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initiative, the authority and the department of social and health 1 services shall ensure that allowable and necessary services are 2 provided to eligible clients as identified by the department or its 3 third-party administrator. The authority and the department, in 4 consultation with the medicaid forecast work group, shall ensure that 5 reasonable reimbursements are established for services deemed 6 necessary within an identified limit per individual. The authority 7 shall not supplement the amounts provided in this subsection with any 8 general fund—state moneys appropriated in this section or any moneys 9 that may be transferred pursuant to subsection (1) of this section. 10 The director shall report to the joint select committee on health 11 care oversight no less than quarterly on financial and health 12 outcomes. The director shall also report to the fiscal committees of 13 the legislature all of the expenditures of this subsection and shall 14 provide such fiscal data in the time, manner, and form requested by 15 the legislative fiscal committees. 16 (b) The authority and the department shall seek additional 17 flexibilities for housing supports through the centers for medicare 18 and medicaid services and shall coordinate with the office of 19 financial management and the department of commerce to ensure that 20 services are not duplicated. 21 (c) The director shall report to the joint select committee on 22 health care oversight no less than quarterly on utilization and 23 caseload statistics for both supportive housing and employment 24 services and its progress toward increasing uptake and availability 25 for these services. 26 (9))) $202,000 of the general fund—state appropriation for fiscal 27 year 2023 is provided solely for supported employment services and 28 $208,000 of the general fund—state appropriation for fiscal year 2023 29 is provided solely for supported housing services, similar to the 30 services described in initiatives 3a and 3b of the 1115 demonstration 31 waiver to individuals who are ineligible for medicaid. Under these 32 initiatives, the authority and the department of social and health 33 services shall ensure that allowable and necessary services are 34 provided to eligible clients as identified by the authority or its 35 third-party administrator. Before authorizing services, eligibility 36 for initiative 3a or 3b of the 1115 demonstration waiver must first 37 be determined. 38 p. 960 ESSB 5187.SL