Washington Medicaid Integration Partnership 2005-2006 Contract Part II

This resource details changes to specific definitions, enrollment listing and requirements for the contractor's response, and changes to mental health rates and premiums. Three new requirements were:

• Chronic Illness and Disability Risk adjustments were to be calculated by Washington State Department of Social and Health Services-contracted actuaries for each enrollee. The risk scores were to be calculated for each enrollee and updated quarterly until plan membership stabilized, and then updated every six months
   
• Mental Health Risk Adjustments were to be calculated for enrollee using parameters from a risk model developed by the Department of Social and Health Services. The risk scores were to be calculated quarterly until membership stabilized
   
• State funding was capped at $13,900 per months for room and board associated with Evaluation and Treatment Centers, crisis beds, and basic supervision for residential beds. Use of state funds was to be tracked and reported separately from use of Medicaid funds
   
• Changes were also made to the need for emergency mental health care and other provisions for mental health care