WSR 19-14-006
[Filed June 20, 2019, 11:22 a.m.]
Title or Subject: Medicaid State Plan Amendment (SPA) 19-0020.
Effective Date: January 1, 2020.
Description: Pharmacy Update – Optional Coverage of Excluded Drugs.
The health care authority intends to submit medicaid SPA 19-0020 in order to streamline the prescribed drugs section of the medicaid state plan by removing the detailed lists of specific covered drugs or classes of drugs and replacing the lists with references, including links, to other sources containing the information. Replacing the lists will lessen the administrative burden of submitting a SPA to the Centers for Medicare and Medicaid Services (CMS) each time an item on a list is added, removed, or changed, while providing a reference to current, updated information. The agency will take this opportunity to increase the number of covered cough and cold products.
SPA 19-0020 is expected to have no effect on the annual aggregate expenditures or payments for covered drugs and drug classes.
SPA 19-0020 is in the development process; therefore a copy is not yet available for review. The health care authority would appreciate any input or concerns regarding this SPA. To request a copy when it becomes available or submit comments, please 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 Charles Agte, Program Specialist, 626 8th Avenue S.E., Olympia, WA 98501, phone 360-725-1301, TRS 711, fax 360-725-2141, email