2021 State Plan Amendments

The State Plan is the officially recognized statement describing the nature and scope of Washington State's Medicaid program.


Title SPA packet number Date approved
Long-term support services COVID resource disregard 21-0002 06/14/2021
Nursing facility COVID add-on rate 21-0004 05/12/2021
Individual and agency provider rates 21-0005 05/19/2021
January 2021 fee schedule effective date update 21-0006 06/10/2021
Medication assisted treatment 21-0007 05/28/2021
COVID-19 vaccine administration 21-0008 04/30/2021
Home Health services 21-0009 05/19/2021
Applied Behavior Analysis 21-0010 04/15/2021
Consumer-directed employer 21-0011 09/16/2021
Ambulance transport quality assurance fee 21-0013 06/23/2021
April 2021 fee schedule effective date updates 21-0014 06/14/2021
Small rural DSH payment pool 21-0015 08/23/2021
Sole community IP hospital rates 21-0016A 10/13/2021
Sole community OP hospital rates 21-0016B 10/12/2021
Inpatient psychiatric per diem rate 21-0017 09/29/2021
Managed care enrollment updates 21-0018 10/12/2021
Payment methodology for physicians, family planning, mental health services  21-0019 02/28/2022
Special income level resource disregard 21-0021 05/28/2021
Eligibility – citizenship and noncitizen 21-0022 10/29/2021
July 2021 fee schedule effective dates 21-0024 09/21/2021
Air ambulance rates website update 21-0025 10/21/2021
Facility and provider rate changes 21-0026 11/15/2021
Home Health providers 21-0027 11/17/2021
Medicare cost report 21-0029 02/02/2022
Psychiatric long-term civil commitment rates 21-0030 04/05/2022
Administrative Day rate 21-0032 06/03/2022
October 2021 fee schedule updates 21-0034 01/18/2022
Supplemental hospital payments 21-0035 02/08/2022
Disaster Relief supplemental hospital payments 21-0036 11/10/2021
Small rural DSH Disaster Relief payments 21-0038 02/02/2022
NEMT update 21-0039 02/03/2022