Updated 11.16.20 – Deadline extended to Dec. 13; draft proposal revised.

The Washington State Health Care Authority (HCA) issued several updates last week, including a revised proposal, “which provides additional clarity on certain programmatic aspects like quality assurance, evaluation, and fiscal estimates.” The public comment period is extended to Sunday, December 13, 2020.

In addition to the online comment form, HCA will accept comments mailed to the following address:

Washington State Health Care Authority, Policy Division
Regarding: MTP public comment
Attention: Tamarra Henshaw
Mail Stop 45502
628 8th Avenue SE
Olympia, WA 98501

Public Comment for Medicaid Transformation Project Extension Application & Amendment

The Washington State Health Care Authority (HCA) recently released a draft application for a one-year extension of the Medicaid Transformation Project (MTP) and a draft amendment to the associated Section 1115 Waiver. The drafts are available for public comment through December 2  December 13 and HCA will hold public hearings in November. 

Closes Dec 13, 2020: MTP Extension & Amendment Comment Period

Purpose of the Extension

An extension would allow Washington State to continue its COVID-19 relief efforts through each of the MTP initiatives. It would also serve to further the continued implementation of MTP’s transformational goals and progress toward value-based care. This extension, if approved, would create a sixth year for MTP. Read more about the benefits of an extension 

Purpose of the Amendment

The draft amendment seeks approval to amend the existing 1115 waiver to:

    • Provide flexibility related to long-term services and supports (LTSS).
    • Align the value-based payment (VBP) target for year 5 of MTP because of state adjustments due to COVID-19.

View additional summary information about the amendment

Feedback Opportunities

Public comment is open to anyone who would like to share feedback, and we encourage our community, partners, committees and Board to share their thoughts. HCA seeks feedback from health care and social service providers, managed care organizations, hospitals and health systems, medical associations, Tribes, Accountable Communities of Health, and the public. Please share your thoughts via the online survey by December 2, 2020 December 13, 2020.

HCA will also host two public hearings via webinar to provide an overview of the extension application and proposed amendments. Registration is available for the following dates, and HCA plans to share a recording of the November 16 webinar):

For more information, please see:

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