WSR 13-03-093

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed January 15, 2013, 2:14 p.m. , effective February 15, 2013 ]


Effective Date of Rule: Thirty-one days after filing.

Purpose: WAC 388-105-0005 contains the rate table used to calculate the daily medicaid rate for adult family homes and assisted living facilities (formerly called boarding homes) contracted to provide assisted living, adult residential care, and enhanced adult residential care. To comply with the budgetary directives put forth by the legislature in ESHB [3ESHB] 2127 (2012 supplementary budget), changes need to be made to WAC 388-105-0005 including: Adult family homes will have their rates adjusted to include adjusted funding for training costs and a vendor rate increase corresponding to a higher license fee. Assisted living facilities (formerly called boarding homes) contracted to provide assisted living, adult residential care, and enhanced adult residential care will have their rates adjusted to include adjusted funding for training costs and a two percent reduction in rates.

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

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

Adopted under notice filed as WSR 12-21-093 on October 22, 2012.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 1, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: January 8, 2013.

Katherine I. Vasquez

Rules Coordinator

4360.3
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)) assisted living facilities 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.]