WSR 23-11-027
HEALTH CARE AUTHORITY
[Filed May 10, 2023, 9:12 a.m.]
NOTICE
Subject: Medicaid State Plan Amendment (SPA) 23-0027 Health Home Updates.
Effective Date: July 1, 2023.
Description: The health care authority (HCA) intends to submit medicaid SPA 23-0027 in order to update the rate structure for managed fee-for-service (MFFS) health home services, as directed by the state legislature. HCA also intends to use this opportunity to make minor updates to SPA language to better align with current health home program processes. The health home program was established in July 2013 as a voluntary care coordination program for eligible high-risk clients who have multiple chronic conditions. The program is available statewide.
HCA anticipates this SPA to be effective July 1, 2023.
SPA 23-0027 is expected to increase the annual aggregate payment for MFFS health home providers. The Washington state legislature approved a $3.6 million rate increase through June 2025.
SPA 23-0027 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: Nicole Bishop, Medicaid Program Division, 626 8th Avenue S.E., Mailstop 45530, Olympia, WA 98504, phone 360-725-9448, TRS 711, email nicole.bishop@hca.wa.gov, website https://www.hca.wa.gov/billers-providers-partners/program-information-providers/health-home.