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schedule on a fee-for-service basis, as well as through managed care 1 plans, by at least 162 percent above family planning fee schedule 2 rates in effect on January 1, 2021; 3 (b) Pursue state plan amendments to require medicaid managed care 4 organizations to increase rates under this subsection through 5 adoption of a uniform percentage increase for network providers 6 pursuant to 42 C.F.R. Sec. 438.6(c)(1)(iii)(B), as existing on 7 January 1, 2021; and 8 (c) Not duplicate rate increases provided in subsections (((40) 9 and (41))) (37) and (38) of this section. 10 (((43))) (40)(a) Beginning with fiscal year 2020, and for each 11 subsequent year thereafter, the authority shall reconcile on an 12 annual basis with rural health clinics. 13 (b) Beginning with fiscal year 2020, and for each subsequent year 14 thereafter, the authority shall properly accrue for any anticipated 15 reconciliations with rural health clinics during the fiscal year 16 close process following generally accepted accounting practices. 17 (((44))) (41)(a) The authority in collaboration with the office 18 of financial management and representatives from fiscal committees of 19 the legislature shall conduct an evaluation of the APM4 model to 20 determine its cost effectiveness and impact on patient outcomes and 21 report its findings and recommendations to the appropriate committees 22 of the legislature by November 15, 2022. 23 (b) The authority shall not enter into any future value-based 24 arrangements with federally qualified health centers or rural health 25 clinics prior to receiving approval from the office of financial 26 management and the appropriate committees of the legislature. 27 (c) The authority shall not modify the reconciliation process or 28 the APM4 program with federally qualified health centers or rural 29 health clinics without notification to and the opportunity to comment 30 from the office of financial management. 31 (d) The authority shall require all managed care organizations to 32 provide information to the authority to account for all payments to 33 federally qualified health centers to include how payments are made, 34 including any additional payments and whether there is a sub- 35 capitation arrangement or value-based purchasing arrangement. 36 (e) Beginning with fiscal year 2021 and for each subsequent year 37 thereafter, the authority shall reconcile on an annual basis with 38 federally qualified health centers contracting under APM4. 39 p. 972 ESSB 5187.SL