2023 MTP amendment request
On July 27, 2023, the Health Care Authority (HCA) and Department of Social and Health Services (DSHS) requested an amendment to the current Medicaid Transformation Project (MTP) 2.0 waiver, which would authorize:
- Medicaid coverage for former foster care youth (FFCC)—also known as Alumni coverage in Washington—from other states who turn (or turned) 18 prior to January 1, 2023.
- Continuous enrollment for the Children’s Health Insurance Program (CHIP) coverage for CHIP children during the first six years of their lives.
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About the amendment
Medicaid coverage for FFCC from other states who turn (or turned) 18 prior to January 1, 2023.
If approved, this amendment request would authorize Medicaid coverage for FFCC from other states who turn (or turned) 18 prior to January 1, 2023. Coverage will remain until enrollees reach age 26. This flexibility is necessary to align coverage for FFCC who are not covered under the Support Act’s mandatory coverage policy for those who turn 18 on or after January 1, 2023. This coverage would apply through December 31, 2030.
During March 1, 2023–December 31, 2028, Washington estimates 180 enrollees will be eligible under this amendment.
Continuous enrollment for CHIP coverage for CHIP children during the first six years of their lives.
If approved, this amendment would allow CHIP children to be continuously enrolled until the end of the month in which their sixth birthday falls. We are requesting to expand this federal authority under the current MTP 2.0 waiver to provide continuous enrollment to children, ages zero through five, who are enrolled in CHIP with incomes up to 317 percent FPL.
During January 1, 2024–December 31, 2028, Washington estimates 16,707 enrollees will be eligible under this amendment.
About MTP
All work under MTP benefits people enrolled in Apple Health (Medicaid). MTP allows our state to improve Washington’s health care system using federal Medicaid funding. In July 2022, HCA and DSHS applied to the Centers for Medicare & Medicaid Services (CMS) to renew MTP. The MTP renewal is called MTP 2.0. On June 30, 2023, CMS approved MTP to continue for an additional five years, beginning July 1, 2023.
Resources
- MTP waiver amendment request (full application)
- Appendix A: budget neutrality workbook
- Appendix B: approved Medicaid transformation evaluation design
- Appendix C: full public notice (also the executive summary)
- Appendix D: Washington State Register notice (abbreviated public notice)
- Appendix E: webpage outline
- Appendix F: Dear Tribal Leader Letter
- Appendix G: transparency, public comment, and Tribal Consultation process
- Appendix H: CHIP allotment neutrality
- MTP amendment executive summary, which also serves as Appendix C