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90785, and 90791. The authority may use a substitute code in the 1 event that any of the codes identified in this subsection are 2 discontinued and replaced with an updated code covering the same 3 service. Within the amounts provided in this subsection the authority 4 must: 5 (a) Implement this rate increase in accordance with the process 6 established in chapter 285, Laws of 2020 (EHB 2584) (behavioral 7 health rates); 8 (b) Raise the state fee-for-service rates for these codes by up 9 to 15 percent, except that the state medicaid rate may not exceed the 10 published medicare rate or an equivalent relative value unit rate if 11 a published medicare rate is not available; 12 (c) Require in contracts with managed care organizations that, 13 beginning October 2021, managed care organizations pay no lower than 14 the fee-for-service rate for these codes, and adjust managed care 15 capitation rates accordingly; and 16 (d) Not duplicate rate increases provided in subsections (((41) 17 and (42))) (38) and (39) of this section. 18 (((41))) (38) $19,664,000 of the general fund—state appropriation 19 for fiscal year 2022, $26,218,000 of the general fund—state 20 appropriation for fiscal year 2023, and $77,996,000 of the general 21 fund—federal appropriation are provided solely to maintain and 22 increase access for primary care services for medicaid-enrolled 23 patients through increased provider rates beginning October 1, 2021. 24 Within the amounts provided in this subsection the authority must: 25 (a) Increase the medical assistance rates for adult primary care 26 services that are reimbursed solely at the existing medical 27 assistance rates on a fee-for-service basis, as well as through 28 managed care plans, by at least 15 percent above medical assistance 29 rates in effect on January 1, 2019; 30 (b) Increase the medical assistance rates for pediatric primary 31 care services that are reimbursed solely at the existing medical 32 assistance rates on a fee-for-service basis, as well as through 33 managed care plans, by at least 21 percent above medical assistance 34 rates in effect on January 1, 2019; 35 (c) Increase the medical assistance rates for pediatric critical 36 care, neonatal critical care, and neonatal intensive care services 37 that are reimbursed solely at the existing medical assistance rates 38 on a fee-for-service basis, as well as through managed care plans, by 39 p. 970 ESSB 5187.SL