WSR 17-19-099

[Filed September 19, 2017, 11:46 a.m.]

Title or Subject: Section 1115 Extension Application.

Effective Date: January 1, 2018.

Description: The health care authority (the agency) published a notice on September 5, 2017, regarding the intent to submit an application to extend the Section 1115 Family Planning Only Demonstration Waiver for five years (through December 2022). The agency has revised the original public comment period to October 2017; a new notice will be posted to announce the new time period.

In addition, the agency had scheduled meetings for September 19 and 22, 2017. These meetings will be rescheduled at a later date. The new dates and times will be posted on the agency web site.

Previous information: The current waiver expires on December 31, 2017. It covers limited family planning and family planning-related services for women and men who are enrolled in the agency's two programs, Family Planning Only Extension and Take Charge.

The purpose, client eligibility requirements, and benefit package will remain the same. The name will change to Family Planning Only to reduce confusion inherent in two program names.

The purpose of the Family Planning Only program is to:

The following groups are eligible for services under the Family Planning Only program:

Coverage is for twelve months, starting on the first day of the month the application was signed. Applications are available on the agency web site or at specified providers who can assist with completion of the application. Services are currently provided at specified clinics across Washington state (listed on the agency web site).

The Family Planning Only program provides the following services on a fee-for-service basis: All FDA-approved contraceptives; natural family planning; over-the-counter contraception; emergency contraception; sterilization; contraceptive education, counseling, and management; limited STI/STD testing and treatment related to successful use of the chosen contraceptive method; cervical cancer screening according to national clinical guidelines when associated with a family planning visit; office visits and limited ancillary services related to the above services. There are no cost-sharing requirements to receive services under this program.

Because eligibility and services will remain the same, this extension is anticipated to have no effect on annual aggregate expenditures or enrollment. Based on fiscal year 2016 experience we expect enrollment of approximately four thousand clients with an expenditure of $1.5 million for each year of the five year renewal period.

The demonstration will test the hypotheses that by maintaining the Family Planning Only program (1) access to family planning services will remain available to people who otherwise may not have access and (2) the unintended pregnancy rate in Washington state will remain stable or continue to decrease. The state expects that over the five years of the renewal period the state will have decreased costs due to averted births from unintended pregnancy. These hypotheses will be measured by evaluating enrollment in the Family Planning Only program, contraceptive methods chosen, Pregnancy Risk Assessment Monitoring System (PRAMS) data, birth certificates, and claims data. Due to the small sample size, evaluation may be limited to descriptive analysis.

The demonstration's expenditure authority falls under the state's Title XIX plan and section 1115 (a)(2) of the Social Security Act. Requirements not applicable to the expenditure authorities are:

(1) Methods of Administration: Transportation: Section 1902 (a)(4) insofar as it incorporates 42 C.F.R. 431.53. To the extent necessary to enable the state to not assure transportation to and from providers for the demonstration population.

(2) Amount, Duration, and Scope of Services (Comparability): Section 1902 (a)(10)(B). To the extent necessary to allow the state to offer the demonstration population a benefit package consisting only of family planning services and family planning-related services.

(3) Prospective Payment for Federally Qualified Health Centers and Rural Health Centers and Rural Health Clinics: Section 1902 (a)(15). To the extent necessary for the state to establish reimbursement levels to these clinics that will compensate them solely for family planning and family planning-related services.

(4) Eligibility Procedures: Section 1902 (a)(17). To the extent necessary to allow the state to not include parental income when determining a minor's (individual under age eighteen) eligibility for the family planning demonstration. To the extent necessary to allow the state to not require reporting of changes in income or household size for twelve months, for a person found income-eligible upon application or annual redetermination when determining eligibility for the family planning demonstration.

(5) Retroactive Coverage: Section 1902 (a)(34). To the extent necessary to enable the state to not provide medical assistance to the demonstration population for any time prior to the first of the month in which an application for the demonstration is made.

(6) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT): Section 1902 (a)(43)(A). To the extent necessary to enable the state to not furnish or arrange for EPSDT services to the demonstration population.

For additional information or a hard copy of the application, please contact Washington State Health Care Authority, Attn. Anaya Balter, Clinical Director for Women's Health, P.O. Box 45502, Olympia, WA 98504-5502, phone 360-725-1652, TDD/TTY 1-800-848-5429, fax 360-725-1152, email familyplanning@hca.wa.gov.

Web site addresses:

Adams County Health Department

108 West Main

Ritzville, WA 99169

Phone (509) 659-3315

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

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) 374-7559

Chelan Community Services Office

805 South Mission Street

Wenatchee, WA 98801

Phone (509) 667-6000

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

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

Aging and Disability Resource Center

410 East Main

Dayton, WA 99328

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

Phone (509) 382-4787

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

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

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 Commissioners Office 

1016 North 4th Avenue

Pasco, WA 99301

Phone (509) 545-3535

Garfield County District Court

789 West Main Street

P.O. Box 817 or 819

Pomeroy, WA 99347

Phone (509) 843-1002

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

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

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

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 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

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

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

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

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 Health Department

90 Nicholls Street

Davenport, WA 99122

Phone (509) 725-1001

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

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

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

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

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 Health Services

145 Rhone Street

Friday Harbor, WA 98250

Phone (360) 378-4474

Fax (360) 378-7036

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

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

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 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

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

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

Health and Human Services

42 Elochoman Valley Road

Cathlamet, WA 98612

Phone (360) 795-8630

Alt. Phone 1-800-635-5989

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

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

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 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