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care to address the health-related social needs of families, 1 including approaches to incorporate federal funding. 2 (((104))) (101)(a) No more than $156,707,000 of the general fund— 3 federal appropriation and no more than $60,942,000 of the general 4 fund—local appropriation may be expended for an outpatient directed 5 payment program. 6 (b) The authority shall: 7 (i) Design the program to support the state's access and other 8 quality of care goals and to not increase general fund—state 9 expenditures; 10 (ii) Seek approval from the centers for medicare and medicaid 11 services to create a medicaid outpatient directed payment program for 12 hospital outpatient services provided to medicaid program managed 13 care recipients by University of Washington medical center and 14 harborview medical center; 15 (iii) Upon approval, direct managed care organizations to make 16 payments to eligible providers at levels required to ensure enrollees 17 have timely access to critical high-quality care as allowed under 42 18 C.F.R. 438.6(c); and 19 (iv) Increase medicaid payments for hospital outpatient services 20 provided by University of Washington medical center and harborview 21 medical center to the average payment received from commercial 22 payers. 23 (c) Any incremental costs incurred by the authority in the 24 development, implementation, and maintenance of this program shall be 25 the responsibility of the participating hospitals. 26 (d) Participating hospitals shall retain the full amount of 27 payments provided under this program. 28 (e) Participating hospitals will provide the local funds to fund 29 the required nonfederal contribution. 30 (f) This program shall be effective as soon as administratively 31 possible. 32 (((106))) (102) $16,000 of the general fund—state appropriation 33 for fiscal year 2022, $31,000 of the general fund—state appropriation 34 for fiscal year 2023, and $420,000 of the general fund—federal 35 appropriation are provided solely for a technology solution for an 36 authoritative client identifier, or master person index, for state 37 programs within the health and human services coalition to uniformly 38 identify clients across multiple service delivery systems. The 39 p. 989 ESSB 5187.SL