Original Notice.

     Preproposal statement of inquiry was filed as WSR 06-19-082.

     Title of Rule and Other Identifying Information: WAC 182-20-600 Community health care collaborative program, establish rules regarding the administration and implementing the community health care collaborative grant program established pursuant to E2SSB 6459, chapter 67, Laws of 2006. Chapter 182-20 WAC will be amended to implement the new collaborative grant program by establishing procedures for determining eligibility and distribution of funds.

     Hearing Location(s): Washington State Health Care Authority, 676 Woodland Square Loop S.E., Lacey, WA 98504, on December 27, 2006, at 9:30 a.m.

     Date of Intended Adoption: December 28, 2006.

     Submit Written Comments to: Jan Ward Olmstead, 676 Woodland Square Loop S.E., P.O. Box 42721, Lacey, WA 98504, e-mail Jan Ward Olmstead, fax (360) 923-2605, by close of business on December 27, 2006.

     Assistance for Persons with Disabilities: Contact Nikki Johnson by December 20, 2006, TTY (888) 923-5622 or (360) 923-2805.

     Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The purpose of the proposed rule is to use a public process, allowing for input to the development and implementation of the community health care collaborative grant program. The rule will allow for community health services, under the direction of the administrator of the authority, to administer the program, determine eligibility, and allocate grant funds to community-based organizations to develop innovative health care delivery models that address: Access to medical treatment; efficient use of health care resources; or improve quality of care.

     Reasons Supporting Proposal: The 2006 Washington state legislature created the community health care collaborative grant program and appropriated funds in the 2005-07 biennium to Washington state health care authority for the implementation of the program. The proposed rules are necessary to administer the program.

     Statutory Authority for Adoption: RCW 41.05.160, 41.05.220, and 41.05.230.

     Statute Being Implemented: Chapter 67, Laws of 2006.

     Rule is not necessitated by federal law, federal or state court decision.

     Name of Proponent: Washington state health care authority, governmental.

     Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Jan Ward Olmstead, 676 Woodland Square Loop S.E., Lacey, WA (360) 923-2803.

     No small business economic impact statement has been prepared under chapter 19.85 RCW. The joint administrative rules review committee has not requested the filing of a small business economic impact statement, and there will be no costs to small businesses.

     A cost-benefit analysis is not required under RCW 34.05.328. RCW 34.05.328 does not apply to the health care authority rules unless requested by the joint administrative rules committee or applied voluntarily.

November 15, 2006

Jason Siems

Rules Coordinator

OTS-9322.2

AMENDATORY SECTION(Amending Order 00-06, filed 2/7/01, effective 3/10/01)

WAC 182-20-001   Purpose.   The purpose of this chapter is to establish procedures at the Washington state health care authority for determining eligibility and distribution of funds for:

     (1) Medical, dental, and migrant services to community health clinics under section 214(3), chapter 19, Laws of 1989 1st ex. sess., including other state general fund appropriations for medical, dental, and migrant services in community health clinics since 1985; and

     (2) Other grant programs assigned to the authority. The authority shall disburse grant awards to community-based organizations to develop innovative health care delivery models that address:

     (a) Access to medical treatment;

     (b) Efficient use of health care resources; or

     (c) Improve quality of care.

[Statutory Authority: RCW 41.05.160. 01-04-080 (Order 00-06), § 182-20-001, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. 95-12-010, § 182-20-001, filed 5/26/95, effective 6/26/95.]

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     (1) Preaward development.

     (a) Develop criteria for the selection of community-based organizations to receive grant funding;

     (b) Develop equitable standards governing the granting of awards;

     (c) Determine nature and format of the application and process.

     (2) Award determinations.

     (a) Consult with representatives, appointed by the secretary of the department of health, the assistant secretary of health and recovery services administration within the department of social and health services, and the office of the insurance commissioner to make recommendations for final applicant selection and grant determination;

     (b) The administrator will review recommendations and make final determination based upon recommendations, funds available and utilization of resources to meet the goals of the program;

     (c) Conduct on-site visits to ensure applicant's ability to achieve grant objectives and performance measures identified in the application;

     (d) Contract with successful applicants; and

     (e) Disburse grant funds according to program policy.

     (3) Post-award actions.

     (a) Review periodic progress reports from contractors;

     (b) Conduct on-site visits of contractors to provide assistance and ensure compliance of grant objectives;

     (c) Consult with representatives from department of health, the assistant secretary of health and recovery services administration within the department of social and health services, and office of the insurance commissioner, one year following initial disbursement, to make recommendations to administrator for disbursement of the second half of grant funds, based upon performance measures identified in the application and evidence of successful program progress and achieving grant objectives;

     (d) The administrator will review and make final determination for grant disbursements; and

     (e) Compile a report to the governor and legislature on July 1, 2008, which:

     (i) Describes organizations and programs funded;

     (ii) Describes and analyzes results achieved;

     (iii) Makes recommendations for improvements to the program; and

     (iv) Highlights best practices that can be replicated statewide.

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     (a) Applicants must provide the following in the application format prescribed by the authority:

     (i) Evidence of private, nonprofit, tax exempt status incorporated in Washington state or public agency status under the jurisdiction of a local, county, or tribal government;

     (ii) Evidence of the specific geographic region served and a formal collaborative governing structure by documentation that may include, but is not limited to:

     (A) Bylaws;

     (B) Agreements;

     (C) Contracts;

     (D) Memorandum of understanding;

     (E) Minutes;

     (F) Letters; or

     (G) Other communications;

     (iii) Amount of funds requested and how the dollars will be spent;

     (iv) Data to evaluate program progress and grant objectives.

     (b) Applicants will be evaluated competitively on their ability to:

     (i) Address documented health care needs in the specific region served;

     (ii) Engage key community members;

     (iii) Show evidence of matching funds of at least two dollars for each grant dollar requested. All matching fund contributions, including cash and in-kind, shall meet the criteria determined by the administrator and included in the application guidelines;

     (iv) Ability to meet the documented health care needs and address sustainability of programs;

     (v) Show innovation in program approaches that could be replicated throughout the state;

     (vi) Make efficient and cost-effective use of funds by simplifying administration affecting the health care delivery system;

     (vii) Clearly describe size of organization, program objectives, and populations served; and

     (viii) Meet the reporting requirements of the authority.

     (c) Application access.

     (i) The call for grant applications will be made by posting the announcement to the authority's official web site and by notification sent to interested parties.

     (ii) To be placed on the interested parties distribution list, send contact information, including mailing and e-mail addresses to community health care collaboration at Washington State Health Care Authority, P.O. Box 42721, Olympia, Washington 98504-2721.

     (2) The guidelines and application forms will be available on the authority's official web site and included with the published guidelines distributed by e-mail to those who request an application. The application will be available in hard copy and sent by United States mail upon request. Applications must be completed and submitted in the format and filed by the deadlines prescribed by the authority and published in the guidelines.

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