Title or Subject: Medicaid State Plan Amendment (SPA) 20-0011 Community First Choice State Plan Option Changes for COVID-19 Response.

Effective Date: March 12, 2020.

Description: The health care authority (the agency) in conjunction with the aging and long-term supports administration (ALTSA), department of social and health services (DSHS), is submitting medicaid SPA 20-011 to amend the Community First Choice Option in the medicaid state plan to describe temporary changes related to Washington's response to the COVID-19 outbreak.

Due to the emergency nature of the outbreak, at this time the agency and ALTSA are unable to determine what, if any, effect SPA 20-0011 may have on annual aggregate expenditures, reimbursement, or payments.

A copy of SPA 20-0011 is available. The agency and ALTSA would appreciate any input or concerns regarding this SPA. To request a copy or 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: Alec Graham, Office Chief, Home and Community Services, 4450 10th Avenue S.E., Lacey, WA 9850 [98504], phone 360-725-3433, email alec.graham@dshs.wa.gov.