![]() Healthy Options offers eligible families, children under age 19, low-income adults, certain disabled individuals, and pregnant women a complete medical benefits package. ![]() Healthy Options is the HCA Medicaid managed care program for low-income people in Washington. Managed care is a prepaid, comprehensive system of medical and health care delivery. ![]() Coverage is provided through fee-for-service and managed care systems. Medical assistance is available to eligible low-income state residents and their families from the HCA, primarily through the Medicaid program. The Health Care Authority (HCA) and the Department of Social and Health Services (DSHS) purchase medical assistance, mental health services, long-term care case management services, and chemical dependency treatment services from several types of entities that coordinate with providers to deliver the services to clients. Procurement of State-Purchased Health Care. Requires the HCA and the Department of Social and Health Services to restructure Medicaid procurement of health care services and agreements with managed care systems to better support integration of physical health, mental health, and substance use treatment. Requires the Department of Health to establish a health extension program to disseminate tools, training, and resources to providers.Įstablishes a statewide all-payer claims database and requires health carriers and employers to submit claims data to the database.ĭirects a lead organization selected by the Office of Financial Management to manage the database and prepare reports based on the claims data.ĭirects a stakeholder committee to develop and recommend statewide measures of health performance, and requires state agencies to use the measures to inform purchasing and set benchmarks. Requires the Health Care Authority (HCA) to create a process to designate nonprofit or public-private partnerships as "accountable collaboratives for health."
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