Washington State Federally Recognized Tribes

Federally Recognized Indian Tribes in Washington State are eligible for partial reimbursement for the time their staff spend performing administrative activities that support the State’s Medicaid Plan.

Examples of eligible administrative activities include:

• Helping individuals apply for or renew Medicaid coverage.
• Arranging transportation for Medicaid covered services.
• Providing information or explaining the Medicaid program and covered services.
• Evaluating and improving access to Medicaid covered services.
• Providing or receiving Tribal staff training related to Medicaid.
• Referring individuals to Medicaid covered medical, dental, mental health, substance abuse treatment, and/or family planning services.
• Developing, planning, or creating programs that increase access to Medicaid covered services.

The Health Care Authority (HCA) manages the Medicaid Administrative Claiming (MAC) program in Washington State. HCA is available to provide program assistance and training as needed.

Random Moment Time Study (RMTS)

Tribal staff participate in a quarterly Random Moment Time Study (RMTS) to determine the amount of time they spend performing eligible Medicaid administrative activities. The RMTS assigns "moments" to participants throughout the quarter. A moment is a four question survey followed by a brief narrative description summarizing the activity performed on a given day at a specific one-minute interval of time.

ForHealth Consulting at UMass Chan Medical School (UMass) operates the web-based time study. UMass is available to provide system-related technical assistance and training as needed.

• Tribal MAC RMTS Coordinator Manual

Billing and required documents

• Certification of Public Expenditure (CPE) Local Match Certification
• Certificate of Indirect Costs
• ProviderOne client eligibility (RAC) (effective October 1, 2015)
• Claiming Guide
• Tribal MER form

Manuals and guides

• Calendar management
• Participant management guide

Resources

• Tribal MAC overview
• Tribal MAC overview and participation requirements (for Tribes interested in joining the MAC program) (video)
• New Tribal MAC RMTS - orientation (video)
• Tribal MAC RMTS mobile instructions (4/1/20)
• Technical notes - system requirements
• Tribal directory

Important information

• Delivering services in school-based settings: a comprehensive guide to Medicaid services and administrative claiming
• Centers for Medicare and Medicaid Service: School-Based Administrative Claiming Guide
• OMB Grants Management Circulars