16-17-142

WSR 16-17-142

HEALTH CARE AUTHORITY

[Filed August 24, 2016, 6:55 a.m.]

NOTICE

Title or Subject: Medicaid state plan amendment (SPA) 16-0031 Community First Choice.

Effective Date: On or after January 1, 2017.

Description: The health care authority in conjunction with the department of social and health services (DSHS) intends to submit medicaid SPA 16-0031 to make amendments to the community first choice (CFC) program (SPA 15-0037) that was initially approved by CMS effective July 1, 2015.

SPA 16-0031 will amend the CFC program to:

.	Clarify language for personal care providers regarding state and federal background checks.

o	A state background check must be completed prior to contracting.
o	A federal background check must be completed within one hundred twenty days of the provider being hired.

.	Remove the link to the rate schedule listed on Attachment 4.19-B page 49.
.	Add provider types eligible to provide the following services:

o	Voluntary training on how to select, manage and dismiss attendants.
o	Community transition.
o	Assistive technology.

.	Expand the scope of the "voluntary training on how to select, manage and dismiss attendants." Currently this service is provided through self-study materials. Upon approval from CMS, participants who employ and manage multiple care providers may choose to receive training directly from listed provider types.
.	Expand the scope of the backup system service to receive federal matching funds for bed hold retainer payments to residential providers during a participant's short term hospital or nursing home stay.
.	Remove references to the social service payment system.
.	Increase the fiscal year monetary limit available to participants to $550.00 for the purchase of assistive technology and skills acquisition training.
.	Clarify that the scope of assistive technology services includes assistive equipment that increases the individual's independence or substitutes for human assistance.

SPA 16-0031 is expected to impact annual aggregate expenditures as follows:

.	Annual state expenditures for voluntary training on how to select, manage and dismiss attendants are expected to increase by $947,320.
.	Annual state expenditures for the fiscal year monetary limit are expected to increase by $677,160.
.	Annual state expenditures for bed hold retainer payments are expected to decrease by $775,934.
.	PA [SPA] 16-0031 will have no effect on current provider payment rates or methodologies.

To obtain copies of the proposed SPA changes, please contact the agency in your county listed below:

Adams County Adams County Health Department 108 West Main Ritzville, WA 99169 Phone [phone]	Clark County Home and Community Services Vancouver HCS 800 N.E. 136th Avenue Suite 220 Vancouver, 98684 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]	Franklin County The Franklin County Commissioners Office 1016 North 4th Avenue Pasco, WA 99301 [phone]
Asotin County Home and Community Services Clarkston HCS Office 525 Fifth Street Clarkston, 99403 Web site http://www.altcwashington.com Phone [phone] Alt. Phone [phone] Fax [phone]	Columbia County Aging and Disability Resource Center Columbia Office 410 East Main Dayton, 99328 Web site http://www.altcwashington.com/ Phone [phone]	Garfield County Garfield County District Court 789 West Main Street Pomeroy, WA 99347 Phone [phone]
Benton County Home and Community Services Tri-Cities HCS Office 500 North Morain Street Suite 2210 Kennewick, 99336 Phone [phone] Alt. Phone [phone] Fax [phone]	Cowlitz County Home and Community Services Kelso HCS 711 Vine Street Kelso, 98626 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]	Grant County Home and Community Services Moses Lake HCS 1651 South Pilgrim Street Moses Lake, WA 98837 Phone [phone] Alt. Phone [phone] TTY 1-800-833-6388 Fax [phone]
Chelan County Chelan Community Services Office 805 South Mission Street Wenatchee, 98801 Phone [phone]	Douglas County Home and Community Services Wenatchee HCS 50 Simon Street S.E. Suite B East Wenatchee, 98802 Phone [phone] Alt. Phone [phone] Fax [phone]	Grays Harbor County Home and Community Services Aberdeen HCS 415 West Wishkah Street Suite A2 Aberdeen, 98520 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]
Clallam County Home and Community Services Port Angeles HCS 235 West 1st Street Port Angeles, 98362 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]	Ferry County Home and Community Services Republic HCS 89 East Delaware Republic 99166 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]	Island County Home and Community Services Oak Harbor HCS 900 East College Way Suite 210 Mt. Vernon, 98273 Phone [phone] Alt. Phone [phone] Fax [phone]
Jefferson County Home and Community Services Port Townsend HCS 915 Sheridan Street Suite 201 Port Townsend, 98368 Phone [phone] Alt. Phone [phone] Fax [phone]	Lewis County Home and Community Services Chehalis HCS 3451 Galvin Road Centralia, 98531 Phone [phone] Alt. Phone [phone] Fax [phone]	Pend Oreille County Home and Community Services Newport HCS 1600 West First Avenue Newport, 99156 Phone [phone] Alt. Phone [phone] Fax [phone]
King County Home and Community Services King County HCS 1737 Airport Way South Suite 130 P.O. Box 24847 Seattle, 98134 Phone [phone] Alt. Phone [phone] TTY 1-800-833-6384	Lincoln County Lincoln County Health Department 90 Nicholls Street Davenport, WA 99122 Phone [phone]	Pierce County Home and Community Services Tacoma HCS 1949 South State Street Tacoma, 98405 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]
Kitsap County Home and Community Services Bremerton HCS 4710 Auto Center Boulevard Bremerton, 98312 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]	Mason County Home and Community Services Shelton HCS 2505 Olympic Highway North Suite 440 Shelton, 98584 Phone [phone] Alt. Phone [phone] Fax [phone]	San Juan County San Juan County Health Services 145 Rhone Street Friday Harbor, WA 98250 Phone [phone] Fax [phone]
Kittitas County Home and Community Services Ellensburg Office 100 East Jackson Avenue Suite 100 Ellensburg, 98926 Phone [phone] Alt. Phone [phone] Fax [phone]	Okanogan County Home and Community Services Omak HCS 130 South Main Omak, 98841 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]	Skagit County Home and Community Services Mt. Vernon HCS 900 East College Way Suite 210 Mt. Vernon, 98273 Phone [phone] Alt. Phone [phone] Fax [phone]
Klickitat County Home and Community Services White Salmon HCS 221 North Main Street White Salmon, 98672 Phone [phone] Alt. Phone [phone]	Pacific County Home and Community Services South Bend HCS 307 East Robert Bush Drive P.O. Box 87 South Bend, 98586 Phone [phone] Alt. Phone [phone] Fax [phone]	Skamania County Home and Community Services Stevenson HCS 266 S.W. Second Street P.O. Box 817 Stevenson, 98648 Phone [phone] Alt. Phone [phone] Fax [phone]
Snohomish County Home and Community Services Smokey Point HCS 3906 172nd Street N.E. Suite 101 Arlington, 98223 Phone [phone] Alt. Phone [phone] Fax [phone]	Thurston County Home and Community Services Tumwater HCS (formerly Lacey HCS office) 6639 Capitol Boulevard S.W. Tumwater, 98512 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]	Whatcom County Home and Community Services Bellingham HCS 600 Lakeway Drive Bellingham, 98225 Phone [phone] Alt. Phone [phone] Fax [phone]
Spokane County Home and Community Services Spokane HCS 1330 North Washington Street Suite 3000 Spokane, 99201 Phone [phone] Alt. Phone [phone] TTY [phone] Fax [phone]	Wahkiakum County Health and Human Services 42 Elochoman Valley Road Cathlamet, 98612 [phone] 1-800-635-5989	Whitman County Home and Community Services Colfax HCS 418 South Main Street Suite 3 Colfax, 99111 Phone [phone] Alt. Phone [phone] Fax [phone]
Stevens County Home and Community Services Colville HCS 1100 South Main Colville, 99114 Phone [phone] Alt. Phone [phone] Fax [phone]	Walla Walla County Home and Community Services Walla Walla Office 206 West Poplar Walla Walla, 99362 Phone [phone] Alt. Phone [phone] Fax [phone]	Yakima County Home and Community Services Yakima Office 1002 North 16th Avenue Yakima, 98902 Phone [phone] Alt. Phone [phone] Fax [phone]

A copy of SPA 16-0031 is also available for review at https://www.dshs.wa.gov/altsa/stakeholders/community-first-choice-option. The health care authority and DSHS would appreciate comments on this proposed amendment. To request a copy of the SPA or submit comments, please contact Jacqueine Echols, Home and Community Services, P.O. Box 45600, phone [phone], TDD/TTY 877-905-0454, fax [phone], e-mail [e-mail], web site www.dshs.wa.gov/altsa/stakeholders/community-first-choice-option (please note that all comments are subject to public review and disclosure, as are the names of those who comment).