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Washington Medicaid (HCA) Tribal Affairs Office

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

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Washington Medicaid (HCA) Tribal Affairs Office

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

  2. 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

  3. Medicaid Monthly MeetingsOpen to everyone, in person or registration link online Medicaid Monthly Meeting – M3 • 4th 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 • 2nd Tuesday of each month, 9:00-11:00 AM • Next one is 02/11/2014 • Developing Documentation (1-pagers), updating Medicaid Provider Guide (MPG)

  4. 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 (M3) on Jan 28, 2014, 1:00-3:00 PM

  5. 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

  6. 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

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

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

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