MTP amendment request
HCA and the Department of Social and Health Services (DSHS) are requesting an amendment to the current MTP waiver, which would authorize:
- Medicaid coverage for former foster care youth (FFCC)—also known as Alumni coverage in Washington—from other states who turn (or turned) 18 prior to January 1, 2023.
- Continuous enrollment for the Children’s Health Insurance Program (CHIP) coverage for CHIP children during the first six years of their lives.
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About the amendment
Medicaid coverage for FFCC from other states who turn (or turned) 18 prior to January 1, 2023.
If approved, this amendment request would authorize Medicaid coverage for FFCC from other states who turn (or turned) 18 prior to January 1, 2023. Coverage will remain until enrollees reach age 26. This flexibility is necessary to align coverage for FFCC who are not covered under the Support Act’s mandatory coverage policy for those who turn 18 on or after January 1, 2023. This coverage would apply through December 31, 2030.
During March 1, 2023–December 31, 2028, Washington estimates 180 enrollees will be eligible under this amendment.
Continuous enrollment for CHIP coverage for CHIP children during the first six years of their lives.
If approved, this amendment would allow CHIP children to be continuously enrolled until the end of the month in which their sixth birthday falls. We are requesting to expand this federal authority under the current MTP waiver to provide continuous enrollment to children, ages zero to six, who are enrolled in CHIP with incomes up to 317 percent FPL.
During January 1, 2024–December 31, 2028, Washington estimates 16,707 enrollees will be eligible under this amendment.
About MTP
All work under MTP benefits people enrolled in Apple Health (Medicaid). MTP allows our state to improve Washington’s health care system using federal Medicaid funding. Our current MTP waiver is scheduled to expire on June 30, 2023. In 2022, HCA and DSHS applied to CMS to renew MTP for an additional five years.
Resources
Public hearings
Amendment
- MTP waiver renewal application - draft (full application)
- MTP amendment executive summary, which also serves as Appendix C
Contact
Email: MTP team