Effective Date: April 1, 2013.
Description: The proposed change recognizes that services provided to psychiatric residential treatment facility (PRTF) (i.e., children's long-term inpatient (CLIP) facility) residents by agreement with a qualified provider outside of the existing PRTF are allowable and paid via the medicaid fee-for-service program when included in the individual's treatment plan. We do not anticipate any change in expenditures as a result of this SPA. This is a change prompted by recent CMS guidance on the subject of PRTF services, see CMCS Informational Bulletin dated November 28, 2012.
For additional information, contact Mark Nelson, DSHS/ADS/BHISIA/DBHR, 4500 10th Avenue S.E., Lacey, WA 98504-5330, phone (360) 725-1388, TDD/TTY (800) 848-5429, fax (360) 725-9960, e-mail firstname.lastname@example.org.