Subject: Medicaid state plan amendment 05-010.

     Effective Date: September 1, 2005.

     Document Description: The Department of Social and Health Services, Health and Recovery Services Administration, is updating the Medicaid state plan through state plan amendment 05-010 to:

•	Further describe policy used to define the school-based health services program for special education student, explained in Attachments 3.1-A and 3.1-B, including provider qualifications and covered services; and
•	To describe methods used to establish school-based health services payment rates explained in Attachment 4.19-B.

     To receive a copy of the interpretive or policy statement, contact Ann Myers, Department of Social and Health Services, Health and Recovery Services Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504, phone (360) 725-1345, TDD (800) 848-5429, fax (360) 586-9727, e-mail Myersea@dshs.wa.gov.

Ann Myers

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