HEALTH CARE AUTHORITY

[Filed January 27, 2021, 2:13 p.m.]

Title or Subject: Medicaid State Plan Amendment (SPA) 21-0011 Consumer Directed Employer Supplemental Notice.

Effective Date: October 1, 2021.

Description: In 2018, the Washington state legislature passed SB 6199, authorizing the creation of a consumer directed employer program. To implement this program, the health care authority (HCA) in conjunction with the aging and long-term support administration (ALTSA) in the department of social and health services intended to submit medicaid SPA 20-0023 selective contracting, which would apply to certain home and community-based (HCBS) programs, effective July 1, 2021. Notice was filed in the Washington State Register under WSR 20-23-0002. Submission of SPA 20-0023 was delayed; therefore HCA and ALTSA intend to submit SPA 21-0011, which will apply to the following HCBS programs effective October 1, 2021:

SPA 21-0011 is expected to have no effect on payment to individual providers.

SPA 21-0011 is in the development process; therefore a copy is not yet available for review. HCA and ALTSA would appreciate any input or concerns regarding this SPA. To request a copy when it becomes available, you may contact 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).


•	1915(k) community first choice state plan option.
•	Optional state plan personal care services.

Contact Jamie Tong, Waiver Program Manager, 4450 10th Avenue S.E., Lacey, WA 98504, phone 360-725-3293, TTY 711, email Jamie.tong@dshs.wa.gov.