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increase to providers receiving state funds for nonmedicaid services 1 under this section effective January 1, 2024. 2 (b) $35,716,000 of the general fund—state appropriation for 3 fiscal year 2024 and $38,375,000 of the general fund—state 4 appropriation for fiscal year 2025 are provided solely for the 5 authority to contract with medicaid managed care organizations for 6 wraparound services to medicaid enrolled individuals that are not 7 covered under the medicaid program. Within the amounts provided in 8 this subsection: 9 (i) Medicaid managed care organizations must provide a 15 percent 10 rate increase to providers receiving state funding for nonmedicaid 11 services under this section effective January 1, 2024. 12 (ii) The authority shall assure that managed care organizations 13 reimburse the department of social and health services, aging and 14 long-term support administration for the general fund—state cost of 15 exceptional behavioral health personal care services for medicaid 16 enrolled individuals who require these because of a psychiatric 17 disability. Funding for the federal share of these services is 18 separately appropriated to the department of social and health 19 services. 20 (iii) Pursuant to RCW 41.56.029, during fiscal year 2024, the 21 authority may work with the office of financial management to 22 negotiate a tiered rate structure for behavioral health personal care 23 services for adult family home providers serving medicaid enrollees. 24 An agreement reached with the adult family home council must be 25 submitted to the director of financial management by October 1, 2023, 26 and certified as financially feasible in order to be considered for 27 funding during the 2024 legislative session. Upon completion of 28 bargaining, the authority shall coordinate with the department of 29 social and health services to develop and submit to the centers for 30 medicare and medicaid services an application to provide a 1915(i) 31 state plan home and community-based services benefit. The application 32 shall be developed to allow for the delivery of wraparound supportive 33 behavioral health services for individuals with mental illnesses who 34 also have a personal care need. The 1915(i) state plan shall be 35 developed to standardize coverage and administration, improve the 36 current benefit design, and clarify roles in administration of the 37 behavioral health personal care services benefit. 38 p. 250 ESSB 5187.SL