WSR 17-21-074
PROPOSED RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Aging and Long-Term Support Administration)
[Filed October 16, 2017, 2:08 p.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 17-13-108.
Title of Rule and Other Identifying Information: The department is proposing to amend WAC 388-105-0005 The daily medicaid payment rates for clients who have been assessed using the CARE tool and reside at an AFH or assisted living facility contracted to provide AL, ARC, or EARC services.
Hearing Location(s): On November 21, 2017, at 10:00 a.m., at Office Building 2, Department of Social and Health Services (DSHS) Headquarters, 1115 Washington, Olympia, WA 98504. Public parking at 11th and Jefferson. A map is available at https://www.dshs.wa.gov/sesa/rules-and-policies-assistance-unit/driving-directions-office-bldg-2.
Date of Intended Adoption: Not earlier than November 22, 2017.
Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504, email DSHSRPAURulesCoordinator@dshs.wa.gov, fax 360-664-6185, by 5:00 p.m., November 21, 2017.
Assistance for Persons with Disabilities: Contact Jeff Kildahl, DSHS rules consultant, phone 360-664-6092, fax 360-664-6185, TTY 711 relay service, email Kildaja@dshs.wa.gov, by November 7, 2017.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The department is proposing to amend WAC 388-105-0005 in order to update the CARE table of rates to reflect the rates currently being paid to providers.
Reasons Supporting Proposal: The fiscal year 18-20 operating budget changed some home and community providers' rates. This table of rates needs to be updated accordingly.
Statutory Authority for Adoption: RCW 74.39A.030 (3)(a).
Statute Being Implemented: SB [SSB] 5883.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: DSHS, governmental.
Name of Agency Personnel Responsible for Drafting and Implementation: Elizabeth Pashley, 4450 10th Avenue S.E., Lacey, WA 98503-5600, 360-725-2447; and Enforcement: Peter Graham, 4450 10th Avenue S.E., Lacey, WA 98503-5600, 360-725-2499.
A school district fiscal impact statement is not required under RCW 28A.305.135.
A cost-benefit analysis is not required under RCW 34.05.328. This rule is adjusting rates pursuant to legislative standards (RCW 34.05.328 (5)(b)(vi)).
This rule proposal, or portions of the proposal, is exempt from requirements of the Regulatory Fairness Act because the proposal:
Is exempt under RCW 19.85.025(3) as the rule content is explicitly and specifically dictated by statute.
October 12, 2017
Katherine I. Vasquez
Rules Coordinator
AMENDATORY SECTION (Amending WSR 17-02-029, filed 12/28/16, effective 1/28/17)
WAC 388-105-0005 The daily medicaid payment rates for clients who have been assessed using the CARE tool and reside at an AFH or assisted living facility contracted to provide ((AL)) assisted living, ((ARC)) adult residential care, or ((EARC)) enhanced adult residential care services.
For contracted adult family homes (AFH) and assisted living facilities contracted to provide assisted living (AL), adult residential care (ARC), or enhanced adult residential care (EARC) services, the department pays the following daily rates for medicaid residents who have been assessed using the comprehensive assessment reporting evaluation (CARE) tool:
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
KING COUNTY
CARE CLASSIFICATION
AL Without Capital Add-on
AL With Capital Add-on
ARC
EARC
AFH
A Low
(($67.22))
$70.59
(($72.64))
$76.01
(($47.67)) $50.06
(($47.67)) $50.06
(($52.47)) $71.96
A Med
(($72.74))
$76.38
(($78.16))
$81.80
(($54.03)) $56.74
(($54.03)) $56.74
(($59.36)) $74.74
A High
(($81.57))
$85.66
(($86.99))
$91.08
(($59.30)) $62.27
(($59.30)) $62.27
(($66.27)) $81.23
 
 
 
 
 
 
 
B Low
(($67.22))
$70.59
(($72.64))
$76.01
(($47.67)) $50.06
(($47.67)) $50.06
(($52.72)) $73.40
B Med
(($74.96))
$78.72
(($80.39))
$84.14
(($60.39)) $63.42
(($60.39)) $63.42
(($66.58)) $79.78
B Med-High
(($84.83))
$89.08
(($90.25))
$94.50
(($64.19)) $67.41
(($64.19)) $67.41
(($71.24)) $86.56
B High
(($89.28))
$93.75
(($94.70))
$99.17
(($73.31)) $76.98
(($73.31)) $76.98
(($81.27)) $89.05
 
 
 
 
 
 
 
C Low
(($72.74))
$76.38
(($78.16))
$81.80
(($54.03)) $56.74
(($54.03)) $56.74
(($59.36)) $81.03
C Med
(($81.57))
$85.66
(($86.99))
$91.08
(($67.70)) $71.09
(($67.70)) $71.09
(($75.43)) $93.33
C Med-High
(($101.43))
$106.51
(($106.85))
$111.93
(($90.09)) $94.60
(($90.09)) $94.60
(($98.41)) $98.41
C High
(($102.44))
$107.57
(($107.86))
$112.99
(($90.95)) $95.51
(($90.95)) $95.51
$99.76
 
 
 
 
 
 
D Low
(($74.96))
$78.72
(($80.38))
$84.14
(($72.87)) $76.52
(($72.87)) $76.52
(($76.87)) $86.46
D Med
(($83.23))
$87.40
(($88.65))
$92.82
(($84.35)) $88.58
(($84.35)) $88.58
(($93.79)) $95.25
D Med-High
(($107.49))
$112.88
(($112.91))
$118.30
(($107.13)) $112.50
(($107.13)) $112.50
$112.59
D High
(($115.79))
$121.59
(($121.21))
$127.01
(($115.79)) $121.59
(($115.79)) $121.59
$128.01
 
 
 
 
 
 
E Med
(($139.84))
$146.85
(($145.26))
$152.27
(($139.84)) $146.85
(($139.84)) $146.85
$154.39
E High
(($163.89))
$172.10
(($169.31))
$177.52
(($163.89))$172.10
(($163.89)) $172.10
$180.80
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
METROPOLITAN COUNTIES*
CARE CLASSIFICATION
AL Without Capital Add-on
AL With Capital Add-on
ARC
EARC
AFH
A Low
(($61.69))
$64.78
(($66.61))
$69.70
(($47.67)) $50.06
(($47.67)) $50.06
(($52.47)) $70.78
A Med
(($65.02))
$68.28
(($69.94))
$73.20
(($51.91)) $54.51
(($51.91)) $54.51
(($57.06)) $73.49
A High
(($79.37))
$83.35
(($84.29))
$88.27
(($56.56)) $59.39
(($56.56)) $59.39
(($62.80)) $79.80
 
 
 
 
 
 
 
B Low
(($61.69))
$64.78
(($66.61))
$69.70
(($47.67)) $50.06
(($47.67)) $50.06
(($52.72)) $72.18
B Med
(($70.52))
$74.05
(($75.44))
$78.97
(($57.22)) $60.09
(($57.22)) $60.09
(($63.11)) $78.39
B Med-High
(($79.83))
$83.83
(($84.75))
$88.78
(($60.81)) $63.86
(($60.81)) $63.86
(($67.59)) $84.98
B High
(($87.07))
$91.43
(($91.99))
$96.35
(($71.25)) $74.82
(($71.25)) $74.82
(($79.00)) $87.41
 
 
 
 
 
 
 
C Low
(($65.02))
$68.28
(($69.94))
$73.20
(($52.12)) $54.73
(($52.12)) $54.73
(($57.48)) $79.61
C Med
(($79.37))
$83.35
(($84.29))
$88.27
(($66.84)) $70.19
(($66.84)) $70.19
(($73.63)) $91.57
C Med-High
(($98.10))
$103.01
(($103.02))
$107.93
(($83.73)) $87.92
(($83.73)) $87.92
(($91.53)) $93.63
C High
(($99.09))
$105.05
(($104.01))
$108.97
(($89.04)) $93.50
(($89.04)) $93.50
$97.03
 
 
 
 
 
 
 
D Low
(($70.52))
$74.05
(($75.44))
$78.97
(($71.87)) $75.47
(($71.87)) $75.47
(($75.20)) $84.89
D Med
(($80.98))
$85.04
(($85.90))
$89.96
(($82.67)) $86.81
(($82.67)) $86.81
(($91.30)) $93.44
D Med-High
(($103.98))
$109.19
(($108.90))
$114.11
(($104.50)) $109.74
(($104.50)) $109.74
$109.19
D High
(($112.63))
$118.27
(($117.55))
$123.19
(($112.63)) $118.27
(($112.63)) $118.27
$123.88
 
 
 
 
 
 
E Med
(($135.52))
$142.31
(($140.44))
$147.23
(($135.52)) $142.31
(($135.52)) $142.31
$149.01
E High
(($158.40))
$166.34
(($163.32))
$171.23
(($158.40)) $166.34
(($158.40)) $166.34
$174.13
*Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima counties.
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
NONMETROPOLITAN COUNTIES**
CARE CLASSIFICATION
AL Without Capital Add-on
AL With Capital Add-on
ARC
EARC
AFH
A Low
(($60.61))
$63.65
(($65.85))
$68.89
(($47.67)) $50.06
(($47.67))
$50.06
(($52.47)) $69.07
A Med
(($65.02))
$68.28
(($70.26))
$73.52
(($50.86)) $53.41
(($50.86)) $53.41
(($55.92)) $71.67
A High
(($79.37))
$83.38
(($84.61))
$88.59
(($55.66)) $58.45
(($55.66)) $58.45
(($61.67)) $77.73
 
 
 
 
 
 
 
B Low
(($60.61))
$63.65
(($65.85))
$68.89
(($47.67)) $50.06
(($47.67)) $50.06
(($52.72)) $70.42
B Med
(($70.52))
$74.05
(($75.76))
$79.29
(($56.16)) $58.97
(($56.16)) $58.97
(($61.96)) $76.38
B Med-High
(($79.83))
$83.83
(($85.07))
$89.07
(($59.68)) $62.67
(($59.68)) $62.67
(($66.29)) $82.71
B High
(($87.07))
$91.43
(($92.31))
$96.67
(($67.41)) $70.79
(($67.41)) $70.79
(($74.79)) $85.04
 
 
 
 
 
 
 
C Low
(($65.02))
$68.28
(($70.26))
$73.52
(($50.86)) $53.41
(($50.86)) $53.41
(($55.92)) $77.55
C Med
(($79.37))
$83.35
(($84.61))
$88.59
(($63.20)) $66.67
(($63.20)) $66.37
(($70.85)) $89.04
C Med-High
(($98.10))
$103.01
(($103.34))
$108.25
(($80.54)) $84.58
(($80.54)) $84.58
(($88.10)) $91.01
C High
(($99.09))
$104.05
(($104.33))
$109.29
(($84.18)) $88.40
(($84.18)) $88.40
(($91.84)) $93.08
 
 
 
 
 
 
 
D Low
(($70.52))
$74.05
(($75.76))
$79.29
(($67.96)) $71.36
(($67.96))
$71.36
(($71.19)) $82.62
D Med
(($80.98))
$85.04
(($86.22))
$90.28
(($78.17)) $82.09
(($78.17)) $82.09
(($86.40)) $90.83
D Med-High
(($103.98))
$109.19
(($109.22))
$114.43
(($98.79)) $103.74
(($98.79)) $103.74
(($103.33)) $104.36
D High
(($106.48))
$111.81
(($111.72))
$117.05
(($106.48)) $111.81
(($106.48))
$111.81
$117.20
 
 
 
 
 
 
E Med
(($128.11))
$134.53
(($133.35))
$139.77
(($128.11)) $134.53
(($128.11)) $134.53
$140.94
E High
(($149.75))
$157.25
(($154.99))
$162.49
(($149.75)) $157.25
(($149.75)) $157.25
$164.70
** 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.