WSR 10-21-035

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed October 12, 2010, 11:49 a.m. , effective October 29, 2010 ]


Effective Date of Rule: October 29, 2010.

Other Findings Required by Other Provisions of Law as Precondition to Adoption or Effectiveness of Rule: Under RCW 74.46.380(3) a rule may become effective earlier than thirty-one days after filing when the agency establishes that effective date in the adopting order and finds that the earlier effective date is necessary because of imminent peril to the public health, safety, or welfare.

Section 958, chapter 37, Laws of 2010 1st sp. sess. declared the act 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. The rules of this adopting order are necessary to implement chapter 37, Laws of 2010 1st sp. sess. and thus, are necessary to avoid imminent peril to the public health, safety, or welfare.

The rules have been in effect since July 1, 2010, through an emergency adoption, see WSR 10-14-057.

Purpose: 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.

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

Statutory Authority for Adoption: RCW 74.39A.030(3).

Other Authority: Chapter 37, Laws of 2010, Biennial Appropriations Act section (ESSB 6444, section 206 (19)(a)).

Adopted under notice filed as WSR 10-18-099 on September 1, 2010.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.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: October 8, 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.]

Washington State Code Reviser's Office