WSR 24-23-054
HEALTH CARE AUTHORITY
[Filed November 15, 2024, 11:54 a.m.]
NOTICE
Title or Subject: Supplemental Notice Regarding Medicaid State Plan Amendment (SPA) 24-0013 Add Adult Chiropractic Services and Acupuncturists and Certified Behavioral Health Support Specialists as Medicaid Providers.
Effective Date: January 1, 2025.
Description: The health care authority (HCA) previously filed notice under WSR 24-18-011 of the intent to submit SPA 24-0013 to add the following to Attachment 3 section 6.d Other Licensed Practitioners in the medicaid state plan:
• Add adult chiropractic services as a medicaid service. Currently, only children under age 21 are eligible for chiropractic services under the early and periodic screening, diagnostic, and treatment (EPSDT) benefit.
• Add acupuncturists as medicaid providers, enabling them to provide and bill for certain acupuncture services.
• Add certified behavioral health support specialists (BHSS) as medicaid providers in compliance with SB 5189. BHSS deliver brief, evidence-based interventions that include behavioral health, and must be under the supervision of a state credentialed provider whose scope of practice includes assessment, diagnosis, and treatment of identifiable mental and behavioral health conditions.
As a result of a recent office of financial management directive, HCA is pausing implementation of coverage for adult chiropractic and acupuncture services planned for January 1, 2025. Therefore, SPA 24-0013 is being revised to remove acupuncturists and adult chiropractic services; coverage for chiropractic services provided under the EPSDT program will remain unchanged. SPA 24-0013 will now address only the addition of BHSS as medicaid providers effective January 1, 2025.
SPA 24-0013 is expected to increase the annual aggregate expenditures/reimbursement/payment for BHSS by $619,000.
A draft of SPA 24-0013 is available for review. HCA would appreciate any input or concerns regarding this SPA. To request a copy of the draft or submit comments, please contact the persons named below by November 27, 2024 (please note that all comments are subject to public review and disclosure, as are the names of those who comment).
Contact Yvonne Keller, Division of Behavioral Health and Recovery, 626 8th Avenue S.E., Olympia, WA 98504, phone 360-725-9993,TRS 711, email Yvonne.keller@hca.wa.gov.