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Move Klickitat County from "voluntary" to "mandatory" with respect to enrollment of various populations into apple health managed care.

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Counties are considered "voluntary" for enrollment if: (a) They have only one contracted managed care organization (MCO); or (b) there are two or more contracted MCOs but, together they do not provide adequate capacity to serve medicaid eligible clients in that county. Two MCOs are under contract with the agency to provide AHMC in Klickitat County on April 1, 2016: Community Health Plan of Washington and Amerigroup. Molina Healthcare of Washington will begin serving Klickitat County on July 1, 2016. As a result, Klickitat County no longer meets the requirements for the "voluntary" enrollment designation.

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Amend the description of the enrollment process and related sections in the state plan to reflect the agency's new "earlier enrollment" policy for clients who are newly eligible for medicaid. Beginning on April 1, newly eligible medicaid clients are enrolled into a managed care plan effective the first of the month in which he or she becomes eligible. The previous policy was to enroll new clients into a managed care plan effective the first of the month AFTER he or she became eligible. This policy change affects not only AHMC but also the fully integrated managed care (FIMC) program in southwest Washington.

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Add substance use disorder providers to the list of critical providers in Section K of the SPA.