WSR 02-18-089

PERMANENT RULES

HEALTH CARE AUTHORITY


[ Order 02-04 -- Filed September 3, 2002, 10:14 a.m. , effective October 1, 2002 ]

Date of Adoption: September 3, 2002.

Purpose: Addition of language (new section WAC 182-20-250) to provide special dental and interpreter grant funding for transition immigrant population from DSHS/MAA per ESSB 6387 for nonprofit community clinics funded under the community health services program.

Statutory Authority for Adoption: RCW 41.05.220.

Adopted under notice filed as WSR 02-15-179 on July 24, 2002.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 1, Amended 0, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 1, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 0, Repealed 0.

Other Findings Required by Other Provisions of Law as Precondition to Adoption or Effectiveness of Rule: Effective date October 1, 2002. Pursuant to requirements of section 212(7), Laws of 2002, this will allow a contract amendment date of October 1, 2002, to provide orderly and efficient funding for the noncitizen immigrant popluation dental services.
Effective Date of Rule: October 1, 2002.

September 3, 2002

Melodie H. Bankers

Rules Coordinator

OTS-5852.2


NEW SECTION
WAC 182-20-250   Allocation of state noncitizen immigrant funds.   The authority will allocate available funds to existing CHS contracted nonprofit community clinic contractors as of July 1, 2002, based on the following criteria:

(1) The initial time period covered for noncitizen immigrant funding is October 1, 2002, through June 30, 2003.

(2) The funding available will be targeted to noncitizen immigrants who are below one hundred percent of the federal poverty level.

(3) Awards will be by contract amendments.

(4) Starting October 1, 2002, the noncitizen immigrant funds will be distributed in three allocations to contractors based upon the following formula:

(a) For the first allocation on October 1, 2002:

(i) Five percent of all available funds will be shared equally among participating contractors.

(ii) Thirty-five percent of all available funds will be distributed based on a ratio derived from payments made by Medical Assistance Administration (MAA) for the period July 1, 2001, through December 31, 2001, specific to the noncitizen immigrant population, to CHS contractors (subset of MAA list of top fifty dental providers and clinics). Each clinic ratio will then be multiplied against the thirty-five percent of the total money available.

(b) For the second allocation to be awarded on or about February 15, 2003:

Thirty percent of all available funds (referred to as the second allocation base) will be distributed based on the following formula:

(i) Twenty percent will be distributed based on the ratio of the contractor's primary health care (PHC) noncitizen immigrant dental sliding fee users divided by the total noncitizen immigrant dental sliding fee users of all contractors as reported between October 1, 2002, and December 31, 2002.


individual contractor's dental noncitizen immigrant sliding fee users

X 20% second allocation base
total of all contractor's dental noncitizen immigrant sliding fee users
(ii) Eighty percent will be distributed based on the ratio of the contractor's primary health care (PHC) noncitizen immigrant dental sliding fee relative value units (RVUs), as defined in WAC 182-20-010(7), divided by the total noncitizen immigrant dental sliding fee RVUs of all contractors as reported between October 1, 2002, and December 31, 2002.


individual contractor's dental noncitizen immigrant sliding fee RVUs

X 80% second allocation base
total of all contractor's dental noncitizen immigrant sliding fee RVUs
(iii) Interpreter services not available from any other source, and paid for by the contractor, will be reportable and will be counted as each ten minutes of interpreter time equals one RVU.

(c) For the third allocation to be awarded on or about May 15, 2003:

Thirty percent of all available funds (referred to as the third allocation base) will be distributed based on the following formula:

(i) Twenty percent will be distributed based on the ratio of the contractor's primary health care (PHC) noncitizen immigrant dental sliding fee users divided by the total noncitizen immigrant dental sliding fee users of all contractors as reported between January 1, 2003, and March 31, 2003.


individual contractor's dental noncitizen immigrant sliding fee users

X 20% second allocation base
total of all contractor's dental noncitizen immigrant sliding fee users
(ii) Eighty percent will be distributed based on the ratio of the contractor's primary health care (PHC) noncitizen immigrant dental sliding fee RVUs divided by the total noncitizen immigrant dental sliding fee RVUs of all contractors as reported between January 1, 2003, and March 31, 2003.


individual contractor's dental noncitizen immigrant sliding fee RVUs

X 80% second allocation base
total of all contractor's dental noncitizen immigrant sliding fee RVUs
(iii) Interpreter services not available from any other source, and paid for by the contractor, will be reportable and will be counted as each ten minutes of interpreter time equals one RVU.

[]

Washington State Code Reviser's Office