Legislative reports
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2018 legislative reports and presentations
Reports
Apple Health/Medicaid
- Nonparticipating providers serving Apple Health enrollees (January 1, 2018)
Other topics
- State Health Care Innovation Plan annual report (January 1, 2018)
Presentations
Apple Health enrollment and cost trends, Senate Health and Long Term Care Committee (January 9, 2018)
Children's Health Insurance Program (CHIP), House Appropriations Committee (January 10, 2018)
Prescription drug prices and transparency, Senate Health and Long Term Care Committee (January 11, 2018)
Opioid use epidemic in Washington state, Senate Health and Long Term Care Committee (January 15, 2018)
Home visiting and Medicaid financing, House Early Learning and Human Services Committee (January 16, 2018)
School Employees' Benefits Board (SEBB) Program update (January 25, 2018)
2017 legislative reports and presentations
Reports
Apple Health/Medicaid
- Proportion of nonparticipating providers serving Apple Health enrollees (January 1, 2017)
- Medicaid managed care services and vaccinations (September 15, 2017)
- Rural health clinic managed care payments (September 29, 2017)
- Medicaid: Employment status of Apple Health clients and non-clients with dependents who are Apple Health clients
Abridged version (with detail for top 10 firms) (November 15, 2017)
Complete report (November 15, 2017) - Access to behavioral health services for children (December 1, 2017)
- Oral health connections pilot project (December 1, 2017)
- Service coordination organizations and managed care performance measures (December 1, 2017)
- Rural health clinic payment reconciliations (December 1, 2017)
- Skilled nursing facility/acute care hospital work group (December 1, 2017)
- Provider Access Line (PAL) Plus program (December 31, 2017)
Public Employees Benefits Board (PEBB)
- SmartHealth effectiveness
4th quarterly report (March 31, 2017)
Final (5th quarterly) report (June 30, 2017) - PEBB annual report of customer service complaints and appeals (September 30, 2017)
- PEBB alternative consumer-directed health plan cost and utilization trend, demographics, and impacts (December 1, 2017)
Other topics
- State Health Care Innovation Plan annual report (January 1, 2017)
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Market assessment (health system costs and trends; state public purchasing health care strategies) (August 11, 2017)
- Tele-psychiatry consultation benefit (October 1, 2017)
- Inpatient psychiatric services per diem rate increase (October 1, 2017)
- Diabetes epidemic and action report (2017) (link to Washington State Department of Health website)
- Inpatient hospital certified public expenditure program (November 1, 2017)
- Dr. Robert Bree Collaborative annual report (November 15, 2017)
- Home health nursing (December 31, 2017)
Presentations
- HCA overview, Senate Health Care Committee (January 2017)
- HCA 101 and Medicaid transformation update, House Health Care and Wellness Committee (January 2017)
- Performance-based contracting, Senate Human Services, Mental Health, and Housing Committee (February 2017)
- Low income health program overview, Senate Ways and Means Committee (February 2017)
- Prescription drug prices and transparency, Senate Health Care Committee (November 2017)
- Behavioral health integration, House Health Care and Wellness Committee (November 2017)
2016 legislative reports and presentations
Reports
Medicaid/Apple Health
- Child health services: Provider performance
- Consultation with CMS: Comparison of Federally Qualified Health Centers and Rural Health Clinics encounter rates to Uniform Medicaid Plan rates
- Contracting out dental services administration
- Home health nursing
- Medicaid coverage suspension for incarcerated persons
- Medicaid dental prior authorization
- Medicaid: Employment status of Apple Health clients and non-clients with dependents who are Apple Health clients
Abridged version (with detail for top 10 firms)
Complete report - Medicaid fraud, waste, and abuse program
- Medicaid managed care capitation rates
- Medicaid managed care preventive services and vaccinations
- Reimbursement for births performed at birth centers
- Service coordination organizations: Accountability measures implementation status
Joint report with the Department of Social and Health Services
Public Employees Benefits Board (PEBB)
- PEBB annual report of customer service complaints and appeals
- PEBB health benefit plan: Cost and utilization trends, demographics, and impacts of alternative CDHP
-
SmartHealth effectiveness
1st quarterly report (June 28, 2016)
2nd quarterly report (September 30, 2016)
3rd quarterly report (December 30, 2016)
Other Topics
-
Market assessment (health system costs and trends; state public purchasing health care strategies)
(December 2, 2016)
(July 14, 2016) - Bleeding Disorder Collaborative for Care: Fiscal year 2016 progress report
- Dr. Robert Bree Collaborative annual report
- Inpatient hospital certified public expenditure program
- State health care innovation plan annual report
Other Reports to Legislators
Presentations
- Medicaid 101, Senate Health Care Committee (November 2016)
- Medicaid managed care rates budget proviso, House Appropriations Committee (October 2016)
- Updates on hepatitis C, Medicaid managed care capitation rates, and the Medicaid transformation waiver, Joint Select Committee-Health Care Oversight (July 2016)
- Apple Health (Medicaid) update, Senate Ways and Means Committee (January 2016)
- Safeguarding Medicaid from false claims, Senate Accountability and Reform Committee (January 2016)