Xxxxxxxxxx Delegation of Administrative Authority and Operational Roles and Responsibilities. The Washington State Health Care Authority (HCA) is the single state agency for the Medicaid program. Through authority delegated by the HCA, the Department of Social and Health Services (DSHS) is responsible for the provision and oversight of mental health, chemical dependency, developmental disability, and LTSS to individuals eligible for Medicaid. Together, these two agencies directly oversee the staff that will be involved with implementing and monitoring the Demonstration. The Demonstration will benefit from the direct and ongoing involvement of staff and programs across HCA and DSHS as described below. To fully support the State’s integration efforts and to align the work of the two agencies to achieve the goals of integration, the Demonstration is jointly sponsored and oversight of the work of this Demonstration is shared across these agencies. An Integration Executive Leadership Team made up of the State’s HCA Director, Medicaid Director, the Secretary of the Department of Social and Health Services, and policy and budget staff from the Governor’s office meet on a routine basis to ensure the goals of the Demonstration are reached. In addition the HCA, the DSHS, Snohomish County, King County, and the City of Seattle, as the sponsoring public agencies for the Demonstration in the King County and Snohomish County coverage areas, are committed to actively participate with the selected MMIPs in the governance of the Demonstration to achieve the intended goals. The Project Governance Team will be a forum for open communication, shared expertise, and collective decision-making in an environment that fosters continuous review of the Demonstration’s performance and timely action to resolve identified problems and undertake timely action on identified opportunities to improve service for Enrollees.
