The bill aims to enhance maternal health and cancer screening metrics for Medicaid clients in Washington State by establishing a framework for improved care and accountability. It emphasizes the importance of prenatal and postpartum care, as well as cancer screenings, particularly for breast and cervical cancer. The legislation mandates the Health Care Authority, in collaboration with various stakeholders, to develop educational materials and outreach strategies by December 31, 2025, to promote better health outcomes. Additionally, it requires the development of an implementation plan to incentivize Medicaid managed care organizations to improve their performance in these areas.
Furthermore, the bill outlines specific reporting requirements for the Health Care Authority, which must submit annual reports detailing improvements in performance metrics and any associated savings. It also includes provisions for developing billing guidelines to facilitate the early identification of pregnant women and encourages the use of specific procedural codes to enhance service delivery. Overall, the legislation seeks to ensure that Medicaid clients receive timely and appropriate care while holding managed care organizations accountable for their performance.