WSR 15-11-029
[Filed May 13, 2015, 6:26 a.m.]
Title or Subject: Medicaid State Plan Amendment 15-0021 Apple Health Managed Care.
Effective Date: July 1, 2015.
Description: The health care authority intends to submit medicaid state plan amendment (SPA) 15-0021 regarding the apple health managed care program. This SPA is intended to:
Update the assignment methodology for apple health enrollees;
Clarify the procurement methodology used by the agency to obtain additional managed care organization (MCO) contracts when necessary; and
Update the list of services excluded from the apple health managed care benefit package. These are services covered by medicaid, but paid through the agency's fee-for-service system rather than by the MCOs.
If approved, this SPA is anticipated to have no effect on annual aggregate expenditures.
To contact the agency for additional information and a copy of the draft SPA when it becomes available, please contact Alison Robbins, Managed Care, 626 8th Avenue S.E., Olympia, WA 98501, phone (360) 725-1634, TDD/TTY 1-800-848-5429, fax (360) 753-7315, e-mail