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Disease
Management Pilot Projects
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Requires
the department, from funds appropriated in this section, to design,
implement, and evaluate pilot projects to assist individuals with
at least three different diseases to improve their health, while
reducing total medical expenditures. Requires the department to
report to the health care and the fiscal committees of the legislature
by January 1, 2002, on the particular disease states, intervention
protocols, and delivery mechanisms it proposes to test.
Authorization: Chapter
7, Laws of 2001, Second Extraordinary Session,
Sec 209(6) Uncodified
Type of Report: One-Time
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Report
Date:
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January
2002 (PDF) |
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General Assistance Medical Care Management Project |
Requires the department, within available resources, to design and initiate a general assistance medical care management project in two counties, one in eastern Washington and one in western Washington.
Authorization: Chapter 7, Laws of 2002, Sec 209 (19)) Uncodified
Type of Report: One-Time |
Report Date: |
October 2002 (PDF)
February 2003 Addendum (PDF) |
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General
Assistance - Unemployable (GA-U) Managed Care Pilot
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Requires
the department, within available resources, to design and implement a medical care services care management pilot project for clients receiving general assistant benefits.This pilot project shall be designed to maximize care coordination, high-risk medical management, and chronic care management to achieve better health outcomes.
Authorization: Chapter
518, Laws of 2005, Sec 209 (19)) Uncodified
Type of Report: One-Time
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Report
Date:
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January 2006 (PDF) |
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Health
Care Workers with Disabilities
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Employment
Monitoring Data Project (EMPD). Requires the department to additionally
survey the prior and current employment status and approximate
hours worked of the program enrollees, and report the results
to the fiscal and health care committees of the legislature by
January 15, 2003.
Authorization: Chapter
7, Laws of 2001, Second Extraordinary Session, Sec 209(5)(e) Uncodified
Type of Report: One-Time
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Report
Date:
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January
2003 (PDF) |
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Joint Health Purchasing Project |
This report provides information on the status of interagency efforts, key accomplishments, and outlines future agency activities. This report was written in collaboration with the Department of Health and the Department of Labor & Industries.
Authorization: Chapter 518, Laws of 2006, Section 213(7)
Type of Report: One-Time |
Report Date: |
December 2006 (PDF) |
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Payment
Review Program Annual Update
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Requires
the department to provide annual updates to the report to the
fiscal committees of the legislature.
Authorization: Chapter
7, Laws of 2001, Second Extraordinary Session, Sec 211(4) Uncodified
Type of Report: Annual
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Report
Date:
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September
2002 (PDF) |
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Protocols - Designated Mental Health Professions |
Requires the department to provide annual updates to the legislature. The protocols shall be updated at least every three years. The protocols shall provide uniform development and application of criteria in evaluation and commitment recommendations, of persons who have , or are alleged to have mental health disorders.
Authorization: RCW 71.05.214
Type of Report: Annual |
Report Date: |
December 2005 (PDF) |
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Reduce Emergency Room Utilization |
The department shall report to the appropriate committees of the legislator a pilot project which identify behaviors, characteristics, and best practices dealing with inappropriate emergency room utilization.
Authorization: Chapter 518, Laws of 2005, Section 207(16)
Type of Report: Annual |
Report Date: |
October 2005 (PDF) |
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SSI Managed Care Expansion
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The department shall report to the appropriate committees of the legislature on the potential fiscal and programmatic cost and benefits associated with an expansion of managed care pilot programs to SSI and other eligible Medicaid elderly and disabled persons.
Authorization: Chapter 518, Laws of 2005, Section 209(20)
Type of Report: Annual
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Report
Date:
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October 2005 (PDF) |
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Tax Credits and Payment Rate Increase |
The department of Social and Health Services, in consultation with the Department of Revenue and the Health Care Authority shall report to the appropriate committees of the legislature on options for providing financial incentives for proviate practice physicians to serve uninsured, medicare, and medicaid patients. The report shall include an assessment of the relative costs and effectiveness of stategies including, but not limited to, tax credits and payment rate increases. The report shall further suggest alternative mechanisms and thresholds for varying tax credits and payment enhancements according to the extent to which a provider serves uninsured, medicare, and medicaid patients.
Authorization: Chapter 518, Laws 2005, Section 209(22)
Type of Report: One time |
Report Date: |
December 2006 (PDF) |
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Utilization
and Cost Containment Initiative
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Requires
the department to report to the fiscal committees by October 1,
2001 on its specific plans and semiannual targets and report again
by March 1, 2002, and by September 1, 2002, on actual performance
relative to the semiannual targets.
Authorization: Chapter
7, Laws of 2001, Second Extraordinary Session,
Section 209(1) Uncodified
Type of Report: Multiple
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| Report
Date: |
March
2002 (Revised 4/02) (PDF)
September 2002 (PDF) |
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Washington
Medicaid Integration Partnership
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Requires
the department to report its progress to the appropriate committees.
This report is a pilot project designed to improve health care
services and the quality of life for aged, blind, or disabled
Medicaid clients with complex health care needs.
Authorization:
C 276,
L04, E1, Sec 201(4)
Type of Report:
Update
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Report
Date:
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September
2004 (PDF) |
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Washington State Medicaid Inpatient Hospital Re basing Project |
Requires the department to procure a contractor to conduct an independent analysis of the current system for establishing hospital inpatient payment rates for services provided to the Medicaid population and to submit recommendations for improvements to the current inpatient hospital reimbursement system.
Authorization: C 518, L05,Sec 209(11)
Type of Report: Phase 1 |
Report Date: |
December 2005 (PDF) |
Executive Summary:
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Phase 1 Report
Table of Content
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Appendices: |
A. Survey Questions
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B. State Surveys
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C. Evaluation Matrices
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D. Trend Analysis
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Medicaid (Title XIX) FFS
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General Assistance - Unemployed
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Long-Term Acute Care
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E. Analysis of DRG-Based Payments
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F. Medical Services to AP-DRG Classifications
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G. Washington State Hospitals Association Medicaid Payment Principles
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H. Washington State Hospital Association Response to Phase 1 Report
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I. Washington Medicaid Response to Washington State Hospital Association Comments
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Hospital Reimbursement - Navigant Study |
Requires the Department of Social and Health Services (“DSHS”) to procure a contractor to conduct an independent analysis of the current system for establishing hospital inpatient payment rates for services provided to the Medicaid population, and to submit recommendations for improvements to the current inpatient hospital reimbursement system. The purpose of this study was to inform State policymakers and lawmakers as they seek to identify and evaluate suitable enhancements to the current system. DSHS awarded a contract to Navigant Consulting, Inc. (“NCI”) in August 2005 to conduct this study. Generally, the scope of this project, which is described in more detail later in this report, was to conduct an evaluation of the strengths and weaknesses of the existing fee-for-service (“FFS”) Washington Medicaid inpatient reimbursement system, conduct a survey of other states’ Medicaid reimbursement systems and make recommendations for potential changes to Washington’s system.
Authorization: C 518, L05,Sec 209(11)
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| Type of Report: Phase 2 |
| Report Date: |
December 2006 (PDF) |
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Planned Implementation of Direct Care Wage Increase |
Requires the department to report on the planned uses of funding required to be set aside for worker wage increases.
Authorization: SHB 1128 Section 204(o)
Type of Report: One Time |
| Report Date: |
December 2007 (PDF) |
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Reducing Unnecessary Emergency Department Use (Blue Ribbon) |
Requires the department to report on unnecessary emerrgency department (ED) use by enrollees in state purchased health care programs and to provide additional insight on the uninsured's use of ED services.
Authorization: Chapter 259 Laws of 2007 PV Section 14 E2SSB 5930
Type of Report: One Time |
| Report Date: |
December 2007 (PDF) |
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Health Services Coverage for Children - Children's Health Care Coverage |
Requires the department to report on modifying its eligibility renewal procedures to lower the percentage of children failing to annually renew.
Authorization: 2SSB 5093 Section 2(2)
Type of Report: One Time |
| Report Date: |
November 2007 (PDF) |
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Brand Name Medications |
Requires the department to report on assessing the potential for state savings when selecting a brand or its competing generic equivalent.
Authorization: Chapter 522 Laws of 2007 Section 209(17) SHB 1128
Type of Report: One Time |
| Report Date: |
November 2007 (PDF) |
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