WSR 18-16-039
HEALTH CARE AUTHORITY
[Filed July 25, 2018, 10:30 a.m.]
NOTICE
Title or Subject: Medicaid State Plan Amendment (SPA) 18-0024 Treat & Refer Services.
Effective Date: January 1, 2019.
Description: The health care authority (HCA) and the department of health (DOH) intend to submit medicaid SPA 18-0024 to implement E2SHB 1358 which was signed by the governor on May 10, 2017, and is to be implemented on January 1, 2019.
SSB 5591 (2015) allowed emergency medical services providers to develop community assistance referral and education services (CARES) programs. CARES programs are able to hire or contract with health care professionals to provide community outreach and injury prevention services to residents of its jurisdiction to advance population health. E2SHB 1358 directs HCA to adopt standards for reimbursement of covered health care services provided to eligible medicaid clients by specified emergency medical services providers through their CARES programs, when those services are provided to clients whose medical needs do not require ambulance transport to an emergency department. These services are known as "Treat and Refer" services. 
E2SHB 1358 also directs DOH to review the professional certification and training of health professionals participating in a CARES program and coordinate with HCA to link the certification requirements with the Treat and Refer services.
Treat and Refer services may be provided by the following emergency medical services providers:
•Fire departments (including city and town fire departments).
•Fire protection districts.
•Regional fire protection service authorities.
•Emergency medical service (EMS) providers eligible to levy a tax under state law.
•Federally recognized Indian tribes.
SPA 18-0024 is expected to increase the annual aggregate expenditures/payments to EMSs providers by $3,511,450.
SPA 18-0024 is in the development process; therefore a copy is not yet available for review. HCA and DOH would appreciate any input or concerns regarding this SPA. To request a copy when it becomes available, you may contact the agency in your county listed in the table 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 45510, Olympia, WA 98501, phone 360-725-1835, TRS 711, email abigail.cole@hca.wa.gov.
County Contacts
Adams County
Adams County Health Department
108 West Main
Ritzville, WA 99169
Phone (509) 659-3315
Asotin County
Clarkston Home and Community Services Office
525 Fifth Street
Clarkston, WA 99403
Web site http://www.altcwashington.com
Phone (509) 751-4672
Alt. Phone 1-800-310-4881
Fax (509) 758-4593
Benton County
Tri-Cities Home and Community Services Office
500 North Morain Street
Suite 2210
Kennewick, WA 99336
Phone (509) 374-2100
Alt. Phone 1-800-310-4833
Fax (509) 374-7559
Chelan County
Chelan Community Services Office
805 South Mission Street
Wenatchee, WA 98801
Phone (509) 667-6000
Clallam County
Port Angeles Home and Community Services Office
235 West 1st Street
Port Angeles, WA 98362
Phone (360) 565-2160
Alt. Phone 1-800-280-9891
TTY (360) 417-5651
Fax (360) 417-1416
Clark County
Vancouver Home and Community Services Office
800 N.E. 136th Avenue
Suite 220
Vancouver, WA 98684
Phone (360) 397-9500
Alt. Phone 1-800-280-0586
TTY (360) 750-4079
Fax (360) 992-7949
Columbia County
Aging and Disability Resource Center
410 East Main
Dayton, WA 99328
Web site http://www.altcwashington.com/
Phone (509) 382-4787
Cowlitz County
Kelso Home and Community Services Office
711 Vine Street
Kelso, WA 98626
Phone (360) 501-2500
Alt. Phone 1-800-605-7322
TTY (360) 577-7591
Fax (360) 578-4106
Douglas County
Wenatchee Home and Community Services Office
50 Simon Street S.E.
Suite B
East Wenatchee, WA 98802
Phone (509) 886-6140
Alt. Phone 1-800-670-8874
Fax (509) 886-6221
Ferry County
Republic Home and Community Services Office
89 East Delaware
Republic, WA 99166
Phone (509) 775-2227
Alt. Phone 1-888-437-0516
TTY (509) 775-2661
Fax (509) 775-2401
Franklin County
Franklin County Commissioners Office 
1016 North 4th Avenue
Pasco, WA 99301
Phone (509) 545-3535
Garfield County
Garfield County District Court
789 West Main Street
P.O. Box 817 or 819
Pomeroy, WA 99347
Phone (509) 843-1002
Grant County
Moses Lake Home and Community Services Office
1651 South Pilgrim Street
Moses Lake, WA 98837
Phone (509) 764-5657
Alt. Phone 1-800-671-8902
TTY 1-800-833-6388
Fax (509) 764-5656
Grays Harbor County
Aberdeen Home and Community Services Office
415 West Wishkah Street
Suite A2
Aberdeen, WA 98520
Phone (360) 533-9222
Alt. Phone 1-800-487-0119
TTY (360) 533-9730
Fax (360) 533-9782
Island County
Oak Harbor Home and Community Services Office
900 East College Way
Suite 210
Mt. Vernon, WA 98273
Phone (360) 429-2961
Alt. Phone 1-866-608-0836
Fax (360) 429-2958
Jefferson County
Port Townsend Home and Community Services Office
915 Sheridan Street
Suite 201
Port Townsend, WA 98368
Phone (360) 379-4326
Alt. Phone 1-800-280-9991
Fax (360) 344-4600
King County
King County Home and Community Services Office
1737 Airport Way South
Suite 130
P.O. Box 24847
Seattle, WA 98134
Phone (206) 341-7750
Alt. Phone 1-800-346-9257
TTY 1-800-833-6384
Kitsap County
Bremerton Home and Community Services Office
4710 Auto Center Boulevard
Bremerton, WA 98312
Phone (360) 473-2299
Alt. Phone 1-800-422-7114
TTY (360) 478-4928
Fax (360) 478-6467
Kittitas County
Ellensburg Home and Community Services Office
100 East Jackson Avenue
Suite 100
Ellensburg, WA 98926
Phone (509) 925-0433
Alt. Phone 1-800-310-4999
Fax (509) 962-7755
Klickitat County
White Salmon Home and Community Services Office
221 North Main Street
White Salmon, WA 98672
Phone (509) 493-6157
Alt. Phone 1-800-504-1180
Lewis County
Chehalis Home and Community Services Office
3451 Galvin Road
Centralia, WA 98531
Phone (360) 807-7150
Alt. Phone 1-800-487-0360
Fax (360) 330-7552
Lincoln County
Lincoln County Health Department
90 Nicholls Street
Davenport, WA 99122
Phone (509) 725-1001
Mason County
Shelton Home and Community Services Office
2505 Olympic Highway North
Suite 440
Shelton, WA 98584
Phone (360) 664-9050
Alt. Phone 1-800-462-4957
Fax (360) 432-2045
Okanogan County
Omak Home and Community Services Office
130 South Main
Omak, WA 98841
Phone (509) 846-2103
Alt. Phone 1-888-437-0529
TTY (509) 826-7389
Fax (509) 826-7439
Pacific County
South Bend Home and Community Services Office
307 East Robert Bush Drive
P.O. Box 87
South Bend, WA 98586
Phone (360) 875-4222
Alt. Phone 1-800-458-3747
Fax (360) 875-0590
Pend Oreille County
Newport Home and Community Services Office
1600 West First Avenue
Newport, WA 99156
Phone (509) 447-6223
Alt. Phone 1-888-437-0516
Fax (509) 447-5256
Pierce County
Tacoma Home and Community Services Office
1949 South State Street
Tacoma, WA 98405
Phone (253) 476-7200
Alt. Phone 1-800-442-5129
TTY (253) 593-5471
Fax (253) 597-4161
San Juan County
San Juan County Health Services
145 Rhone Street
Friday Harbor, WA 98250
Phone (360) 378-4474
Fax (360) 378-7036
Skagit County
Mount Vernon Home and Community Services Office
900 East College Way
Suite 210
Mt. Vernon, WA 98273
Phone (360) 429-2961
Alt. Phone 1-866-608-0836
Fax (360) 416-7401
Skamania County
Stevenson Home and Community Services Office
266 S.W. Second Street
P.O. Box 817
Stevenson, WA 98648
Phone (509) 427-5611
Alt. Phone 1-800-505-4203
Fax (509) 427-4604
Snohomish County
Smokey Point Home and Community Services Office
3906 172nd Street N.E.
Suite 101
Arlington, WA 98223
Phone (360) 651-6800
Alt. Phone 1-800-827-2984
Fax (360) 651-6832
Spokane County
Spokane Home and Community Services Office
1330 North Washington Street
Suite 3000
Spokane, WA 99201
Phone (509) 568-3700
Alt. Phone 1-800-459-0421
TTY (509) 568-3697
Fax (509) 568-3771
Stevens County
Colville Home and Community Services Office
1100 South Main
Colville, WA 99114
Phone (509) 685-5644
Alt. Phone 1-800-437-0516
Fax (509) 684-7430
Thurston County
Tumwater Home and Community Services Office
6639 Capitol Boulevard S.W.
Tumwater, WA 98512
Phone (360) 664-9050
Alt. Phone 1-800-462-4957
TTY (360) 407-1678
Fax (360) 664-9107
Wahkiakum County
Health and Human Services
42 Elochoman Valley Road
Cathlamet, WA 98612
Phone (360) 795-8630
Alt. Phone 1-800-635-5989
Walla Walla County
Walla Walla Home and Community Services Office
206 West Poplar
Walla Walla, WA 99362
Phone (509) 524-4960
Alt. Phone 1-800-310-5678
Fax (509) 527-4142
Whatcom County
Bellingham Home and Community Services Office
600 Lakeway Drive
Bellingham, WA 98225
Phone (360) 756-5750
Alt. Phone 1-800-239-8292
Fax (360) 676-2239
Whitman County
Colfax Home and Community Services Office
418 South Main Street
Suite 3
Colfax, WA 99111
Phone (509) 397-5091
Alt. Phone 1-800-459-0421
Fax (509) 397-4323
Yakima County
Yakima Home and Community Services Office
1002 North 16th Avenue
Yakima, WA 98902
Phone (509) 225-4400
Alt. Phone 1-800-822-2097
Fax (509) 575-2286