WSR 09-17-102

PROPOSED RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed August 18, 2009, 8:55 a.m. ]

     Original Notice.

     Preproposal statement of inquiry was filed as WSR 09-11-100.

     Title of Rule and Other Identifying Information: The department is amending 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 and 388-105-0045 Bed or unit hold -- Medicaid resident discharged for a hospital or nursing home stay from an adult family home (AFH) or a boarding home contracted to provide adult residential care (ARC), enhanced adult residential care (EARC), or assisted living services (AL).

     Hearing Location(s): Blake Office Park East, Rose Room, 4500 10th Avenue S.E., Lacey, WA 98503 (one block north of the intersection of Pacific Avenue S.E. and Alhadeff Lane. A map or directions are available at http://www1.dshs.wa.gov/msa/rpau/docket.html or by calling (360) 664-6094), on September 22, 2009, at 10:00 a.m.

     Date of Intended Adoption: Not earlier than September 23, 2009.

     Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504-5850, delivery 4500 10th Avenue S.E., Lacey, WA 98503, e-mail DSHSRPAURulesCoordinator@dshs.wa.gov, fax (360) 664-6185, by 5 p.m. on September 22, 009 [2009].

     Assistance for Persons with Disabilities: Contact Jennisha Johnson, DSHS rules consultant, by September 8, 2009, TTY (360) 664-6178 or (360) 664-6094 or by e-mail at johnsjl4@dshs.wa.gov.

     Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The purpose of amending WAC 388-105-0005 is to adopt permanently the approximate 4% reduction of the daily medicaid payment rates for clients assessed using the CARE tool and that reside in AFHs and licensed boarding homes contracted to provide AL, ARC, and EARC services. Previously, the department filed in WSR 09-14-094 the emergency adoption of the 4% reduction effective July 1, 2009.

     The purpose of amending WAC 388-105-0045 is to require notice within twenty-fours [twenty-four hours] when a resident is discharged on medical leave to a nursing home or hospital from the AFH, ARC, EARC, or AL facility.

     Statutory Authority for Adoption: RCW 74.39A.030(3) and 18.20.290, section 206(4), chapter 564, Laws of 2009.

     Statute Being Implemented: RCW 74.39A.030 and 18.20.290.

     Rule is not necessitated by federal law, federal or state court decision.

     Name of Proponent: Department of social and health services, governmental.

     Name of Agency Personnel Responsible for Drafting: Patricia Hague, Mailstop 45600, Olympia, WA 98504, (360) 725-2447; Implementation and Enforcement: Ken Callaghan, Mailstop 45600, Olympia, WA 98504, (360) 725-2499.

     No small business economic impact statement has been prepared under chapter 19.85 RCW. Under RCW 19.85.025(3) and [19.85.]030 (1)(a), 34.05.310 (4)(f), the department is exempt from preparing a small business economic impact statement (SBEIS).

     RCW 19.85.025(3), this chapter does not apply to the adoption of a rule described in RCW 34.05.310(4).

     RCW 34.05.310(4), this section does not apply to:

     (f) Rules that set or adjust fees or rates pursuant to legislative standards;

     The adoption of rules to set or adjust fees is cost neutral.

     RCW 19.85.030 (1)(a), in the adoption of a rule under chapter 34.05 RCW, an agency shall prepare an SBEIS:

     (a) If the proposed rule will impose more than minor costs on businesses in an industry.

     A cost-benefit analysis is not required under RCW 34.05.328. Under RCW 34.05.328 (5)(b)(vi), the department is exempt from preparing a cost-benefit analysis for these rules. The rules set or adjust fees or rates pursuant to legislative standards.

     RCW 34.05.328 (5)(b) This section does not apply to:

     (vi) Rules that set or adjust fees or rates pursuant to legislative standards.

August 6, 2009

Don Goldsby, Manager

Rules and Policies Assistance Unit

4115.2
AMENDATORY SECTION(Amending WSR 09-11-053, filed 5/13/09, effective 6/13/09)

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
CARE CLASSIFICATION AL Without Capital Add-on AL With Capital Add-on ARC EARC AFH
A Low $((69.22))

66.45

 $((74.64))

71.87

 $((48.95))

46.99

 $((48.95))

46.99

 $((48.32))

46.39
A Med $((74.95))

71.95

 $((80.37))

77.37

 $((55.54))

53.32

 $((55.54))

53.32

 $((54.83))

52.64
A High $((84.10))

80.74

 $((89.52))

86.16

 $((61.00))

58.56

 $((61.00))

58.56

 $((61.35))

58.90
B Low $((69.22))

66.45

 $((74.64))

71.87

 $((48.95))

46.99

 $((48.95))

46.99

 $((48.56))

46.62
B Med $((77.24))

74.15

 $((82.66))

79.57

 $((62.14))

59.65

 $((62.14))

59.65

 $((61.66))

59.19
B Med-High $((87.48))

83.98

 $((92.90))

89.40

 $((66.07))

63.43

 $((66.07))

63.43

 $((66.06))

63.42
B High $((92.09))

88.41

 $((97.51))

93.83

 $((75.53))

72.51

 $((75.53))

72.51

 $((75.53))

72.51
C Low $((74.95))

71.95

 $((80.37))

77.37

 $((55.54))

53.32

 $((55.54))

53.32

 $((54.83))

52.64
C Med $((84.10))

80.74

 $((89.52))

86.16

 $((69.72))

66.93

 $((69.72))

66.93

 $((70.02))

67.22
C Med-High $((104.70))

100.51

 $((110.12))

105.93

 $((92.94))

89.22

 $((92.94))

89.22

 $((91.73))

88.06
C High $((105.74))

101.51

 $((111.16))

106.93

 $((93.82))

90.07

 $((93.82))

90.07

 $((93.01))

89.29
D Low $((77.24))

74.15

 $((82.66))

79.57

 $((75.07))

72.07

 $((75.07))

72.07

 $((71.38))

68.52
D Med $((85.82))

82.39

 $((91.24))

87.81

 $((86.98))

83.50

 $((86.98))

83.50

 $((87.36))

83.87
D Med-High $((110.98))

106.54

 $((116.40))

111.96

 $((110.61))

106.19

 $((110.61))

106.19

 $((105.12))

100.92
D High $((119.59))

114.81

 $((125.01))

120.23

 $((119.59))

114.81

 $((119.59))

114.81

 $((119.69))

114.90
E Med $((144.53))

138.75

 $((149.95))

144.17

 $((144.53))

138.75

 $((144.53))

138.75

 $((144.63))

138.84
E High $((169.47))

162.69

 $((174.89))

168.11

 $((169.47))

162.69

 $((169.47))

162.69

 $((169.57))

162.79


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 $((63.49))

60.95

 $((68.41))

65.87

 $((48.95))

46.99

 $((48.95))

46.99

 $((48.32))

46.39
A Med $((66.94))

64.26

 $((71.86))

69.18

 $((53.34))

51.21

 $((53.34))

51.21

 $((52.66))

50.55
A High $((81.81))

78.54

 $((86.73))

83.46

 $((58.17))

55.84

 $((58.17))

55.84

 $((58.08))

55.76
B Low $((63.49))

60.95

 $((68.41))

65.87

 $((48.95))

46.99

 $((48.95))

46.99

 $((48.56))

46.62
B Med $((72.65))

69.74

 $((77.57))

74.66

 $((58.84))

56.49

 $((58.84))

56.49

 $((58.37))

56.04
B Med-High $((82.29))

79.00

 $((87.21))

83.92

 $((62.57))

60.07

 $((62.57))

60.07

 $((62.60))

60.10
B High $((89.81))

86.22

 $((94.73))

91.14

 $((73.40))

70.46

 $((73.40))

70.46

 $((73.40))

70.46
C Low $((66.94))

64.26

 $((71.86))

69.18

 $((53.56))

51.42

 $((53.56))

51.42

 $((53.05))

50.93
C Med $((81.81))

78.54

 $((86.73))

83.46

 $((68.82))

66.07

 $((68.82))

66.07

 $((68.31))

65.58
C Med-High $((101.25))

97.20

 $((106.17))

102.12

 $((86.34))

82.89

 $((86.34))

82.89

 $((85.23))

81.82
C High $((102.26))

98.17

 $((107.18))

103.09

 $((91.84))

88.17

 $((91.84))

88.17

 $((90.43))

86.81
D Low $((72.65))

69.74

 $((77.57))

74.66

 $((74.04))

71.08

 $((74.04))

71.08

 $((69.80))

67.01
D Med $((83.48))

80.14

 $((88.40))

85.06

 $((85.24))

81.83

 $((85.24))

81.83

 $((85.01))

81.61
D Med-High $((107.33))

103.04

 $((112.25))

107.96

 $((107.87))

103.56

 $((107.87))

103.56

 $((101.92))

97.84
D High $((116.30))

111.65

 $((121.22))

116.57

 $((116.30))

111.65

 $((116.30))

111.65

 $((115.79))

111.16
E Med $((140.04))

134.44

 $((144.96))

139.36

 $((140.04))

134.44

 $((140.04))

134.44

 $((139.53))

133.95
E High $((163.78))

157.23

 $((168.70))

162.15

 $((163.78))

157.23

 $((163.78))

157.23

 $((163.27))

156.74

*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 $((62.36))

59.87

 $((67.60))

65.11

 $((48.95))

46.99

 $((48.95))

46.99

 $((48.32))

46.39
A Med $((66.94))

64.26

 $((72.18))

69.50

 $((52.25))

50.16

 $((52.25))

50.16

 $((51.58))

49.52
A High $((81.81))

78.54

 $((87.05))

83.78

 $((57.23))

54.94

 $((57.23))

54.94

 $((57.01))

54.73
B Low $((62.36))

59.87

 $((67.60))

65.11

 $((48.95))

46.99

 $((48.95))

46.99

 $((48.56))

46.62
B Med $((72.65))

69.74

 $((77.89))

74.98

 $((57.75))

55.44

 $((57.75))

55.44

 $((57.29))

55.00
B Med-High $((82.29))

79.00

 $((87.53))

84.24

 $((61.40))

58.94

 $((61.40))

58.94

 $((61.38))

58.92
B High $((89.81))

86.22

 $((95.05))

91.46

 $((69.42))

66.64

 $((69.42))

66.64

 $((69.42))

66.64
C Low $((66.94))

64.26

 $((72.18))

69.50

 $((52.25))

50.16

 $((52.25))

50.16

 $((51.58))

49.52
C Med $((81.81))

78.54

 $((87.05))

83.78

 $((65.05))

62.45

 $((65.05))

62.45

 $((65.70))

63.07
C Med-High $((101.25))

97.20

 $((106.49))

102.44

 $((83.04))

79.72

 $((83.04))

79.72

 $((81.98))

78.70
C High $((102.26))

98.17

 $((107.50))

103.41

 $((86.81))

83.34

 $((86.81))

83.34

 $((85.52))

82.10
D Low $((72.65))

69.74

 $((77.89))

74.98

 $((69.99))

67.19

 $((69.99))

67.19

 $((66.01))

63.37
D Med $((83.48))

80.14

 $((88.72))

85.38

 $((80.57))

77.35

 $((80.57))

77.35

 $((80.39))

77.17
D Med-High $((107.33))

103.04

 $((112.57))

108.28

 $((101.96))

97.88

 $((101.96))

97.88

 $((96.37))

92.52
D High $((109.93))

105.53

 $((115.17))

110.77

 $((109.93))

105.53

 $((109.93))

105.53

 $((109.48))

105.10
E Med $((132.36))

127.07

 $((137.60))

132.31

 $((132.36))

127.07

 $((132.36))

127.07

 $((131.92))

126.64
E High $((154.80))

148.61

 $((160.04))

153.85

 $((154.80))

148.61

 $((154.80))

148.61

 $((154.36))

148.19

** 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: RCW 74.39A.030 (3)(a). 09-11-053, § 388-105-0005, filed 5/13/09, effective 6/13/09. 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.]

4133.2
AMENDATORY SECTION(Amending WSR 09-11-053, filed 5/13/09, effective 6/13/09)

WAC 388-105-0045   Bed or unit hold -- Medicaid resident discharged for a hospital or nursing home stay from an adult family home (AFH) or a boarding home contracted to provide adult residential care (ARC), enhanced adult residential care (EARC), or assisted living services (AL).   (1) When an AFH, ARC, EARC, or AL contracts to provide services under chapter 74.39A RCW, the AFH, ARC, EARC, and AL contractor must hold a medicaid eligible resident's bed or unit when:

     (a) Short-term care is needed in a nursing home or hospital;

     (b) The resident is likely to return to the AFH, ARC, EARC, or AL; and

     (c) Payment is made under subsection (3) of this section.

     (2)(a) When the department pays the contractor to hold the medicaid resident's bed or unit during the resident's short-term nursing home or hospital stay, the contractor must hold the bed or unit for up to twenty days. If during the twenty day bed hold period, a department case manager determines that the medicaid resident's hospital or nursing home stay is not short term and the medicaid resident is unlikely to return to the AFH, ARC, EARC or AL facility, the department will cease paying for the bed hold the day the case manager notifies the contractor of his/her decision.

     (b) A medicaid resident's discharge from an AFH, ARC, EARC, or an AL facility for a short term stay in a nursing home or hospital must be longer than twenty-four hours before subsection (3) of WAC 388-105-0045 applies.

     (c) When a medicaid resident on bed hold leave returns to an AFH, ARC, EARC, or an AL facility but remains less than twenty-four hours, the bed hold leave on which the resident returned applies after the resident's discharge. A new bed hold leave will begin only when the returned resident has resided in the facility for more than twenty-four hours before the resident's next discharge.

     (d) When an AFH, ARC, EARC, or AL facility discharges a resident to a nursing home or hospital and the resident is out of the facility for more than twenty-four hours, then by using e-mail, fax or telephone, the facility must notify the department of the resident's discharge within twenty-four hours after the initial twenty-four hours has passed. When the end of the initial twenty-four hours falls on a weekend or state holiday, then the facility must notify the department of the discharge within twenty-four hours after the weekend or holiday.

     (3) The department will compensate the contractor for holding the bed or unit for the:

     (a) First through seventh day at seventy percent of the medicaid daily rate paid for care of the resident before the hospital or nursing home stay; and

     (b) Eighth through the twentieth day, at eleven dollars a day.

     (4) The AFH, ARC, EARC, or AL facility may seek third-party payment to hold a bed or unit for twenty-one days or longer. The third-party payment shall not exceed the medicaid daily rate paid to the facility for the resident. If third-party payment is not available and the returning medicaid resident continues to meet the admission criteria under chapter 388-71 and/or 388-106 WAC, then the medicaid resident may return to the first available and appropriate bed or unit.

     (5) The department's social worker or case manager determines whether the:

     (a) Stay in a nursing home or hospital will be short-term; and

     (b) Resident is likely to return to the AFH, ARC, EARC, or AL facility.

     (6) When the resident's stay in the hospital or nursing home exceeds twenty days or the department's social worker or case manager determines that the medicaid resident's stay in the nursing home or hospital is not short-term and the resident is unlikely to return to the AFH, ARC, EARC, or AL facility, then only subsection (4) of this section applies to any private contractual arrangements that the contractor may make with a third party in regard to the discharged resident's unit or bed.

[Statutory Authority: RCW 74.39A.030 (3)(a). 09-11-053, § 388-105-0045, filed 5/13/09, effective 6/13/09. Statutory Authority: Chapter 74.39A RCW, RCW 18.20.290, 2006 c 372, 260, and 64. 06-19-017, § 388-105-0045, filed 9/8/06, effective 10/9/06. Statutory Authority: Chapter 74.39A RCW. 06-07-013, § 388-105-0045, filed 3/3/06, effective 4/3/06. Statutory Authority: RCW 74.39A.030, 2003 c 231. 04-09-092, § 388-105-0045, filed 4/20/04, effective 5/21/04.]

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