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Legislative Reports

Health & Recovery Services

Feasibility Proviso Study - Final Report
Requires the department to develop a feasibility study to examine processes and systems that would expeditiously link persons released from confinement in state and local correctional facilities and institutions from mental disease to medical assistance benefits for which they qualify.

Authorization:
ESHB 2687a, Section 209(28)(a)
Type of Report:
One-Time
Report Date:
January 2009 (PDF)
 
 
Disease Management Pilot Projects
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
Report Date:
January 2002 (PDF)
 
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)
 
General Assistance - Unemployable (GAU) Managed Care Pilot
Requires the department, within available resources, to design and implement a medical care services care management pilot project for clients receiving general assistance 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
Report Date:
January 2006 (PDF)
 
Health Care Workers with Disabilities
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
Report Date:
January 2003 (PDF)
 
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)
 
Payment Review Program Annual Update
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
Report Date:
September 2002 (PDF)
 
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)
 
SSI Managed Care Expansion
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
Report Date:
October 2005 (PDF)
 
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 private practice physicians to serve uninsured, medicare, and medicaid patients. The report shall include an assessment of the relative costs and effectiveness of strategies 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)

Utilization and Cost Containment Initiative
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
    Report Date: March 2002 (Revised 4/02) (PDF)
September 2002 (PDF)
Washington Medicaid Integration Partnership
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
Report Date:

September 2004 (PDF)



Employment Status of Medical Assistance Clients & Persons with Dependents
with DSHS Medical Coverage

Requires the department and the Health Care Authority (HCA) in coordination with the
Employment Security Department (ESD) to report annually on the employment status of
Medical Assistance clients and Basic Health Program (BHP) enrollees.

Authorization:    Chapter 264, Laws of 2006, codified in RCW 70.47.170
Type of Report:  Annual
Report Date:      January 2010 (PDF)
                          March 2011 (PDF)

Generic Utilization Report
Requires the department to report to the governor and the fiscal committees of the legislature
by June 1, 2010, on its progress toward achieving a twenty percentage point increase in the
generic prescription drug utilization.
Authorization:    ESSB 6444 Sec 209(15)
Type of Report:  One time
Report Date:       June 2010 (PDF)

Professional Services Supplemental Payment Program
Requires the department to report to the governor and the fiscal committees of the legislature
on the prospects for expansion of the program to other qualifying providers as soon as feasibility
is determined by no later than December 31, 2009
Authorization:    ESSB 6444 Sec 209(21)
Type of Report:  One time
Report Date:       December 2009 (PDF)

Professional Services Supplemental Payment Program
Requires the department to report to the governor and the fiscal committees of the legislature
on the creation of a process for expansion of the program to other qualifying providers as soon as
it is determined feasible by both the department and providers but no later than June 30, 2010.
Authorization:    ESSB 6444 Sec 209(21)
Type of Report:  One time
Report Date:       June 2010 (PDF)


Hospital Safety Net Assessment Quality Payments Methodology
Requires the Department to collaborate with other agencies to design a system of hospital quality incentive payments.
Authorization:    E2SHB 2956 Section 14(19)
Type of Report:  One time
Report Date:       December 2010 (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:
Phase 1 Report
Table of Content
Appendices:
A. Survey Questions
B. State Surveys
C. Evaluation Matrices
D. Trend Analysis
Medicaid (Title XIX) FFS
General Assistance - Unemployed
Long-Term Acute Care
E. Analysis of DRG-Based Payments
F. Medical Services to AP-DRG Classifications
G. Washington State Hospitals Association Medicaid Payment Principles
H. Washington State Hospital Association Response to Phase 1 Report
I. Washington Medicaid Response to Washington State Hospital Association Comments
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)
Type of Report: Phase 2
Report Date: December 2006 (PDF)
   
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)
 
Reducing Unnecessary Emergency Department Use (Blue Ribbon)
Requires the department to report on unnecessary emergency 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)
 
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)
 
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)
   
Strategy to Improve Immunization Rates in Washington
Requires the department, in collaboration with the Department of Health, to write a report outlining a strategy to improve immunization rates for all children in the state, including, but not limited to vaccine administration fee increases and pay-for-performance incentives.

Authorization:
ESHB 2687, Section 209(26)
Type of Report:
One Time
Report Date: December 2008 (PDF)
 
 
Offering Unemployment Insurance Applicants Assistance Obtaining Health Care Coverage for their Households
This one time study was mandated by Engrossed Substitute House Bill 2687 Section 209 Subsection (19). The goal is to assist unemployment insurance applicants seeking health care coverage for members of their household.

Authorization:
ESHB 2687
Type of Report:
One Time
Report Date: November 2008 (PDF)

Health Coverage of Low-wage workers

Requires the department to report on approaches to sharing financial responsibility for
health coverage of large employers' (over 50 employees) low-wage workers who are
enrolled on state plans.


Authorization:
Chapter 522 Laws of 2007 PV Sec 209(23) (SHB 1128)
Type of Report: One Time
Report Date:      March 2008  (PDF)


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