FINAL BILL REPORT
HB 1527
This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent. |
FULL VETO
Synopsis as Enacted
Brief Description: Concerning medicaid payment rates for boarding homes.
Sponsors: Representatives Kessler, Rolfes, Williams and Santos.
House Committee on Health Care & Wellness
Senate Committee on Ways & Means
Background:
The Department of Social and Health Services (Department) establishes the daily Medicaid payment rates for clients assessed using the Comprehensive Assessment Reporting Evaluation (CARE) tool, and that reside in Adult Family Homes (AFH) and boarding homes contracted to provide Assisted Living (AL), Adult Residential Care (ARC), and Enhanced Adult Residential Care (EARC) services. For contracted AFH and boarding homes contracted to provide AL, ARC, and EARC services, the Department pays the daily rates for care of a Medicaid resident that are adjusted for three groups of counties. There is one set of rates for facilities in King County, a second set of rates for facilities in metropolitan counties including: Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima counties; and a third set of rates for facilities in nonmetropolitan counties including: Adams, Asotin, Chelan, Clallam, Columbia, Cowlitz, Douglas, Ferry, Garfield, Grant, Grays Harbor, Jefferson, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Orielle, San Juan, Skagit, Skamania, Stevens, Wahkiakum, Walla Walla, and Whitman.
The Department sets the daily Medicaid payment rate for these clients in the Washington Administrative Code. The Administrative Procedures Act, chapter 34.05 RCW, requires the Department to go through the rule-making process, with public notice, meetings, and hearings when the daily Medicaid rates for these clients are set.
Summary:
The Department of Social and Health Services is required to hold at least one public hearing with at least 30 days notice when it plans to implement an upward or downward adjustment to the daily Medicaid payment rate for consumers who are assessed using the comprehensive assessment reporting evaluation tool and who reside in boarding homes.
Votes on Final Passage:
House | 97 | 0 | |
Senate | 44 | 0 | (Senate Amended) |
House | (House Refuses to Concur) | ||
Senate | 48 | 0 | (Senate Receded) |
Effective: |