WSR 21-14-026
HEALTH CARE AUTHORITY
[Filed June 29, 2021, 7:53 a.m.]
NOTICE
Title or Subject: Medicaid State Plan Amendment (SPA) 21-0019 Payment Methodology for Physician, Family Planning, and Mental Health Services.
Effective Date: October 1, 2021.
Description: The health care authority (HCA) intends to submit SPA 21-0019 to update the methodologies for physician, mental health, and family planning services. These updates are to align with the recent 2021-2023 biennial legislative budget, which included increases to these programs.
HCA is in the process of developing the rates; therefore, complete information is not yet available. At this time, rates will increase as follows:
Mental health services will receive a fifteen percent increase to maintain and increase access for behavioral health services.
Physician-related services will receive a twenty-one percent increase for enhanced pediatric services and a fifteen percent increase for adult primary care.
The department of health's sexual reproductive health program providers will receive an increase.
HCA is in the process of developing the SPA. HCA would appreciate any input or concerns regarding this SPA. To request a copy of the SPA when it becomes available or submit comments, you may 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: Wendy Steffens, Financial Services, 626 8th Avenue S.E., Olympia, WA 98504, phone 360-725-5145, TRS 711, email wendy.steffens@hca.wa.gov.