WSR 16-11-117
[Filed May 18, 2016, 11:46 a.m.]
NOTICE
Title or Subject: Medicaid State Plan Amendment (SPA) 16-0019
Effective Date: July 1, 2016.
Description: The health care authority (the agency) intends to submit medicaid SPA 16-0019 to update the following information:
• | The methodology for determining payment rates for home health services and private duty nursing services may include legislative action. |
• | The fee schedule for home health services will be updated to reflect the legislatively approved $10 per hour rate increase for registered nurses (RNs) and licensed practical nurses (LPNs) providing skilled nursing services in a home setting. The rate change for home health services is an increase of 11.17 percent. |
• | The effective date of the fee schedule for private duty nursing services. The fee schedule will be updated to reflect the legislatively approved $10.00 per hour rate increase for RNs and LPNs providing skilled nursing services in a home setting. The rate change for private duty nursing services for RNs is an increase of 28.31 percent, and for LPNs is an increase of 36.72 percent. |
• | The methodology for determining payment rates for physical therapy, occupational therapy, and speech therapy will be updated. This is not a change in methodology; it is simply a more detailed explanation of how the agency already calculates these rates, and is being added per request from the Centers for Medicare and Medicaid Services. |
The agency anticipates this SPA will affect annual aggregate expenditures for home health services in the amount of $459,000 and for private duty nursing services in the amount of $1,767,000. Adding details of the methodology for physical, occupational, and speech therapy rates 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, Rates Development, 626 [8th] Avenue S.E., Olympia, WA 98501, phone (360) 725-1973, TDD/TTY 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.