5579-S AMH CODY KNUT 20

SSB 5579 - H AMD 0388 ADOPTED 4-14-03

By Representative Cody

   On page 9, after line 15, insert the following:

   "NEW SECTION. Sec. 11. A new section is added to chapter 18.20 RCW to read as follows:

   (1) When a boarding home contracts with the department to provide adult residential care services, enhanced adult residential care services, or assisted living services under chapter 74.39A RCW, the boarding home must hold a medicaid eligible resident's room or unit when short-term care is needed in a nursing home or hospital, the resident is likely to return to the boarding home, and payment is made under subsection (2) of this section.

   (2) The medicaid resident's bed or unit shall be held for up to twenty days. The per day bed or unit hold compensation amount shall be seventy percent of the daily rate paid for the first seven days the bed or unit is held for the resident who needs short-term nursing home care or hospitalization. The rate for the eighth through the twentieth day a bed is held shall be established in rule, but shall be no lower than ten dollars per day the bed or unit is held.

    (3) The boarding home may seek third-party payment to hold a bed or unit for twenty-one days or longer. The third-party payment shall not exceed eighty-five percent of the average daily rate paid to the facility. If third-party payment is not available, the medicaid resident may return to the first available and appropriate bed or unit, if the resident continues to meet the admission criteria under this chapter.

   (4) The department shall monitor the use and impact of the policy established under this section and shall report its findings to the appropriate committees of the senate and house of representatives by December 31, 2005.

   (5) This section shall expire on June 30, 2006."

   Renumber the remaining section accordingly.

   Correct the title.

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EFFECT: The reimbursement policy for boarding homes that hold beds for residents is changed to permit third-party payment after the resident has been absent from the facility for more than twenty days.