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

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Presentation on theme: "Washington Medicaid (HCA) Tribal Affairs Office HCA = Medicaid & PEBB HCA ≠ DSHS Recent internal reorganization."— Presentation transcript:

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/tribalwww.hca.wa.gov/tribal Email list technology solutions Communications Plan draft will be shared for comments

3 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)

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 (M 3 ) 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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