Page 215

director shall report to the fiscal committees of the legislature all 1 expenditures under this subsection and provide such fiscal data in 2 the time, manner, and form requested by the legislative fiscal 3 committees. 4 (b) $438,515,000 of the general fund—federal appropriation and 5 $179,111,000 of the general fund—private/local appropriation are 6 provided solely for the medicaid quality improvement program and this 7 is the maximum amount that may be expended for this purpose. Medicaid 8 quality improvement program payments do not count against the 1115 9 demonstration waiver spending limits and are excluded from the 10 waiver's budget neutrality calculation. The authority may provide 11 medicaid quality improvement program payments to apple health managed 12 care organizations and their partnering providers as they meet 13 designated milestones. Partnering providers and apple health managed 14 care organizations must work together to achieve medicaid quality 15 improvement program goals according to the performance period 16 timelines and reporting deadlines as set forth by the authority. The 17 authority may only use the medicaid quality improvement program to 18 support initiatives 1, 2, and 3 as described in the 1115 19 demonstration waiver and may not pursue its use for other purposes. 20 Any programs created or funded by the medicaid quality improvement 21 program do not constitute an entitlement for clients or providers. 22 The authority shall not supplement the amounts provided in this 23 subsection with any general fund—state, general fund—federal, or 24 general fund—local moneys appropriated in this section or any moneys 25 that may be transferred pursuant to subsection (1) of this section. 26 The director shall report to the joint select committee on health 27 care oversight not less than quarterly on financial and health 28 outcomes. The director shall report to the fiscal committees of the 29 legislature all expenditures under this subsection and shall provide 30 such fiscal data in the time, manner, and form requested by the 31 legislative fiscal committees. 32 (c) In collaboration with the accountable communities of health, 33 the authority will submit a report to the governor and the joint 34 select committee on health care oversight describing how each of the 35 accountable community of health's work aligns with the community 36 needs assessment no later than December 1, 2023. 37 (d) Performance measures and payments for accountable communities 38 of health shall reflect accountability measures that demonstrate 39 p. 214 ESSB 5187.SL