Description: The health care authority (HCA) intends to submit medicaid SPA 18-0021 in order to update some links and the fee schedule effective dates for several medicaid programs and services. This is a regular, budget neutral, update to keep rates and billing codes in alignment with the coding and coverage changes from the Centers for Medicare and Medicaid Services (CMS), medicaid, and other sources. These changes are routine and do not reflect significant changes to policy or payment. This SPA also adds a description of the payment methodology for critical care services. This methodology is not new for these services; the description adds clarification and consistency with other payment methodology descriptions in the state plan. SPA 18-0021 addresses the following:


•	Conversion factors for adult primary health, children's primary health, laboratory services, maternity services, and all other services.
•	Dental services.
•	Home health services.
•	Other practitioners.
•	Outpatient hospital services.
•	Targeted case management - HIV/AIDS (updating outdated link only - no fee schedule date change).
•	Transportation services (updating cross-reference only – no fee schedule date change).

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Conversion factors for adult primary health, children's primary health, laboratory services, maternity services, and all other services.

•

Dental services.

•

Home health services.

•

Other practitioners.

•

Outpatient hospital services.

•

Targeted case management - HIV/AIDS (updating outdated link only - no fee schedule date change).

•

Transportation services (updating cross-reference only – no fee schedule date change).

SPA 18-0021 is expected to have no effect on the annual aggregate expenditures/payments for the services listed above. This is a regular, budget neutral, update to keep rates and billing codes in alignment with the coding and coverage changes from CMS, medicaid, and other sources. These changes are routine and do not reflect significant changes to policy or payment.

A copy of SPA 18-0021 is available for review. HCA would appreciate any input or concerns regarding this SPA. To request a copy of the SPA, you may contact the agency in your county or the person named below. To submit comments, please contact the person named below (please note that all comments are subject to public review and disclosure, as are the names of those who comment).

Contact Abigail Cole, Hospital Finance, P.O. Box 5510, Olympia, WA 98504, phone 360-725-1835, TDD/TTY 1-800-848-5429, fax 360-753-9152, email abigail.cole@hca.wa.gov.