WSR 13-15-088

[Filed July 18, 2013, 11:56 a.m.]

Title or Subject: Medicaid State Plan Amendment (SPA) 13-23 Primary Care Rates & Vaccine Codes.

Effective Date: August 8, 2013.

Description: The health care authority intends to submit Medicaid SPA 13-23 to add covered codes for the rate increase for eligible services for specific providers in order to comply with provisions in the Affordable Care Act. The SPA will add codes that are eligible for the increased medicaid payment rates to not less than medicare payment rates in calendar years 2013 and 2014 for physicians specializing in family medicine, general intern 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 $17,533,197 in 2013 and $18,813,096 in 2014. This SPA will also correct incorrect page numbers approved in SPA 13-01 on May 20, 2013. The incorrect page numbers are 7a, 7b, and 7c, and will be corrected to pages 7c, 7d, and 7e.

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 jean.bui@hca.wa.gov.