Effective Date: July 1, 2013.
Description: Medicaid State Plan Amendments 13-19 and 13-20.
The state intends to submit Medicaid State Plan Amendments (SPA) 13-19 and 13-20. SPA 13-19 terminates the aging and disability services' chronic care management (CCM) program effective July 1, 2013, in Pierce, Kittitas, Yakima, Benton, Franklin, Walla Walla, Columbia, Garfield, and Asotin counties. SPA 13-19 also terminates the CCM program in Washington's remaining counties effective October 1, 2013.
SPA 13-20 removes pages describing the aging and disability services' chronic care management program from the medicaid state plan effective October 1, 2013. Contracts with CCM providers will be terminated in conjunction with the termination of the CCM program.
The state intends to provide a service comparable to CCM using health homes. The state is currently seeking approval from the Centers for Medicaid and Medicare Services to offer health home services in its medicaid program. Health home services will be available to both managed care- and fee-for-service- eligible beneficiaries in all counties where CCM is currently available. Health home services are comparable to CCM services and all eligible CCM recipients will transition to these services. Recipients of health home services must meet the eligibility requirements for that program. Individuals currently receiving CCM services, who do not meet eligibility requirements to transition into health home services, will be offered assistance to complete their current health activation plans.
Please refer to WSR 13-08-022 published on March 27, 2013, for additional information about health homes.
For additional information, contact Candy Goehring, Home and Community Services, P.O. Box 45600, phone (360) 725-2562, TDD/TTY (360) 438-2634, fax (360) 586-9727, e-mail GoehrCS@dshs.wa.gov, web site http://www.adsa.dshs.wa.gov/professional/newfreedom/.