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
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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 ...
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