table of contents state/territory name: washington state

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Table of Contents

State/Territory Name: Washington

State Plan Amendment (SPA) #: 18-0028

This file contains the following documents in the order listed:

1) Approval Letter2) Summary Page (with like 179 page data)3) Approved SPA Pages from MACPRO

DEPARTMENT OF HEALTH & HUMAN SERVICESCenters for Medicare & Medicaid ServicesSeattle Regional Office701 Fifth Avenue, Suite 1600, MS/RX-200 Seattle, WA 98104

Division of Medicaid & Children’s Health Operations

November , 2018

Susan Birch, Director MaryAnne Lindeblad, Medicaid Director Health Care AuthorityPO Box 45502 Olympia, WA 98504-5010

RE: Washington State Plan Amendment (SPA) Transmittal Number 18-0028

Dear Ms. Birch and Ms. Lindeblad:

The Centers for Medicare & Medicaid Services (CMS) has completed its review of State Plan Amendment (SPA) Transmittal Number WA 18-0028. This amendment implemented a 20 percent rate increase across all three tiers of Health Home services and reduced the performance incentive payment to 5 percent.

This SPA is approved with an effective date of August 1, 2018.

If there are additional questions, please contact me or your staff may contact James Moreth at [email protected] or (206) 615-2043.

Sincerely,

David L. MeachamAssociate Regional Administrator

Cc:Ann Myers, SPA Coordinator

Digitally signed by David L.

Date: 2018.11.30 07:53:49 -08'00'

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[BLGAw>IGAJC ICE yB>AFLJ>AGZ [JCDJLGAON tx[y[u [BLGAwBE SEEA>GAJC [JOCDBHJL

@BWBH xx JL QAPQBL B_INACIGAJC? [UTD NODG >JNFHBGB cbaaa GJ zb{aa QJOLD JX

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>JOCDBHJLDb IEWIC>BE DJ>AIH KJLMBLDb ACEBFBCEBCG >HACA>IH DJ>AIH KJLMBL JL

HA>BCDBE ID I FDZ>QJHJPADGb GQIG AC>HOEB >HACA>IH BWIHOIGAJC ICE XI>BVGJVXI>B

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