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File #:
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2022-0098
Version:
1
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Type:
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Motion
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Status:
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Approved
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On agenda:
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2/16/2022
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Final action:
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2/16/2022
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Title:
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Motion 22-053, approve and authorizing the Snohomish County Council to execute the Washington State Department of Social & Health Services MAC/TSOA Implementation Grant
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Executive/Council Action Form (ECAF)
ITEM TITLE:
Title
Motion 22-053, approve and authorizing the Snohomish County Council to execute the Washington State Department of Social & Health Services MAC/TSOA Implementation Grant
body
DEPARTMENT: Human Services
ORIGINATOR: Jon Waters
EXECUTIVE RECOMMENDATION: Approve - Lacey Harper 1/31/22
PURPOSE: Council approval and authorize the Executive to sign the Washington State Department of Social and Health Services MAC/TSOA Implementation Grant
BACKGROUND: The County shall provide MAC and TSOA services under the Medicaid Transformation Project Demonstration. The County shall comply with all applicable state and federal statute and rules, including but not limited to the United States Code, the Code of Federal Regulations, the Revised Code of Washington, the Washington Administrative Code, and all DSHS/ALTSA policy manuals and management bulletins.
Medicaid Transformation Project Demonstration
Medicaid Alternative Care (MAC) Currently eligible Medicaid beneficiaries who are eligible for, but have chosen not to receive, Medicaid-funded LTSS will be eligible for a new Medicaid Alternative Care (MAC) benefit package if they are 55 or older and have an unpaid caregiver they choose to support. These individuals do not constitute a new Medicaid Eligibility Group. The demonstration allows them an additional benefits choice that will enable them to remain in their homes for a longer period.
Tailored Supports for Older Adults (TSOA). The demonstration also establishes a new eligibility expansion category for individuals who are “at risk” of becoming eligible for Medicaid in order to access LTSS. Individuals eligible for Tailored Supports for Older Adults (TSOA) who are not otherwise eligible for CN or ABP Medicaid, age 55 or older, meet functional eligibility criteria for Home and Community Based Services (HCBS) under the state plan, have income up to 300% of the supplemental security benefit rate established by section 1611(b)(1) of the Social Security Act, and meet resource standards defined in WAC 182-513. Under the Demonstration, these individuals may access a new LTSS benefit package that will preserve their quality of life while delaying their need (and the financial impoverishment) for full Medicaid benefits.
SCC 2.10.010(28) authorizes the Executive to “approve grant documents (including not limited to applications, certifications, contracts, and subsequent amendments) on behalf of the county for funds contributed to the county by grants that are included in a grant work plan approved by the county council by motion in accordance with SCC 4.26.025.” SCC 4.26.025 also authorizes approval in amounts up to $50,000 greater than the amount stated in the approved grant work plan.
Motion 21-362 approved the 2022 Human Services Department Grant Work Plan. However, the grant amount exceeds the approved grant work plan by more than $50,000 and Council approval is required.
FISCAL IMPLICATIONS:
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EXPEND: FUND, AGY, ORG, ACTY, OBJ, AU |
CURRENT YR |
2ND YR |
TOTAL |
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124-504511 (various personnel and operating objects) |
$739,000 |
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$739,000 |
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124-5203134103 (MTPD Pass Through) |
913,333 |
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913,333 |
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TOTAL |
$1,652,333 |
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$1,652,333 |
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REVENUE: FUND, AGY, ORG, REV, SOURCE |
CURRENT YR |
2ND YR |
TOTAL |
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124-3045119330 (MTPD Medicaid Transformation Project Demontration |
$739,000 |
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$739,000 |
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124-3203139330 (MTPD Pass-Through) |
913,333 |
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913,333 |
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TOTAL |
$1,652,333 |
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$1,652,333 |
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DEPARTMENT FISCAL IMPACT NOTES: |
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Contract revenues will support program services and administration. No match is required. There is no fiscal impact to County general revenues as a result of this action. |
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BUDGET REVIEW: |
Analyst |
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Administrator |
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Recommend Approval |
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DEPARTMENT FISCAL IMPACT NOTES: Click or tap here to enter text.
CONTRACT INFORMATION:
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ORIGINAL |
X |
CONTRACT# |
2269-36943 |
AMOUNT |
$1,652,333.00 |
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AMENDMENT |
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CONTRACT# |
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AMOUNT |
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Contract Period
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ORIGINAL |
START |
01/01/2022 |
END |
12/31/2022 |
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AMENDMENT |
START |
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END |
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OTHER DEPARTMENTAL REVIEW/COMMENTS: Approved - Finance, Brian Haseleu 1/28/22 / Approved - Risk, Sheila Barker 1/27/22
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