WSR 11-22-039

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Division)

[ Filed October 27, 2011, 9:46 a.m. , effective October 29, 2011 ]


Effective Date of Rule: October 29, 2011.

Purpose: Effective July 1, 2011, the department increased the daily medicaid payment rates for clients assessed using the comprehensive assessment reporting evaluation (CARE) tool and who reside in adult family homes or who reside in boarding homes contracted to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services. Under ESSB [2ESHB] 1087, the 2011/13 biennial operating budget, 2011 1st sp. sess., adult family home rates are enhanced to compensate for the licensing fee increase. Boarding home rates are restored to March 31, 2011, levels. However, because new training requirements are delayed pursuant to ESHB 1548, 2011 1st sp. sess., the previously given rate enhancement for training is removed from the boarding home rate until such time that the new training requirements are reinstated. An extension of the emergency rules is necessary to allow the department time to adopt permanent rules. Preproposal was filed September 6, 2011.

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

Statutory Authority for Adoption: Chapter 74.46 RCW.

Other Authority: Chapter 7, Laws of 2011 1st sp. sess.

Under RCW 34.05.350 the agency for good cause finds that in order to implement the requirements or reductions in appropriations enacted in any budget for fiscal year 2009, 2010, 2011, 2012 or 2013, which necessitates the need for the immediate adoption, amendment, or repeal of a rule, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the fiscal needs or requirements of the agency.

Reasons for this Finding: The CR-101 for the permanent rule was filed with the office of the code reviser September 6, 2011. The CR-102 is expected to be filed in October 2011.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.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 13, 2011.

Katherine I. Vasquez

Rules Coordinator

4289.2
AMENDATORY SECTION(Amending WSR 10-21-035, filed 10/12/10, effective 10/29/10)

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 $((66.65))

66.52

$((72.07))

71.94

$((47.19))

47.06

$((47.19))

47.06

$((46.39))

46.61

A Med $((72.15))

72.02

$((77.57))

77.44

$((53.52))

53.39

$((53.52))

53.39

$((52.64))

52.86

A High $((80.94))

80.81

$((86.36))

86.23

$((58.76))

58.63

$((58.76))

58.63

$((58.90))

59.12

B Low $((66.65))

66.52

$((72.07))

71.94

$((47.19))

47.06

$((47.19))

47.06

$((46.62))

46.84

B Med $((74.35))

74.22

$((79.77))

79.64

$((59.85))

59.72

$((59.85))

59.72

$((59.19))

59.41

B Med-High $((84.18))

84.05

$((89.60))

89.47

$((63.63))

63.50

$((63.63))

63.50

$((63.42))

63.64

B High $((88.61))

88.48

$((94.03))

93.90

$((72.71))

72.58

$((72.71))

72.58

$((72.51))

72.73

C Low $((72.15))

72.02

$((77.57))

77.44

$((53.52))

53.39

$((53.52))

53.39

$((52.64))

52.86

C Med $((80.94))

80.81

$((86.36))

86.23

$((67.13))

67.00

$((67.13))

67.00

$((67.22))

67.44

C Med-High $((100.71))

100.58

$((106.13))

106.00

$((89.42))

89.29

$((89.42))

89.29

$((88.06))

88.28

C High $((101.71))

101.58

$((107.13))

107.00

$((90.27))

90.14

$((90.27))

90.14

$((89.29))

89.51

D Low $((74.35))

74.22

$((79.77))

79.64

$((72.27))

72.14

$((72.27))

72.14

$((68.52))

68.74

D Med $((82.59))

82.46

$((88.01))

87.88

$((83.70))

83.57

$((83.70))

83.57

$((83.87))

84.09

D Med-High $((106.74))

106.61

$((112.16))

112.03

$((106.39))

106.26

$((106.39))

106.26

$((100.92))

101.14

D High $((115.01))

114.88

$((120.43))

120.30

$((115.01))

114.88

$((115.01))

114.88

$((114.90))

115.12

E Med $((138.95))

138.82

$((144.37))

144.24

$((138.95))

138.82

$((138.95))

138.82

$((138.84))

139.06

E High $((162.89))

162.76

$((168.31))

168.18

$((162.89))

162.76

$((162.89))

162.76

$((162.79))

163.01


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 $((61.15))

61.02

$((66.07))

65.94

$((47.19))

47.06

$((47.19))

47.06

$((46.39))

46.61

A Med $((64.46))

64.33

$((69.38))

69.25

$((51.41))

51.28

$((51.41))

51.28

$((50.55))

50.77

A High $((78.74))

78.61

$((83.66))

83.53

$((56.04))

55.91

$((56.04))

55.91

$((55.76))

55.98

B Low $((61.15))

61.02

$((66.07))

65.94

$((47.19))

47.06

$((47.19))

47.06

$((46.62))

46.84

B Med $((69.94))

69.81

$((74.86))

74.73

$((56.69))

56.56

$((56.69))

56.56

$((56.04))

56.26

B Med-High $((79.20))

79.07

$((84.12))

83.99

$((60.27))

60.14

$((60.27))

60.14

$((60.10))

60.32

B High $((86.42))

86.29

$((91.34))

91.21

$((70.66))

70.53

$((70.66))

70.53

$((70.46))

70.68

C Low $((64.46))

64.33

$((69.38))

69.25

$((51.62))

51.49

$((51.62))

51.49

$((50.93))

51.15

C Med $((78.74))

78.61

$((83.66))

83.53

$((66.27))

66.14

$((66.27))

66.14

$((65.58))

65.80

C Med-High $((97.40))

97.27

$((102.32))

102.19

$((83.09))

82.96

$((83.09))

82.96

$((81.82))

82.04

C High $((98.37))

98.24

$((103.29))

103.16

$((88.37))

88.24

$((88.37))

88.24

$((86.81))

87.03

D Low $((69.94))

69.81

$((74.86))

74.73

$((71.28))

71.15

$((71.28))

71.15

$((67.01))

67.23

D Med $((80.34))

80.21

$((85.26))

85.13

$((82.03))

81.90

$((82.03))

81.90

$((81.61))

81.83

D Med-High $((103.24))

103.11

$((108.16))

108.03

$((103.76))

103.63

$((103.76))

103.63

$((97.84))

98.06

D High $((111.85))

111.72

$((116.77))

116.64

$((111.85))

111.72

$((111.85))

111.72

$((111.16))

111.38

E Med $((134.64))

134.51

$((139.56))

139.43

$((134.64))

134.51

$((134.64))

134.51

$((133.95))

134.17

E High $((157.43))

157.30

$((162.35))

162.22

$((157.43))

157.30

$((157.43))

157.30

$((156.74))

156.96

*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 $((60.07))

59.94

$((65.31))

65.18

$((47.19))

47.06

$((47.19))

47.06

$((46.39))

46.61

A Med $((64.46))

64.33

$((69.70))

69.57

$((50.36))

50.23

$((50.36))

50.23

$((49.52))

49.74

A High $((78.74))

78.61

$((83.98))

83.85

$((55.14))

55.01

$((55.14))

55.01

$((54.73))

54.95

B Low $((60.07))

59.94

$((65.31))

65.18

$((47.19))

47.06

$((47.19))

47.06

$((46.62))

46.84

B Med $((69.94))

69.81

$((75.18))

75.05

$((55.64))

55.51

$((55.64))

55.51

$((55.00))

55.22

B Med-High $((79.20))

79.07

$((84.44))

84.31

$((59.14))

59.01

$((59.14))

59.01

$((58.92))

59.14

B High $((86.42))

86.29

$((91.66))

91.53

$((66.84))

66.71

$((66.84))

66.71

$((66.64))

66.86

C Low $((64.46))

64.33

$((69.70))

69.57

$((50.36))

50.23

$((50.36))

50.23

$((49.52))

49.74

C Med $((78.74))

78.61

$((83.98))

83.85

$((62.65))

62.52

$((62.65))

62.52

$((63.07))

63.29

C Med-High $((97.40))

97.27

$((102.64))

102.51

$((79.92))

79.79

$((79.92))

79.79

$((78.70))

78.92

C High $((98.37))

98.24

$((103.61))

103.48

$((83.54))

83.41

$((83.54))

83.41

$((82.10))

82.32

D Low $((69.94))

69.81

$((75.18))

75.05

$((67.39))

67.26

$((67.39))

67.26

$((63.37))

63.59

D Med $((80.34))

80.21

$((85.58))

85.45

$((77.55))

77.42

$((77.55))

77.42

$((77.17))

77.39

D Med-High $((103.24))

103.11

$((108.48))

108.35

$((98.08))

97.95

$((98.08))

97.95

$((92.52))

92.74

D High $((105.73))

105.60

$((110.97))

110.84

$((105.73))

105.60

$((105.73))

105.60

$((105.10))

105.32

E Med $((127.27))

127.14

$((132.51))

132.38

$((127.27))

127.14

$((127.27))

127.14

$((126.64))

126.86

E High $((148.81))

148.68

$((154.05))

153.92

$((148.81))

148.68

$((148.81))

148.68

$((148.19))

148.41


** 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) and 2010 c 37 206 (19)(a). 10-21-035, 388-105-0005, filed 10/12/10, effective 10/29/10. 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