WSR 14-02-104

INTERPRETIVE OR POLICY STATEMENT

[Filed December 31, 2013, 3:04 p.m.]

In accordance with RCW 34.05.230(12), following is a list of policy and interpretive statements issued by the department of social and health services (DSHS).

Document Title: Public Notice of Potential Clarification of the Medicaid Nursing Facility Payment System.

Subject: Potential state plan amendment (SPA) for medicaid nursing facility payment system.

Effective Date: January 15, 2014.

Document Description: The purpose of this notice is to advise the general public that DSHS is considering clarifying language in the Washington medicaid state plan.

DSHS is considering submitting a medicaid SPA to clarify language regarding the payment methodology for specialized services described in the state plan. The proposed effective date of this SPA is January 15, 2014.

The language being clarified concerns specialized services as defined in 42 C.F.R. Subpart C 483.120. Specialized services needs are determined through the preadmission screening and resident review (PASRR) process. These services are delivered and paid for in accordance with federal law. Only nursing facility residents are eligible for PASRR-determined specialized services. The current estimates show that a $1.5 million increase in general fund federal/state expenditures for state fiscal year 2015 is expected.

To receive a copy of the policy statements or proposed changes and to provide and/or review comments, contact Terry Hehemann, DDD, P.O. Box 45600, Olympia, WA 98504-5600.

To receive a copy of the interpretive or policy statements, contact Terry Hehemann, Waiver Requriements [Requirements], DDA, P.O. Box 45600, Olympia, WA 98504-5600, phone (360) 725-3456, TDD/TTY 1-800-624-6186, fax (360) 407-0955, e-mail Terry.Hehemann@dshs.wa.gov, web site www.dshs.wa.gov/ddd.