Washington Medicaid HCA Tribal Affairs Office HCA Medicaid

Washington Medicaid (HCA) Tribal Affairs Office HCA = Medicaid & PEBB HCA ≠ DSHS Recent internal reorganization

Communications Plan • Meetings – Medicaid Monthly Meetings – Tribal Billing Workgroup • Weekly updates (started last week) – Sent via email & posted online • Updated website, www. hca. wa. gov/tribal • Email list technology solutions • Communications Plan draft will be shared for comments

Medicaid Monthly Meetings Open to everyone, in person or registration link online Medicaid Monthly Meeting – M 3 • 4 th Tuesday of each month, 1: 00 -3: 00 PM • Next one is 01/28/2014 • Agenda: Tribal Health Homes, Enrollment Update, Legislative Update (dental therapists) Tribal Billing Workgroup – TBWG • 2 nd Tuesday of each month, 9: 00 -11: 00 AM • Next one is 02/11/2014 • Developing Documentation (1 -pagers), updating Medicaid Provider Guide (MPG)

Enrollment Update • Data from December is on HCA website www. hca. wa. gov/tribal Go to Meetings & Centennial Accord and click on December 16, 2013 Monthly Meeting for the PPT file • Updated enrollment data available next Medicaid Monthly Meeting (M 3) on Jan 28, 2014, 1: 00 -3: 00 PM

Tribal Visits • Recent: Lummi Nation, Port Gamble S’Klallam Tribe • Upcoming: Colville (PASSR SPA), Chehalis • Interest and excitement from all levels! – Chief Medical Officer, Executive Leadership Team, Tribal Affairs Committee Medicaid 101 for Tribes • Eligibility • Benefits • Claims • Policy

CD services to nonnatives For non-natives receiving CD services from a Tribal provider: 2013 and before • Tribe pays 50% match to state • Tribe receives 100% of encounter rate 2014 and beyond • Newly eligible adults -> 100% FMAP of ___? • Federal question

Tribal Consultation Follow Up • • SHCIP RSN Corrective Action Plan Modified Adjusted Gross Income (MAGI) Alternative Benefit Package (ABP) • Consultation & Communication Policy

Please feel free to contact me Karol Dixon Health Care Authority karol. dixon@hca. wa. gov 360 -725 -1649