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The Center for Medicare and Medicaid Services (CMS) recently issued a letter to all state Medicaid Directors stating that it would no longer accept state requests to receive funding where Designated State Health Programs (DSHP) are identified to draw down federal matching dollars. This impacts new requests and requests for renewals of waivers. This ruling does not impact Washington’s current five-year Medicaid project, which the ACHs are an integral partner in. You can find the HCA Authority announcement here and the CMS letter here

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