WSR 21-18-054
[Filed August 26, 2021, 8:20 a.m.]
Title or Subject: Medicaid State Plan Amendment (SPA) 21-0003 Rehabilitation Services.
Effective Date: July 1, 2022.
Description: The health care authority (HCA) intends to submit SPA 21-0003 to update the language of Section 13d: Rehabilitation services of the medicaid state plan. The SPA will:
Reformat the section to be more representative of the current behavioral health system (as opposed to the current structure which separates substance use disorder services and mental health services);
Reduce redundancies in the language; and
Update agency and licensing names.
No significant changes will be made to the current services available, who can provide the services, or any limitations associated with the services. However, if approved by the legislature, a new provision will be added that would allow medicaid funds to be used on problem gambling treatment services, which are currently paid for with state funds.
This SPA is the first phase in a longer-term plan. The reformatting and updates will create a better formatting structure for future system and service improvements, including efforts to remove barriers and deliver more integrated care.
SPA 21-0006 is expected to have no effect on the annual aggregate expenditures/payments for rehabilitation services. These changes do not reflect significant changes to policy or payment.
HCA is in the process of drafting the SPA. To request a copy of the draft SPA when it becomes available or return any 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: Jessica Diaz, Managed Care Programs, 626 8th Avenue S.E., Olympia, WA 98501, TRS (TDD/TTY) 711, email