WSR 13-19-008
HEALTH CARE AUTHORITY
[Filed September 5, 2013, 2:22 p.m.]
AMENDED NOTICE
Title or Subject: Medicaid State Plan Amendment (SPA) 13-39 Preventive Care Services.
Effective Date: January 1, 2014.
Description: The agency published notice of intent to submit medicaid SPA 13-39 under WSR 13-17-114. This notice amends that filing as follows:
Developmental screenings by primary care providers (pediatricians, general or family physicians, advanced registered nurse practitioners (ARNPs) or physician assistants (PAs)) for autism as part of EPSDT visits for children though [through] three years of age. The agency requires that providers follow the schedule and use validated screening tool or instrument(s) based on the American Academy of Pediatrics Bright Futures recommendations. This change is being made to comply with the state budget approved by the legislature in ESSB [3ESSB] 5034.
Screening, brief intervention, and referral to treatment (SBIRT). The service will be provided by state-trained providers. SBIRT is a comprehensive, evidence-based public health practice designed to identify people who are at risk for or have some level of substance use disorder which can lead to illness, injury, or other long-term morbidity or mortality. SBIRT services are provided in a wide variety of medical and community healthcare settings. This change is being made to comply with the state budget approved by the legislature in ESSB [3ESSB] 5034 and support comparability in the classic medicaid covered services with the coming essential benefit health care provisions of the Affordable Care Act.
For additional information, contact Gail Kreiger, Healthcare Benefits and Utilization Management, 626 8th Avenue, Olympia, WA 98501, phone (360) 725-1681, TDD/TTY 800-848-5429, fax (360) 725-1328, e-mail gail.kreiger@hca.wa.gov.