Medicaid State Plan Amendments

This amendment abolishes copayments for Medicaid fee-for-service beneficiaries within the state.

To increase the income standard for its Ticket to Work Basic eligibility group and disregard “Work Incentive Accounts” in determining resource eligibility for certain non-MAGI eligibility groups.
 

This amendment is to add a new 1915(i) home and community-based services (HCBS) benefit and Community Behavioral Health Support Services - Supported Supervision and Oversight.

add a new 1915(i) home and community-based services (HCBS) benefit to Managed Care and to add Community Behavioral Health Support Services - Supported Supervision and Oversight.

Clarifies coverage and prior authorization provisions for eyeglasses.

To provide reimbursement for pre-treatment evaluations performed by dentists treating patients requiring deep sedation or general anesthesia.

This amendment proposes to update the state plan to reflect the Third-Party Liability-Related provisions that bar responsible third-party payers from refusing payment for an item or service solely on the basis that such item or service did not receive prior authorization under the third-party payer rules.

This amendment changes to the income eligibility methodologies for Community Behavioral Health Support Services (CBHS) in Washington’s section 1915(i) authorized Supportive Supervision and Oversight benefit.

This SPA updated the fee schedule effective dates for several Medicaid programs and services.

This plan amendment updates the Pharmacy Vaccination Administration Rates.