Provides triennial assurance of the pharmacy program adherence to the FULs requirements of federal regulations for the time period October 1, 2018 through September 20, 2021.

This SPA is to amend Washington’s 1915(k) Community First Choice, Home and Community Based Services (HCBS) State Plan Program.

Updates the Primary Care Physician Consultant to the Specialized Healthcare Consultant, allowing Health Homes flexibility in offering additional consultation from a variety of healthcare professions for special populations. Also updates the Per Member Per Month (PMPM) payment for Community Mental Health Centers (CMCH) Health Homes.

Removes citizenship, national status, and immigration status as edibility requirements for any PE program, including hospital PE. It also allows additional provider types to serve as qualified entities to make PE determinations for the Adult Group, Parent/Caretaker Relatives, Former Foster Care Youth, Children, and Pregnant Women.

Revised the alternative paper application used for multiple human services program, and the alternative single, streamlined online application.

Allows for up to 12 months of systemic contraceptives to be provided per dispensation, pursuant to a prescription by a healthcare provider.

Provides authority to enroll the new Adult Expansion Group (AEG) into managed care and to provide services through the managed care program.

Updated the review time for several performance measures.