WSR 22-02-012

HEALTH CARE AUTHORITY

[Filed December 27, 2021, 7:04 a.m.]

Title or Subject: Medicaid State Plan Amendment (SPA) 22-0008 Clinical Trials Coverage.

Effective Date: January 1, 2022.

Description: The health care authority (HCA) intends to submit Medicaid SPA 22-0008 to reflect any necessary changes resulting from the federal 2021 Consolidated Appropriations Act regarding coverage of routine patient costs for services in connection with participation in qualifying clinic trials.

SPA 22-0008 is expected to increase the annual aggregate payment for such services. As many of these services were not previously tracked or were considered covered services, the state is currently unable to provide an estimate of the financial impact on provider reimbursement.

SPA 22-0008 is in the development process; therefore, a copy is not yet available for review. HCA would appreciate any input or concerns regarding this SPA. To request a copy when it becomes available 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: Joan Chappell, CQCT/Clinical Trials Program Manager, 626 8th Avenue S.E., Olympia, WA 98501, phone 360-725-1071, TTY 711, fax 360-725-1966, email joanchappell@hca.wa.gov.