WSR 16-17-142

HEALTH CARE AUTHORITY

[Filed August 24, 2016, 6:55 a.m.]

NOTICE

Title or Subject: Medicaid state plan amendment (SPA) 16-0031 Community First Choice.

Effective Date: On or after January 1, 2017.

Description: The health care authority in conjunction with the department of social and health services (DSHS) intends to submit medicaid SPA 16-0031 to make amendments to the community first choice (CFC) program (SPA 15-0037) that was initially approved by CMS effective July 1, 2015.

SPA 16-0031 will amend the CFC program to:

•	Clarify language for personal care providers regarding state and federal background checks.

o	A state background check must be completed prior to contracting.
o	A federal background check must be completed within one hundred twenty days of the provider being hired.

•	Remove the link to the rate schedule listed on Attachment 4.19-B page 49.
•	Add provider types eligible to provide the following services:

o	Voluntary training on how to select, manage and dismiss attendants.
o	Community transition.
o	Assistive technology.

•	Expand the scope of the "voluntary training on how to select, manage and dismiss attendants." Currently this service is provided through self-study materials. Upon approval from CMS, participants who employ and manage multiple care providers may choose to receive training directly from listed provider types.
•	Expand the scope of the backup system service to receive federal matching funds for bed hold retainer payments to residential providers during a participant's short term hospital or nursing home stay.
•	Remove references to the social service payment system.
•	Increase the fiscal year monetary limit available to participants to $550.00 for the purchase of assistive technology and skills acquisition training.
•	Clarify that the scope of assistive technology services includes assistive equipment that increases the individual's independence or substitutes for human assistance.

SPA 16-0031 is expected to impact annual aggregate expenditures as follows:

•	Annual state expenditures for voluntary training on how to select, manage and dismiss attendants are expected to increase by $947,320.
•	Annual state expenditures for the fiscal year monetary limit are expected to increase by $677,160.
•	Annual state expenditures for bed hold retainer payments are expected to decrease by $775,934.
•	PA [SPA] 16-0031 will have no effect on current provider payment rates or methodologies.

To obtain copies of the proposed SPA changes, please contact the agency in your county listed below:


Adams County Adams County Health Department 108 West Main Ritzville, WA 99169 Phone (509) 659-3315	Clark County Home and Community Services Vancouver HCS 800 N.E. 136th Avenue Suite 220 Vancouver, 98684 Phone (360) 397-9500 Alt. Phone 1-800-280-0586 TTY (360) 750-4079 Fax (360) 992-7949	Franklin County The Franklin County Commissioners Office 1016 North 4th Avenue Pasco, WA 99301 (509) 545-3535
Asotin County Home and Community Services Clarkston HCS Office 525 Fifth Street Clarkston, 99403 Web site http://www.altcwashington.com Phone (509) 751-4672 Alt. Phone 1-800-310-4881 Fax (509) 758-4593	Columbia County Aging and Disability Resource Center Columbia Office 410 East Main Dayton, 99328 Web site http://www.altcwashington.com/ Phone (509) 382-4787	Garfield County Garfield County District Court 789 West Main Street Pomeroy, WA 99347 Phone (509) 843-1002
Benton County Home and Community Services Tri-Cities HCS Office 500 North Morain Street Suite 2210 Kennewick, 99336 Phone (509) 374-2100 Alt. Phone 1-800-310-4833 Fax (509) 734-7559	Cowlitz County Home and Community Services Kelso HCS 711 Vine Street Kelso, 98626 Phone (360) 501-2500 Alt. Phone 1-800-605-7322 TTY (360) 577-7591 Fax (360) 578-4106	Grant County Home and Community Services Moses Lake HCS 1651 South Pilgrim Street Moses Lake, WA 98837 Phone (509) 764-5657 Alt. Phone 1-800-671-8902 TTY 1-800-833-6388 Fax (509) 764-5656
Chelan County Chelan Community Services Office 805 South Mission Street Wenatchee, 98801 Phone (509) 886-6400	Douglas County Home and Community Services Wenatchee HCS 50 Simon Street S.E. Suite B East Wenatchee, 98802 Phone (509) 886-6140 Alt. Phone 1-800-670-8874 Fax (509) 886-6221	Grays Harbor County Home and Community Services Aberdeen HCS 415 West Wishkah Street Suite A2 Aberdeen, 98520 Phone (360) 533-9222 Alt. Phone 1-800-487-0119 TTY (360) 533-9730 Fax (360) 533-9782
Clallam County Home and Community Services Port Angeles HCS 235 West 1st Street Port Angeles, 98362 Phone (360) 565-2160 Alt. Phone 1-800-280-9891 TTY (360) 417-5651 Fax (360) 417-1416	Ferry County Home and Community Services Republic HCS 89 East Delaware Republic 99166 Phone (509) 775-2227 Alt. Phone 1-888-437-0516 TTY (509) 775-2661 Fax (509) 775-2401	Island County Home and Community Services Oak Harbor HCS 900 East College Way Suite 210 Mt. Vernon, 98273 Phone (360) 429-2961 Alt. Phone 1-866-608-0836 Fax (360) 429-2958
Jefferson County Home and Community Services Port Townsend HCS 915 Sheridan Street Suite 201 Port Townsend, 98368 Phone (360) 379-4326 Alt. Phone 1-800-280-9991 Fax (360) 344-4600	Lewis County Home and Community Services Chehalis HCS 3451 Galvin Road Centralia, 98531 Phone (360) 807-7150 Alt. Phone 1-800-487-0360 Fax (360) 330-7552	Pend Oreille County Home and Community Services Newport HCS 1600 West First Avenue Newport, 99156 Phone (509) 447-6223 Alt. Phone 1-888-437-0516 Fax (509) 447-5256
King County Home and Community Services King County HCS 1737 Airport Way South Suite 130 P.O. Box 24847 Seattle, 98134 Phone (206) 341-7750 Alt. Phone 1-800-346-9257 TTY 1-800-833-6384	Lincoln County Lincoln County Health Department 90 Nicholls Street Davenport, WA 99122 Phone (509) 725-1001	Pierce County Home and Community Services Tacoma HCS 1949 South State Street Tacoma, 98405 Phone (253) 476-7200 Alt. Phone 1-800-442-5129 TTY (253) 593-5471 Fax (253) 597-4161
Kitsap County Home and Community Services Bremerton HCS 4710 Auto Center Boulevard Bremerton, 98312 Phone (360) 473-2299 Alt. Phone 1-800-422-7114 TTY (360) 478-4928 Fax (360) 478-6467	Mason County Home and Community Services Shelton HCS 2505 Olympic Highway North Suite 440 Shelton, 98584 Phone (360) 664-9050 Alt. Phone 1-800-462-4957 Fax (360) 432-2045	San Juan County San Juan County Health Services 145 Rhone Street Friday Harbor, WA 98250 Phone (360) 378-4474 Fax (360) 378-7036
Kittitas County Home and Community Services Ellensburg Office 100 East Jackson Avenue Suite 100 Ellensburg, 98926 Phone (509) 925-0433 Alt. Phone 1-800-310-4999 Fax (509) 962-7755	Okanogan County Home and Community Services Omak HCS 130 South Main Omak, 98841 Phone (509) 846-2103 Alt. Phone 1-888-437-0529 TTY (509) 826-7389 Fax (509) 826-7439	Skagit County Home and Community Services Mt. Vernon HCS 900 East College Way Suite 210 Mt. Vernon, 98273 Phone (360) 429-2961 Alt. Phone 1-866-608-0836 Fax (360) 416-7401
Klickitat County Home and Community Services White Salmon HCS 221 North Main Street White Salmon, 98672 Phone (509) 493-6157 Alt. Phone 1-800-504-1180	Pacific County Home and Community Services South Bend HCS 307 East Robert Bush Drive P.O. Box 87 South Bend, 98586 Phone (360) 875-4222 Alt. Phone 1-800-458-3747 Fax (360) 875-0590	Skamania County Home and Community Services Stevenson HCS 266 S.W. Second Street P.O. Box 817 Stevenson, 98648 Phone (509) 427-5611 Alt. Phone 1-800-505-4203 Fax (509) 427-4604
Snohomish County Home and Community Services Smokey Point HCS 3906 172nd Street N.E. Suite 101 Arlington, 98223 Phone (360) 651-6800 Alt. Phone 1-800-827-2984 Fax (360) 651-6832	Thurston County Home and Community Services Tumwater HCS (formerly Lacey HCS office) 6639 Capitol Boulevard S.W. Tumwater, 98512 Phone (360) 664-9050 Alt. Phone 1-800-462-4957 TTY (360) 407-1678 Fax (360) 664-9107	Whatcom County Home and Community Services Bellingham HCS 600 Lakeway Drive Bellingham, 98225 Phone (360) 756-5750 Alt. Phone 1-800-239-8292 Fax (360) 676-2239
Spokane County Home and Community Services Spokane HCS 1330 North Washington Street Suite 3000 Spokane, 99201 Phone (509) 568-3700 Alt. Phone 1-800-459-0421 TTY (509) 568-3697 Fax (509) 568-3771	Wahkiakum County Health and Human Services 42 Elochoman Valley Road Cathlamet, 98612 (360) 795-8630 1-800-635-5989	Whitman County Home and Community Services Colfax HCS 418 South Main Street Suite 3 Colfax, 99111 Phone (509) 397-5091 Alt. Phone 1-800-459-0421 Fax (509) 397-4323
Stevens County Home and Community Services Colville HCS 1100 South Main Colville, 99114 Phone (509) 685-5644 Alt. Phone 1-888-437-0516 Fax (509) 684-7430	Walla Walla County Home and Community Services Walla Walla Office 206 West Poplar Walla Walla, 99362 Phone (509) 524-4960 Alt. Phone 1-800-310-5678 Fax (509) 527-4142	Yakima County Home and Community Services Yakima Office 1002 North 16th Avenue Yakima, 98902 Phone (509) 225-4400 Alt. Phone 1-800-822-2097 Fax (509) 575-2286

A copy of SPA 16-0031 is also available for review at https://www.dshs.wa.gov/altsa/stakeholders/community-first-choice-option. The health care authority and DSHS would appreciate comments on this proposed amendment. To request a copy of the SPA or submit comments, please contact Jacqueine Echols, Home and Community Services, P.O. Box 45600, phone (360) 725-3216, TDD/TTY 877-905-0454, fax (360) 438-8633, e-mail Jacqueine.echols@dshs.wa.gov, web site www.dshs.wa.gov/altsa/stakeholders/community-first-choice-option (please note that all comments are subject to public review and disclosure, as are the names of those who comment).