WSR 16-10-089

[Filed May 3, 2016, 2:31 p.m.]

Title or Subject: Medicaid State Plan Amendment (SPA) 16-0014 Conversion Factors Update.

Effective Date: July 1, 2016.

Description: The health care authority (the agency) intends to submit medicaid SPA 16-0014 in order to update the effective date of the conversion factors used to set payment rates for a number of medicaid programs. The rate setting methodology for these programs uses the RBRVS method, which uses conversion factors that are informed by various sources, including the Centers for Medicare and Medicaid Services (CMS), medicaid, and others. This SPA is a regular annual, budget neutral update to keep rates and billing codes in alignment with the coding and coverage changes from CMS, medicaid, and other sources.

The agency anticipates that updating the effective date of the conversion factors will have no effect on annual aggregate expenditures.

The SPA is in the development process; therefore a copy is not yet available for review. To contact the agency for additional information and a copy of the SPA when it becomes available, please contact Jean Bui, Section Manager, Rates Development, 626 8th Avenue S.E., Olympia, WA 98501, phone (360) 725-1973, TDD/TTY 1-800-848-5429, fax (253) 350-6512, e-mail jean.bui@hca.wa.gov, web site http://www.hca.wa.gov/medicaid/rbrvs/Pages/index.aspx.