WSR 12-21-134

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services)

[ Filed October 24, 2012, 10:11 a.m. , effective October 24, 2012, 10:11 a.m. ]


     Effective Date of Rule: Immediately.

     Purpose: To adjust the rate table in accordance with the supplemental budget effective May 2, 2012. This emergency rule will replace and supersede WSR 12-14-061. A CR-101 has been filed, WSR 12-10-090. Additionally, an internal and external draft review has been completed and a CR-102 has been submitted to the rules and policies assistance unit (RPAU).

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

     Statutory Authority for Adoption: RCW 74.39A.050 (3)(a).

     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 supplemental budget, effective May 2, 2012, makes changes to the assisted living facility and adult family home rates. The training rate add-on authorized in the supplemental budget is being adjusted to an ongoing rate. This emergency rule will replace and supersede WSR 12-14-061. A CR-101 has been filed, WSR 12-10-090. Additionally, an internal and external draft review has been completed and a CR-102 has been submitted to RPAU.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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 22, 2012.

Katherine I. Vasquez

Rules Coordinator

4360.2
AMENDATORY SECTION(Amending WSR 12-02-050, filed 12/30/11, effective 1/30/12)

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)) assisted living facilities 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 $((66.52))

65.58

 $((71.94))

71.00

 $((47.06))

46.51

 $((47.06))

46.51

 $((46.61))

47.45
A Med $((72.02))

70.97

 $((77.44))

76.39

 $((53.39))

52.71

 $((53.39))

52.71

 $((52.86))

53.70
A High $((80.81))

79.58

 $((86.23))

85.00

 $((58.63))

57.85

 $((58.63))

57.85

 $((59.12))

59.96
B Low $((66.52))

65.58

 $((71.94))

71.00

 $((47.06))

46.51

 $((47.06))

46.51

 $((46.84))

47.68
B Med $((74.22))

73.13

 $((79.64))

78.55

 $((59.72))

58.92

 $((59.72))

58.92

 $((59.41))

60.25
B Med-High $((84.05))

82.76

 $((89.47))

88.18

 $((63.50))

62.62

 $((63.50))

62.62

 $((63.64))

64.48
B High $((88.48))

87.10

 $((93.90))

92.52

 $((72.58))

71.52

 $((72.58))

71.52

 $((72.73))

73.57
C Low $((72.02))

70.97

 $((77.44))

76.39

 $((53.39))

52.71

 $((53.39))

52.71

 $((52.86))

53.70
C Med $((80.81))

79.58

 $((86.23))

85.00

 $((67.00))

66.05

 $((67.00))

66.05

 $((67.44))

68.28
C Med-High $((100.58))

98.96

 $((106.00))

104.38

 $((89.29))

87.89

 $((89.29))

87.89

 $((88.28))

89.12
C High $((101.58))

99.94

 $((107.00))

105.36

 $((90.14))

88.73

 $((90.14))

88.73

 $((89.51))

90.35
D Low $((74.22))

73.13

 $((79.64))

78.55

 $((72.14))

71.09

 $((72.14))

71.09

 $((68.74))

69.58
D Med $((82.46))

81.20

 $((87.88))

86.62

 $((83.57))

82.29

 $((83.57))

82.29

 $((84.09))

84.93
D Med-High $((106.61))

104.87

 $((112.03))

110.29

 $((106.26))

104.52

 $((106.26))

104.52

 $((101.14))

101.98
D High $((114.88))

112.97

 $((120.30))

118.39

 $((114.88))

112.97

 $((114.88))

112.97

 $((115.12))

115.96
E Med $((138.82))

136.43

 $((144.24))

141.85

 $((138.82))

136.43

 $((138.82))

136.43

 $((139.06))

139.90
E High $((162.76))

159.89

 $((168.18))

165.31

 $((162.76))

159.89

 $((162.76))

159.89

 $((163.01))

163.85


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 $((61.02))

60.19

 $((65.94))

65.11

 $((47.06))

46.51

 $((47.06))

46.51

 $((46.61))

47.45
A Med $((64.33))

63.43

 $((69.25))

68.35

 $((51.28))

50.64

 $((51.28))

50.64

 $((50.77))

51.61
A High $((78.61))

77.43

 $((83.53))

82.35

 $((55.91))

55.18

 $((55.91))

55.18

 $((55.98))

56.82
B Low $((61.02))

60.19

 $((65.94))

65.11

 $((47.06))

46.51

 $((47.06))

46.51

 $((46.84))

47.68
B Med $((69.81))

68.80

 $((74.73))

73.72

 $((56.56))

55.82

 $((56.56))

55.82

 $((56.26))

57.10
B Med-High $((79.07))

77.88

 $((83.99))

82.80

 $((60.14))

59.33

 $((60.14))

59.33

 $((60.32))

61.16
B High $((86.29))

84.95

 $((91.21))

89.87

 $((70.53))

69.51

 $((70.53))

69.51

 $((70.68))

71.52
C Low $((64.33))

63.43

 $((69.25))

68.35

 $((51.49))

50.85

 $((51.49))

50.85

 $((51.15))

51.99
C Med $((78.61))

77.43

 $((83.53))

82.35

 $((66.14))

65.21

 $((66.14))

65.21

 $((65.80))

66.64
C Med-High $((97.27))

95.71

 $((102.19))

100.63

 $((82.96))

81.69

 $((82.96))

81.69

 $((82.04))

82.88
C High $((98.24))

96.67

 $((103.16))

101.59

 $((88.24))

86.87

 $((88.24))

86.87

 $((87.03))

87.87
D Low $((69.81))

68.80

 $((74.73))

73.72

 $((71.15))

70.12

 $((71.15))

70.12

 $((67.23))

68.07
D Med $((80.21))

79.00

 $((85.13))

83.92

 $((81.90))

80.65

 $((81.90))

80.65

 $((81.83))

82.67
D Med-High $((103.11))

101.44

 $((108.03))

106.36

 $((103.63))

101.95

 $((103.63))

101.95

 $((98.06))

98.90
D High $((111.72))

109.88

 $((116.64))

114.80

 $((111.72))

109.88

 $((111.72))

109.88

 $((111.38))

112.22
E Med $((134.51))

132.21

 $((139.43))

137.13

 $((134.51))

132.21

 $((134.51))

132.21

 $((134.17))

135.01
E High $((157.30))

154.54

 $((162.22))

159.46

 $((157.30))

154.54

 $((157.30))

154.54

 $((156.96))

157.80

*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 $((59.94))

59.13

 $((65.18))

64.37

 $((47.06))

46.51

 $((47.06))

46.51

 $((46.61))

47.45
A Med $((64.33))

63.43

 $((69.57))

68.67

 $((50.23))

49.62

 $((50.23))

49.62

 $((49.74))

50.58
A High $((78.61))

77.43

 $((83.85))

82.67

 $((55.01))

54.30

 $((55.01))

54.30

 $((54.95))

55.79
B Low $((59.94))

59.13

 $((65.18))

64.37

 $((47.06))

46.51

 $((47.06))

46.51

 $((46.84))

47.68
B Med $((69.81))

68.80

 $((75.05))

74.04

 $((55.51))

54.79

 $((55.51))

54.79

 $((55.22))

56.06
B Med-High $((79.07))

77.88

 $((84.31))

83.12

 $((59.01))

58.22

 $((59.01))

58.22

 $((59.14))

59.98
B High $((86.29))

84.95

 $((91.53))

90.19

 $((66.71))

65.77

 $((66.71))

65.77

 $((66.86))

67.70
C Low $((64.33))

63.43

 $((69.57))

68.67

 $((50.23))

49.62

 $((50.23))

49.62

 $((49.74))

50.58
C Med $((78.61))

77.43

 $((83.85))

82.67

 $((62.52))

61.66

 $((62.52))

61.66

 $((63.29))

64.13
C Med-High $((97.27))

95.71

 $((102.51))

100.95

 $((79.79))

78.58

 $((79.79))

78.58

 $((78.92))

79.76
C High $((98.24))

96.67

 $((103.48))

101.91

 $((83.41))

82.13

 $((83.41))

82.13

 $((82.32))

83.16
D Low $((69.81))

68.80

 $((75.05))

74.04

 $((67.26))

66.30

 $((67.26))

66.30

 $((63.59))

64.43
D Med $((80.21))

79.00

 $((85.45))

84.24

 $((77.42))

76.26

 $((77.42))

76.26

 $((77.39))

78.23
D Med-High $((103.11))

101.44

 $((108.35))

106.68

 $((97.95))

96.38

 $((97.95))

96.38

 $((92.74))

93.58
D High $((105.60))

103.88

 $((110.84))

109.12

 $((105.60))

103.88

 $((105.60))

103.88

 $((105.32))

106.16
E Med $((127.14))

124.99

 $((132.38))

130.23

 $((127.14))

124.99

 $((127.14))

124.99

 $((126.86))

127.70
E High $((148.68))

146.10

 $((153.92))

151.34

 $((148.68))

146.10

 $((148.68))

146.10

 $((148.41))

149.25

** 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 74.34 RCW based on 2011 1st sp.s. c 7. 12-02-050, § 388-105-0005, filed 12/30/11, effective 1/30/12. 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.]