-6384
Clark County
Vancouver Home and Community Services
800 N.E. 136th Avenue
Suite 220
Vancouver, WA 98684
Phone (360) 397-9500
Alt Phone 1-800-280-0586
TTY (360) 750-4079
Fax (360) 992-7949
Columbia County
Columbia Office - Aging and Disability Resource Center
410 East Main
Dayton, WA 99328
Phone (509) 382-4787
http://www.altcwashington.com
Cowlitz County
Kelso Home and Community Services
711 Vine Street
Kelso, WA 98626
Phone (360) 501-2500
Alt Phone 1-800-605-7322
TTY (360) 577-7591
Fax (360) 578-4106
Douglas County
Wenatchee Home and Community Services
50 Simon Street S.E.
Suite B
East Wenatchee, WA 98802
Phone (509) 886-6140
Alt Phone 1-800-670-8874
Fax (509) 886-6221
Ferry County
Republic Home and Community Services
89 East Delaware
Republic, WA 99166
Phone (509) 775-2227
Alt Phone 1-888-437-0516
TTY (509) 775-2661
Fax (509) 775-2401
Lewis County
Chehalis Home and Community Services
3451 Galvin Road
Centralia, WA 98531
Phone (360) 807-7150
Alt Phone 1-800-487-0360
Fax (360) 330-7552
Lincoln County
Lincoln County Health Department
90 Nicholls Street
Davenport, WA 99122
Phone (509) 725-1001
Franklin County
Franklin County Commissioners Office
1016 North 4th Avenue
Pasco, WA 99301
(509) 545-3535
Garfield County
Garfield County District Court
789 West Main Street
Pomeroy, WA 99347
Phone (509) 843-1002
Grant County
Moses Lake Home and Community Services
1651 South Pilgrim Street
Moses Lake, WA 98837
Phone (509) 764-5657
Alt Phone 1-800-671-8902
TTY 1-800-833-6388
Fax (509) 764-5656
Grays Harbor County
Aberdeen Home and Community Services
415 West Wishkah Street
Suite A2
Aberdeen, WA 98520
Phone (360) 533-9222
Alt Phone 1-800-487-0119
TTY (360) 533-9730
Fax (360) 533-9782
Island County
Oak Harbor Home and Community Services
900 East College Way
Suite 210
Mt. Vernon, WA 98273
Phone (360) 429-2961
Alt Phone 1-866-608-0836
Fax (360) 429-2958
Pend Oreille County
Newport Home and Community Services
1600 West First Avenue
Newport, WA 99156
Phone (509) 447-6223
Alt Phone 1-888-437-0516
Fax (509) 447-5256
Pierce County
Tacoma Home and Community Services
1949 South State Street
Tacoma, WA 98405
Phone (253) 476-7200
Alt Phone 1-800-442-5129
TTY (253) 593-5471
Fax (253) 597-4161
Kitsap County
Bremerton Home and Community Services
4710 Auto Center Boulevard
Bremerton, WA 98312
Phone (360) 473-2299
Alt Phone 1-800-422-7114
TTY (360) 478-4928
Fax (360) 478-6467
Kittitas County
Ellensburg Home and Community Services
100 East Jackson Avenue
Suite 100
Ellensburg, WA 98926
Phone (509) 925-0433
Alt Phone 1-800-310-4999
Fax (509) 962-7755
Klickitat County
White Salmon Home and Community Services
221 North Main Street
White Salmon, WA 98672
Phone (509) 493-6157
Alt Phone 1-800-504-1180
Snohomish County
Smokey Point Home and Community Services
3906 172nd Street N.E.
Suite 101
Arlington, WA 98223
Phone (360) 651-6800
Alt Phone 1-800-827-2984
Fax (360) 651-6832
Spokane County
Home and Community Services Spokane HCS
1330 North Washington Street
Suite 3000
Spokane 99201
Phone (509) 568-3700
Alt Phone 1-800-459-0421
TTY (509) 568-3697
Fax (509) 568-3771
Stevens County
Colville Home and Community Services
1100 South Main
Colville, WA 99114
Phone (509) 685-5644
Alt Phone 1-888-437-0516
Fax (509) 684-7430
Mason County
Shelton Home and Community Services
2505 Olympic Highway North
Suite 440
Shelton, WA 98584
Phone (360) 664-9050
Alt Phone 1-800-462-4957
Fax (360) 432-2045
Okanogan County
Omak Home and Community Services
130 South Main
Omak, WA 98841
Phone (509) 846-2103
Alt Phone 1-888-437-0529
TTY (509) 826-7389
Fax (509) 826-7439
Pacific County
South Bend Home and Community Services
307 East Robert Bush Drive
P.O. Box 87
South Bend, WA 98586
Phone (360) 875-4222
Alt Phone 1-800-458-3747
Fax (360) 875-0590
Thurston County
Tumwater Home and Community Services
(formerly Lacey HCS office)
6639 Capitol Boulevard S.W.
Tumwater, WA 98512
Phone (360) 664-9050
Alt Phone 1-800-462-4957
TTY (360) 407-1678
Fax (360) 664-9107
Wahkiakum County
Health and Human Services
42 Elochoman Valley Road
Cathlamet, [WA] 98612
(360) 795-8630
1-800-635-5989
Walla Walla County
Walla Walla Home and Community Services
206 West Poplar
Walla Walla, WA 99362
Phone (509) 524-4960
Alt Phone 1-800-310-5678
Fax (509) 527-4142
San Juan County
San Juan County Health Services
145 Rhone Street
Friday Harbor, WA 98250
Phone (360) 378-4474
Fax (360) 378-7036
Skagit County
Mt. Vernon Home and Community Services
900 East College Way
Suite 210
Mt. Vernon, WA 98273
Phone (360) 429-2961
Alt Phone 1-866-608-0836
Fax (360) 416-7401
Skamania County
Stevenson Home and Community Services
266 S.W. Second Street
P.O. Box 817
Stevenson 98648
Phone (509) 427-5611
Alt Phone 1-800-505-4203
Fax (509) 427-4604
Whatcom County
Bellingham Home and Community Services
600 Lakeway Drive
Bellingham, WA 98225
Phone (360) 756-5750
Alt Phone 1-800-239-8292
Fax (360) 676-2239
Whitman County
Home and Community Services
Colfax HCS
418 South Main Street
Suite 3
Colfax 99111
Phone (509) 397-5091
Alt Phone 1-800-459-0421
Fax (509) 397-4323
Yakima County
Yakima Home and Community Services
1002 North 16th Avenue
Yakima, WA 98902
Phone (509) 225-4400
Alt Phone 1-800-822-2097
Fax (509) 575-2286