WSR 10-18-099

PROPOSED RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed September 1, 2010, 9:12 a.m. ]

     Original Notice.

     Preproposal statement of inquiry was filed as WSR 10-12-109.

     Title of Rule and Other Identifying Information: 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.

     Hearing Location(s): Office Building 2, Auditorium, DSHS Headquarters, 1115 Washington, Olympia, WA 98504, (public parking at 11th and Jefferson. A map is available at http://www1.dshs.wa.gov/msa/rpau/RPAU-OB-2directions.html

or by calling (360) 664-6094), on October 5, 2010, at 10:00 a.m.

     Date of Intended Adoption: Not earlier than October 6, 2010.

     Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504-5850, delivery 1115 Washington Street S.E., Olympia, WA 98504, e-mail DSHSRPAURulesCoordinator@dshs.wa.gov, fax (360) 664-6185, by

5 p.m. on October 5, 2010.

     Assistance for Persons with Disabilities: Contact Jennisha Johnson, DSHS rules consultant, by September 22, 2010, TTY (360) 664-6178 or (360) 664-6094 or by e-mail at jennisha.johnson@dshs.wa.gov.

     Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: ESSB 6444, section 206, supplemental operating budget (chapter 37, Laws of 2010 1st sp. sess.). Under chapter 37, Laws of 2010, the department increased the yearly license fee for licensed boarding homes from $79 per bed to $106 per bed effective July 1, 2010.

     Effective July 1, 2010, the department increased the rates in WAC 388-105-0005 to cover the medicaid share of the license fee increase and the medicaid cost of new training needs.

     Reasons Supporting Proposal: Chapter 37, Laws of 2010 1st sp. sess.

     Statutory Authority for Adoption: Chapter 37, Laws of 2010 1st sp. sess., RCW 74.39A.030(3).

     Statute Being Implemented: Chapter 37, Laws of 2010 1st sp. sess., RCW 74.39A.030(3).

     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, (360) 725-2447; Implementation and Enforcement: Ken Callaghan, Mailstop 45600, (360) 725-2499.

     No small business economic impact statement has been prepared under chapter 19.85 RCW. Under RCW 34.05.328, the rules proposed for permanent adoption are significant legislative rules. Under RCW 34.05.328 (5)(b)(vi), the department is exempt from preparing a cost-benefit analysis (CBA). Significant legislative rules that set or adjust fees or rates pursuant to legislative standards do not require a CBA.

     A cost-benefit analysis is not required under RCW 34.05.328. Under RCW 19.85.025(3), the department is not required to complete a small business economic impact statement for rules that set or adjust fees or rates pursuant to legislative standards (RCW 34.05.310 (4)(f)).

August 18, 2010

Katherine I. Vasquez

Rules Coordinator

4213.1
AMENDATORY SECTION(Amending WSR 09-20-011, filed 9/25/09, effective 10/26/09)

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 $((66.45))

66.65

 $((71.87))

72.07

 $((46.99))

47.19

 $((46.99))

47.19

 $46.39
A Med $((71.95))

72.15

 $((77.37))

77.57

 $((53.32))

53.52

 $((53.32))

53.52

 $52.64
A High $((80.74))

80.94

 $((86.16))

86.36

 $((58.56))

58.76

 $((58.56))

58.76

 $58.90
B Low $((66.45))

66.65

 $((71.87))

72.07

 $((46.99))

47.19

 $((46.99))

47.19

 $46.62
B Med $((74.15))

74.35

 $((79.57))

79.77

 $((59.65))

59.85

 $((59.65))

59.85

 $59.19
B Med-High $((83.98))

84.18

 $((89.40))

89.60

 $((63.43))

63.63

 $((63.43))

63.63

 $63.42
B High $((88.41))

88.61

 $((93.83))

94.03

 $((72.51))

72.71

 $((72.51))

72.71

 $72.51
C Low $((71.95))

72.15

 $((77.37))

77.57

 $((53.32))

53.52

 $((53.32))

53.52

 $52.64
C Med $((80.74))

80.94

 $((86.16))

86.36

 $((66.93))

67.13

 $((66.93))

67.13

 $67.22
C Med-High $((100.51))

100.71

 $((105.93))

106.13

 $((89.22))

89.42

 $((89.22))

89.42

 $88.06
C High $((101.51))

101.71

 $((106.93))

107.13

 $((90.07))

90.27

 $((90.07))

90.27

 $89.29
D Low $((74.15))

74.35

 $((79.57))

79.77

 $((72.07))

72.27

 $((72.07))

72.27

 $68.52
D Med $((82.39))

82.59

 $((87.81))

88.01

 $((83.50))

83.70

 $((83.50))

83.70

 $83.87
D Med-High $((106.54))

106.74

 $((111.96))

112.16

 $((106.19))

106.39

 $((106.19))

106.39

 $100.92
D High $((114.81))

115.01

 $((120.23))

120.43

 $((114.81))

115.01

 $((114.81))

115.01

 $114.90
E Med $((138.75))

138.95

 $((144.17))

144.37

 $((138.75))

138.95

 $((138.75))

138.95

 $138.84
E High $((162.69))

162.89

 $((168.11))

168.31

 $((162.69))

162.89

 $((162.69))

162.89

 $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 $((60.95))

61.15

 $((65.87))

66.07

 $((46.99))

47.19

 $((46.99))

47.19

 $46.39
A Med $((64.26))

64.46

 $((69.18))

69.38

 $((51.21))

51.41

 $((51.21))

51.41

 $50.55
A High $((78.54))

78.74

 $((83.46))

83.66

 $((55.84))

56.04

 $((55.84))

56.04

 $55.76
B Low $((60.95))

61.15

 $((65.87))

66.07

 $((46.99))

47.19

 $((46.99))

47.19

 $46.62
B Med $((69.74))

69.94

 $((74.66))

74.86

 $((56.49))

56.69

 $((56.49))

56.69

 $56.04
B Med-High $((79.00))

79.20

 $((83.92))

84.12

 $((60.07))

60.27

 $((60.07))

60.27

 $60.10
B High $((86.22))

86.42

 $((91.14))

91.34

 $((70.46))

70.66

 $((70.46))

70.66

 $70.46
C Low $((64.26))

64.46

 $((69.18))

69.38

 $((51.42))

51.62

 $((51.42))

51.62

 $50.93
C Med $((78.54))

78.74

 $((83.46))

83.66

 $((66.07))

66.27

 $((66.07))

66.27

 $65.58
C Med-High $((97.20))

97.40

 $((102.12))

102.32

 $((82.89))

83.09

 $((82.89))

83.09

 $81.82
C High $((98.17))

98.37

 $((103.09))

103.29

 $((88.17))

88.37

 $((88.17))

88.37

 $86.81
D Low $((69.74))

69.94

 $((74.66))

74.86

 $((71.08))

71.28

 $((71.08))

71.28

 $67.01
D Med $((80.14))

80.34

 $((85.06))

85.26

 $((81.83))

82.03

 $((81.83))

82.03

 $81.61
D Med-High $((103.04))

103.24

 $((107.96))

108.16

 $((103.56))

103.76

 $((103.56))

103.76

 $97.84
D High $((111.65))

111.85

 $((116.57))

116.77

 $((111.65))

111.85

 $((111.65))

111.85

 $111.16
E Med $((134.44))

134.64

 $((139.36))

139.56

 $((134.44))

134.64

 $((134.44))

134.64

 $133.95
E High $((157.23))

157.43

 $((162.15))

162.35

 $((157.23))

157.43

 $((157.23))

157.43

 $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 $((59.87))

60.07

 $((65.11))

65.31

 $((46.99))

47.19

 $((46.99))

47.19

 $46.39
A Med $((64.26))

64.46

 $((69.50))

69.70

 $((50.16))

50.36

 $((50.16))

50.36

 $49.52
A High $((78.54))

78.74

 $((83.78))

83.98

 $((54.94))

55.14

 $((54.94))

55.14

 $54.73
B Low $((59.87))

60.07

 $((65.11))

65.31

 $((46.99))

47.19

 $((46.99))

47.19

 $46.62
B Med $((69.74))

69.94

 $((74.98))

75.18

 $((55.44))

55.64

 $((55.44))

55.64

 $55.00
B Med-High $((79.00))

79.20

 $((84.24))

84.44

 $((58.94))

59.14

 $((58.94))

59.14

 $58.92
B High $((86.22))

86.42

 $((91.46))

91.66

 $((66.64))

66.84

 $((66.64))

66.84

 $66.64
C Low $((64.26))

64.46

 $((69.50))

69.70

 $((50.16))

50.36

 $((50.16))

50.36

 $49.52
C Med $((78.54))

78.74

 $((83.78))

83.98

 $((62.45))

62.65

 $((62.45))

62.65

 $63.07
C Med-High $((97.20))

97.40

 $((102.44))

102.64

 $((79.72))

79.92

 $((79.72))

79.92

 $78.70
C High $((98.17))

98.37

 $((103.41))

103.61

 $((83.34))

83.54

 $((83.34))

83.54

 $82.10
D Low $((69.74))

69.94

 $((74.98))

75.18

 $((67.19))

67.39

 $((67.19))

67.39

 $63.37
D Med $((80.14))

80.34

 $((85.38))

85.58

 $((77.35))

77.55

 $((77.35))

77.55

 $77.17
D Med-High $((103.04))

103.24

 $((108.28))

108.48

 $((97.88))

98.08

 $((97.88))

98.08

 $92.52
D High $((105.53))

105.73

 $((110.77))

110.97

 $((105.53))

105.73

 $((105.53))

105.73

 $105.10
E Med $((127.07))

127.27

 $((132.31))

132.51

 $((127.07))

127.27

 $((127.07))

127.27

 $126.64
E High $((148.61))

148.81

 $((153.85))

154.05

 $((148.61))

148.81

 $((148.61))

148.81

 $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), 18.20.290, and 2009 c 564 § 206(4). 09-20-011, § 388-105-0005, filed 9/25/09, effective 10/26/09. 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.]

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