WSR 23-13-082

HEALTH CARE AUTHORITY

[Filed June 15, 2023, 1:30 p.m.]

NOTICE

Title or Subject: Medicaid State Plan Amendment (SPA) 23-2014 Oral Health Connections Pilot Extension.

Effective Date: April 1, 2023.

Description: The health care authority (HCA) previously filed notice under WSR 23-06-013 of the intent to submit SPA 23-0014 to make the following changes to the oral health connections pilot project. This SPA is renumbered as 23-2014 to be effective April 1, 2023. The changes are:


•	This SPA will extend the three-year pilot that began January 1, 2019, through December 31, 2023.
•	Change the age range for pregnant clients from age 21 through 64 to ages 16 and older.
•	Change the age range for diabetic clients from ages 21 through 64 to ages 21 and older.
•	Clients who are eligible for both medicaid and medicare (dual eligibles) will now be able to participate.

The pilot will continue to be conducted in the same three pilot counties: Cowlitz, Spokane, and Thurston.

Washington assures compliance with [42 C.F.R.] § 440.345 related to full access to EPSDT services, and the method for complying with the provisions of section 5006(e) of the American Recovery and Reinvestment Act of 2009.

SPA 23-2014 is expected to increase the annual aggregate reimbursement/payment for some select dental services. Providers participating in the oral health connections pilot project will be paid an enhanced reimbursement of 55 percent above published rates for the select services.

SPA 23-2014 is in the development process; therefore, a copy is not yet available for review. The health care authority 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: Pixie Needham, RDH, MPA, Apple Health Dental Program, 626 8th Avenue S.W., Olympia, WA 98504-5506 phone 360-725-9967, TTY 711, fax 360-725-1328, email pixie.needham@hca.wa.gov.