WSR 09-06-032

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed February 24, 2009, 8:42 a.m. , effective February 24, 2009, 8:42 a.m. ]


Effective Date of Rule: Immediately.

Purpose: The purpose of this rule change is to implement the 17 level medicaid payment system for adult family homes (AFH) and licensed boarding homes with contracts to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services effective July 1, 2008.

Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.

Statutory Authority for Adoption: RCW 74.39.030, 18.20.290.

Other Authority: Chapter 329, Laws of 2008.

Under RCW 34.05.350 the agency for good cause finds that immediate adoption, amendment, or repeal of a rule is necessary for the preservation of the public health, safety, or general welfare, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the public interest.

Reasons for this Finding: This emergency rule implements section 929, chapter 329, Laws of 2008, [which] states "This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately." This third emergency supersedes the previous emergency filed as WSR 08-22-015. The department has filed the CR-102 as WSR 09-04-065 and is holding a hearing on March 10, 2009.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

Date Adopted: February 17, 2009.

Stephanie E. Schiller

Rules Coordinator

3990.6
AMENDATORY SECTION(Amending WSR 06-19-017, filed 9/8/06, effective 10/9/06)

WAC 388-105-0005   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 following daily rates for care of a Medicaid resident:


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
KING COUNTY
ARC EARC AFH
CARE CLASSIFICATION AL Without Capital Add-on AL With Capital Add-on
A Low (((1))) $((65.30))

69.22

$((70.41))

74.64

$((46.18))

48.95

$((46.18))

48.95

$((46.82))

48.32

A Med (((2))) $((70.71))

74.95

$((75.82))

80.37

$((52.40))

55.54

$((52.40))

55.54

$((53.13))

54.83

A High (((3))) $((79.34))

84.10

$((84.45))

89.52

$((66.92))

61.00

$((66.92))

61.00

$((59.45))

61.35

B Low (((4))) $((65.30))

69.22

$((70.41))

74.64

$((46.18))

48.95

$((46.18))

48.95

$((46.82))

48.56

B Med (((5))) $((72.87))

77.24

$((77.98))

82.66

$((58.62))

62.14

$((58.62))

62.14

$((59.45))

61.66

B Med-High $87.48 $92.90 $66.07 $66.07 $66.06
B High (((6))) $((86.88))

92.09

$((91.99))

97.51

$((75.23))

75.53

$((75.23))

75.53

$((67.85))

75.53

C Low (((7))) $((70.71))

74.95

$((75.82))

80.37

$((52.40))

55.54

$((52.40))

55.54

$((53.13))

54.83

C Med (((8))) $((79.34))

84.10

$((84.45))

89.52

$((66.92))

69.72

$((66.92))

69.72

$((67.85))

70.02

C ((High (9)))

Med-High

$((98.77))

104.70

$((103.88))

110.12

$((87.68))

92.94

$((87.68))

92.94

$((88.89))

91.73

C High $105.74 $111.16 $93.82 $93.82 $93.01
D Low (((10))) $((72.87))

77.24

$((77.98))

82.66

$((58.62))

75.07

$((58.62))

75.07

$((67.85))

71.38

D Med (((11))) $((79.34))

85.82

$((84.45))

91.24

$((66.92))

86.98

$((66.92))

86.98

$((76.28))

87.36

D Med-High $110.98 $116.40 $110.61 $110.61 $105.12
D High (((12))) $((98.77))

119.59

$((103.88))

125.01

$((87.68))

119.59

$((87.68))

119.59

$((88.89)) 119.69
E Med $144.53 $149.95 $144.53 $144.53 $144.63
E High $169.47 $174.89 $169.47 $169.47 $169.57


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
METROPOLITAN COUNTIES*
ARC EARC AFH
CARE CLASSIFICATION AL Without Capital Add-on AL With Capital Add-on
A Low (((1))) $((59.90))

63.49

$((64.54))

68.41

$((46.18))

48.95

$((46.18))

48.95

$((46.82))

48.32

A Med (((2))) $((63.15))

66.94

$((67.79))

71.86

$((50.32))

53.34

$((50.32))

53.34

$((51.03))

52.66

A High (((3))) $((77.18))

81.81

$((81.82))

86.73

$((63.81))

58.17

$((63.81))

58.17

$((56.28))

58.08

B Low (((4))) $((59.90))

63.49

$((64.54))

68.41

$((46.18))

48.95

$((46.18))

48.95

$((46.82))

48.56

B Med (((5))) $((68.54))

72.65

$((73.18))

77.57

$((55.51))

58.84

$((55.51))

58.84

$((56.28))

58.37

B Med-High $82.29 $87.21 $62.57 $62.57 $62.60
B High (((6))) $((84.73))

89.81

$((89.37))

94.73

$((71.08))

73.40

$((71.08))

73.40

$((64.70))

73.40

C Low (((7))) $((63.15))

66.94

$((67.79))

71.86

$((50.32))

53.56

$((50.32))

53.56

$((51.03))

53.05

C Med (((8))) $((77.18))

81.81

$((81.82))

86.73

$((63.81))

68.82

$((63.81))

68.82

$((64.70))

68.31

C ((High (9)))

Med-High

$((95.52))

101.25

$((100.16))

106.17

$((81.45))

86.34

$((81.45))

86.34

$((82.59))

85.23

C High $102.26 $107.18 $91.84 $91.84 $90.43
D Low (((10))) $((68.54))

72.65

$((73.18))

77.57

$((55.51))

74.04

$((55.51))

74.04

$((64.70))

69.80

D Med (((11))) $((77.18))

83.48

$((81.82))

88.40

$((63.81))

85.24

$((63.81))

85.24

$((72.06))

85.01

D Med-High $107.33 $112.25 $107.87 $107.87 $101.92
D High (((12))) $((95.52))

116.30

$((100.16))

121.22

$((81.45))

116.30

$((81.45))

116.30

$((82.59))

115.79

E Med $140.04 $144.96 $140.04 $140.04 $139.53
E High $163.78 $168.70 $163.78 $163.78 $163.27

*Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima counties.


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
NONMETROPOLITAN COUNTIES**
ARC EARC AFH
CARE CLASSIFICATION AL Without Capital Add-on AL With Capital Add-on
A Low (((1))) $((58.83))

62.36

$((63.77))

67.60

$((46.18))

48.95

$((46.18))

48.95

$((46.82))

48.32

A Med (((2))) $((63.15))

66.94

$((68.09))

72.18

$((49.29))

52.25

$((49.29))

52.25

$((49.98))

51.58

A High (((3))) $((77.18))

81.81

$((82.12))

87.05

$((62.78))

57.23

$((62.78))

57.23

$((55.24))

57.01

B Low (((4))) $((58.83))

62.36

$((63.77))

67.60

$((46.18))

48.95

$((46.18))

48.95

$((46.82))

48.56

B Med (((5))) $((68.54))

72.65

$((73.48))

77.89

$((54.48))

57.75

$((54.48))

57.75

$((55.24))

57.29

B Med-High $82.29 $87.53 $61.40 $61.40 $61.38
B High (((6))) $((84.73))

89.81

$((89.67))

95.05

$((69.00))

69.42

$((69.00))

69.42

$((63.66))

69.42

C Low (((7))) $((63.15))

66.94

$((68.09))

72.18

$((49.29))

52.25

$((49.29))

52.25

$((49.98))

51.58

C Med (((8))) $((77.18))

81.81

$((82.12))

87.05

$((62.78))

65.05

$((62.78))

65.05

$((63.66))

65.70

C ((High (9)))

Med-High

$((95.52))

101.25

$((100.46))

106.49

$((78.34))

83.04

$((78.34))

83.04

$((79.44))

81.98

C High $102.26 $107.50 $86.81 $86.81 $85.52
D Low (((10))) $((68.54))

72.65

$((73.48))

77.89

$((54.48))

69.99

$((54.48))

69.99

$((63.66))

66.01

D Med (((11))) $((77.18))

83.48

$((82.12))

88.72

$((62.78))

80.57

$((62.78))

80.57

$((69.96))

80.39

D Med-High $107.33 $112.57 $101.96 $101.96 $96.37
D High (((12))) $((95.52))

109.93

$((100.46))

115.17

$((78.34))

109.93

$((78.34))

109.93

$((79.44))

109.48

E Med $132.36 $137.60 $132.36 $132.36 $131.92
E High $154.80 $160.04 $154.80 $154.80 $154.36

** Nonmetropolitan counties: 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.

[Statutory Authority: Chapter 74.39A RCW, RCW 18.20.290, 2006 c 372, 260, and 64. 06-19-017, 388-105-0005, filed 9/8/06, effective 10/9/06. Statutory Authority: Chapter 74.39A RCW. 06-07-013, 388-105-0005, filed 3/3/06, effective 4/3/06. Statutory Authority: RCW 74.39A.030, 2003 c 231. 04-09-092, 388-105-0005, filed 4/20/04, effective 5/21/04. Statutory Authority: 2002 c 371. 02-22-058, 388-105-0005, filed 10/31/02, effective 12/1/02. Statutory Authority: 2001 c 7 206. 01-21-077, 388-105-0005, filed 10/18/01, effective 11/18/01. Statutory Authority: Chapter 74.39A RCW. 01-14-056, 388-105-0005, filed 6/29/01, effective 7/30/01.]

Washington State Code Reviser's Office