WSR 17-07-072

HEALTH CARE AUTHORITY

[Filed March 16, 2017, 10:08 a.m.]

NOTICE

Title or Subject: Medicaid State Plan Amendment (SPA) 17-0017 Dental Services Provided in FQHCs.

Effective Date: April 1, 2017.

Description: The health care authority (the agency) intends to submit SPA 17-0017 to add a reference to dentists as providers who are eligible to provide encounter services in federally qualified health centers (FQHC). Adding this reference does not change current policy. Dental services provided in an FQHC are currently eligible to be provided and paid as encounter services. SPA 17-0017 simply adds a specific reference to dentists in the list of providers who may furnish those services.

SPA 17-0017 is expected to have no effect [on] providers' annual aggregate expenditures, as it does not change current policy, practice, or payment.

This notice is published on the agency's web site under Public notices. It is also published in the Washington State Register as a courtesy.

A copy of the SPA is available for review by contacting Madina Cavendish, FQHC/RHC Unit, 628 8th Avenue S.E., Olympia, WA 98501, phone (360) 725-1486, TDD/TTY 1-800-848-5429, fax (253) 350-6512, email madina.cavendish@hca.wa.gov.

County Contacts

Adams County

Adams County Health Department

108 West Main

Ritzville, WA 99169

Phone (509) 659-3315

Asotin County

Clarkston Home and Community Services Office

525 Fifth Street

Clarkston, WA 99403

Web site http://www.altcwashington.com

Phone (509) 751-4672

Alt. Phone 1-800-310-4881

Fax (509) 758-4593

Benton County

Tri-Cities Home and Community Services Office

500 North Morain Street

Suite 2210

Kennewick, WA 99336

Phone (509) 374-2100

Alt. Phone 1-800-310-4833

Fax (509) 734-7559 [374-7559]

Chelan County

Chelan Community Services Office

805 South Mission Street

Wenatchee, WA 98801

Phone (509) 667-6000

Clallam County

Port Angeles Home and Community Services Office

235 West 1st Street

Port Angeles, WA 98362

Phone (360) 565-2160

Alt. Phone 1-800-280-9891

TTY (360) 417-5651

Fax (360) 417-1416

Clark County

Vancouver Home and Community Services Office

800 N.E. 136th Avenue

Suite 220

Vancouver, WA 98684

Phone (360) 397-9500

Alt. Phone 1-800-280-0586

TTY (360) 750-4079

Fax (360) 992-7949

Columbia County

Aging and Disability Resource Center

410 East Main

Dayton, WA 99328

Web site http://www.altcwashington.com/

Phone (509) 382-4787

Cowlitz County

Kelso Home and Community Services Office

711 Vine Street

Kelso, WA 98626

Phone (360) 501-2500

Alt. Phone 1-800-605-7322

TTY (360) 577-7591

Fax (360) 578-4106

Douglas County

Wenatchee Home and Community Services Office

50 Simon Street S.E.

Suite B

East Wenatchee, WA 98802

Phone (509) 886-6140

Alt. Phone 1-800-670-8874

Fax (509) 886-6221

Ferry County

Republic Home and Community Services Office

89 East Delaware

Republic, WA 99166

Phone (509) 775-2227

Alt. Phone 1-888-437-0516

TTY (509) 775-2661

Fax (509) 775-2401

Franklin County

Franklin County Commissioners Office

1016 North 4th Avenue

Pasco, WA 99301

Phone (509) 545-3535

Garfield County

Garfield County District Court

789 West Main Street

P.O. Box 817 or 819

Pomeroy, WA 99347

Phone (509) 843-1002

Grant County

Moses Lake Home and Community Services Office

1651 South Pilgrim Street

Moses Lake, WA 98837

Phone (509) 764-5657

Alt. Phone 1-800-671-8902

TTY 1-800-833-6388

Fax (509) 764-5656

Grays Harbor County

Aberdeen Home and Community Services Office

415 West Wishkah Street

Suite A2

Aberdeen, WA 98520

Phone (360) 533-9222

Alt. Phone 1-800-487-0119

TTY (360) 533-9730

Fax (360) 533-9782

Island County

Oak Harbor Home and Community Services Office

900 East College Way

Suite 210

Mt. Vernon, WA 98273

Phone (360) 429-2961

Alt. Phone 1-866-608-0836

Fax (360) 429-2958

Jefferson County

Port Townsend Home and Community Services Office

915 Sheridan Street

Suite 201

Port Townsend, WA 98368

Phone (360) 379-4326

Alt. Phone 1-800-280-9991

Fax (360) 344-4600

King County

King County Home and Community Services Office

1737 Airport Way South

Suite 130

P.O. Box 24847

Seattle, WA 98134

Phone (206) 341-7750

Alt. Phone 1-800-346-9257

TTY 1-800-833-6384

Kitsap County

Bremerton Home and Community Services Office

4710 Auto Center Boulevard

Bremerton, WA 98312

Phone (360) 473-2299

Alt. Phone 1-800-422-7114

TTY (360) 478-4928

Fax (360) 478-6467

Kittitas County

Ellensburg Home and Community Services Office

100 East Jackson Avenue

Suite 100

Ellensburg, WA 98926

Phone (509) 925-0433

Alt. Phone 1-800-310-4999

Fax (509) 962-7755

Klickitat County

White Salmon Home and Community Services Office

221 North Main Street

White Salmon, WA 98672

Phone (509) 493-6157

Alt. Phone 1-800-504-1180

Lewis County

Chehalis Home and Community Services Office

3451 Galvin Road

Centralia, WA 98531

Phone (360) 807-7150

Alt. Phone 1-800-487-0360

Fax (360) 330-7552

Lincoln County

Lincoln County Health Department

90 Nicholls Street

Davenport, WA 99122

Phone (509) 725-1001

Mason County

Shelton Home and Community Services Office

2505 Olympic Highway North

Suite 440

Shelton, WA 98584

Phone (360) 664-9050

Alt. Phone 1-800-462-4957

Fax (360) 432-2045

Okanogan County

Omak Home and Community Services Office

130 South Main

Omak, WA 98841

Phone (509) 846-2103

Alt. Phone 1-888-437-0529

TTY (509) 826-7389

Fax (509) 826-7439

Pacific County

South Bend Home and Community Services Office

307 East Robert Bush Drive

P.O. Box 87

South Bend, WA 98586

Phone (360) 875-4222

Alt. Phone 1-800-458-3747

Fax (360) 875-0590

Pend Oreille County

Newport Home and Community Services Office

1600 West First Avenue

Newport, WA 99156

Phone (509) 447-6223

Alt. Phone 1-888-437-0516

Fax (509) 447-5256

Pierce County

Tacoma Home and Community Services Office

1949 South State Street

Tacoma, WA 98405

Phone (253) 476-7200

Alt. Phone 1-800-442-5129

TTY (253) 593-5471

Fax (253) 597-4161

San Juan County

San Juan County Health Services

145 Rhone Street

Friday Harbor, WA 98250

Phone (360) 378-4474

Fax (360) 378-7036

Skagit County

Mount Vernon Home and Community Services Office

900 East College Way

Suite 210

Mt. Vernon, WA 98273

Phone (360) 429-2961

Alt. Phone 1-866-608-0836

Fax (360) 416-7401

Skamania County

Stevenson Home and Community Services Office

266 S.W. Second Street

P.O. Box 817

Stevenson, WA 98648

Phone (509) 427-5611

Alt. Phone 1-800-505-4203

Fax (509) 427-4604

Snohomish County

Smokey Point Home and Community Services Office

3906 172nd Street N.E.

Suite 101

Arlington, WA 98223

Phone (360) 651-6800

Alt. Phone 1-800-827-2984

Fax (360) 651-6832

Spokane County

Spokane Home and Community Services Office

1330 North Washington Street

Suite 3000

Spokane, WA 99201

Phone (509) 568-3700

Alt. Phone 1-800-459-0421

TTY (509) 568-3697

Fax (509) 568-3771

Stevens County

Colville Home and Community Services Office

1100 South Main

Colville, WA 99114

Phone (509) 685-5644

Alt. Phone 1-800-437-0516

Fax (509) 684-7430

Thurston County

Tumwater Home and Community Services Office

6639 Capitol Boulevard S.W.

Tumwater, WA 98512

Phone (360) 664-9050

Alt. Phone 1-800-462-4957

TTY (360) 407-1678

Fax (360) 664-9107

Wahkiakum County

Health and Human Services

42 Elochoman Valley Road

Cathlamet, WA 98612

Phone (360) 795-8630

Alt. Phone 1-800-635-5989

Walla Walla County

Walla Walla Home and Community Services Office

206 West Poplar

Walla Walla, WA 99362

Phone (509) 524-4960

Alt. Phone 1-800-310-5678

Fax (509) 527-4142

Whatcom County

Bellingham Home and Community Services Office

600 Lakeway Drive

Bellingham, WA 98225

Phone (360) 756-5750

Alt. Phone 1-800-239-8292

Fax (360) 676-2239

Whitman County

Colfax Home and Community Services Office

418 South Main Street

Suite 3

Colfax, WA 99111

Phone (509) 397-5091

Alt. Phone 1-800-459-0421

Fax (509) 397-4323

Yakima County

Yakima Home and Community Services Office

1002 North 16th Avenue

Yakima, WA 98902

Phone (509) 225-4400

Alt. Phone 1-800-822-2097

Fax (509) 575-2286