Changes to Medicaid Discharge Incentives for Skilled Nursing Facilities, Home Health Agencies, and Hospitals

Changes to Medicaid Discharge Incentives for Skilled Nursing Facilities, Home Health Agencies, and Hospitals

In an effort to support hospital discharge during the current COVID-19 surge, the Health Care Authority (HCA) has approved the funding of a new health home incentive.

HCA has implemented a small home health incentive program of $3K for 25 new episodes of home health care for clients ready to discharge from hospitals. Managed Care Organizations (MCOs) will send HCA requests for funding, and HCA will pay home health agencies directly. We still have all 25 incentives available as of today.

The Office of Financial Management funded incentives for payments of $6K for 266 new admissions into Skilled Nursing Facilities out of hospitals. As of October 14, HCA allocated all of this funding. 

In order to continue supporting hospital discharges, MCOs have agreed to continue payments of the $6K incentive – through October 31 at a minimum. The billing process may change as we transition from HCA directly paying the incentive to the MCOs paying. 

Questions?

If you have any questions or concerns about a specific admission, please reach out to either the MCO or to HCA.

You are welcome to direct any questions other to glory.dole@hca.wa.gov or hcamcprograms@hca.wa.gov

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