Title or Subject: Medicaid State Plan Amendment (SPA) 13-01 Primary Care Rates.
Effective Date: January 1, 2013.
Description: The health care authority intends to submit SPA 13-01 to change the rate methodology for eligible services for specific providers in order to comply with provisions in the Affordable Care Act. The SPA will increase medicaid payment rates to not less than medicare payment rates in calendar years 2013 and 2014 for physicians specializing in family medicine, general internal medicine, and pediatric medicine when they furnish evaluation and management and vaccine administration services to eligible medicaid clients. The change is expected to cost approximately $19,930,000 in 2013 and $19,654,000 in 2014.
For additional information contact Jean Bui, FS Rates, P.O. Box 45510, Olympia, WA 98504-5510, phone (360) 725-1973, TDD/TTY 1-800-848-5429, fax (253) 350-6512, e-mail firstname.lastname@example.org.