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(F) Ensure that measures that have an impact on funding have a 1 direct relationship to the funding plans receive; and 2 (G) Include participation from the authority's actuary to ensure 3 that the measures and methods chosen meet required tests for 4 actuarial soundness. 5 (j) By October 15, 2023, the authority shall provide a report to 6 the governor and fiscal committees of the legislature outlining the 7 measures it has chosen for the 2025 plan year, including the 8 information outlined in (i) of this subsection. 9 (32)(a) The authority shall ensure that appropriate resources are 10 dedicated to implementing the recommendations of the centers for 11 medicare and medicaid services center for program integrity as 12 provided to the authority in the January 2019 Washington focused 13 program integrity review final report. Additionally, the authority 14 shall: 15 (i) Work to ensure the efficient operations of the managed care 16 plans, including but not limited to, a deconflicting process for 17 audits with and among the managed care plans and the medicaid fraud 18 division at the attorney general's office, to ensure the authority 19 staff perform central audits of cases that appear across multiple 20 managed care plans, versus the audits performed by the individual 21 managed care plans or the fraud division; 22 (ii) Remain accountable for operating in an effective and 23 efficient manner, including performing program integrity activities 24 that ensure high value in the medical assistance program in general 25 and in medicaid managed care specifically; 26 (iii) Work with its contracted actuary and the medical assistance 27 expenditure forecast work group to develop methods and metrics 28 related to managed care program integrity activity that shall be 29 incorporated into annual rate setting; and 30 (iv) Work with the medical assistance expenditure forecast work 31 group to ensure the results of program integrity activity are 32 incorporated into the rate setting process in a transparent, timely, 33 measurable, quantifiable manner. 34 (b) $50,000 of the general fund—state appropriation for fiscal 35 year 2024, $50,000 of the general fund—state appropriation for fiscal 36 year 2025, and $100,000 of the general fund—federal appropriation are 37 provided solely for the authority to consider, as part of its program 38 integrity activities, whether it is providing economical, efficient, 39 p. 224 ESSB 5187.SL