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The Department of Corrections (DOC) provides outreach and application assistance services to Washington State incarcerated individuals within 90 calendar days upon their release with no or inadequate medical coverage. DOC will also help these individuals apply for Medicaid program services, explain benefits, and guide them to the appropriate covered services.
The intent of application assistance is to provide continuity of care for incarcerated individuals upon reentry into the community. DOC is eligible for partial reimbursement for the time their staff spend performing Medicaid administrative activities.
Federal funds are available through the Health Care Authority's (HCA) Medicaid Administrative Claiming (MAC) program to reimburse government agencies for a portion of the cost of their allowable Medicaid administrative activities. These activities must support the provision of services as outlined in the Washington State Medicaid Plan.
DOCs participating staff are 100 percent dedicated to Medicaid-related outreach and/or application assistance activities. They will use a tracking log to document activity type, time allocation, and number of applications processed for Incarcerated Individuals. This serves as backup documentation for their quarterly claim.
DOC will calculate and submit a quarterly claim report to HCA within 120 business days after the end of the quarter using an the A19-1A template provided by HCA. This submission will also include the Certified Public Expenditures (CPE) form and all supporting documentation for reimbursement.
State fiscal year (SFY) billing quarters:
DOC submit to HCA any state and/or federal audit report findings, along with any related corrective action plans for the MAC program, within 30 business days of receiving the report.
At the beginning of each fiscal year, DOC will certify that participating positions are 100 percent dedicated to Medicaid allocable activities.
DOC ensures participating employees have completed the required MAC program training.
Email: Jon Brogger
Medical Assistance Program Manager
Innovative and Strategic Federal Reimbursement
Community Services Section
Medicaid Programs Division (MPD)
Department of Correction (DOC)
Email: Kim Kennard, CCS-P
Manager
Health Services Medical Disbursement Unit
Washington State DOC Health Plan