WSR 13-22-038
PROPOSED RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
[Filed October 31, 2013, 9:57 a.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 13-15-022.
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, Lookout Room, 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), on December 10, 2013, at 10:00 a.m.
Date of Intended Adoption: Not earlier than December 11, 2013.
Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504, e-mail DSHSRPAURulesCoordinator@dshs.wa.gov, fax (360) 664-6185, by 5 p.m. on December 10, 2013.
Assistance for Persons with Disabilities: Contact Jennisha Johnson, DSHS rules consultant, by November 12, 2013, TTY (360) 664-6178 or (360) 664-6094 or by e-mail jennisha.johnson@dshs.wa.gov.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: WAC 388-105-0005 contains the rate table used to calculate the daily medicaid rate for AFH and AL facilities contracted to provide AL, ARC, and EARC. To comply with the budgetary directives put forth by the legislature in ESSB 5034 (2013-2015 biennial budget), changes need to be made to WAC 388-105-0005 including an increase to funding for AFH in relation to an increased license fee.
AFH will be affected by this rule change.
Statutory Authority for Adoption: RCW 74.39A.030 (3)(a).
Statute Being Implemented: RCW 74.39A.030 (3)(a).
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: Elizabeth Pashley, 4450 10th Avenue S.E., Lacey, WA 98503, (360) 725-2447; Implementation and Enforcement: Ken Callaghan, 4450 10th Avenue S.E., Lacey, WA 98503, (360) 725-2499.
No small business economic impact statement has been prepared under chapter 19.85 RCW. The rule change is adjusting rates pursuant to legislative standards. Exemption RCW 34.05.310 (4)(f).
A cost-benefit analysis is not required under RCW 34.05.328. The rule change is adjusting rates pursuant to legislative standards, RCW 34.05.328 (5)(b)(vi).
October 28, 2013
Katherine I. Vasquez
Rules Coordinator
AMENDATORY SECTION (Amending WSR 13-03-093, filed 1/15/13, effective 2/15/13)
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 assisted living facilities contracted to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.
For contracted AFH and 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
$65.58
$71.00
$46.51
$46.51
$((47.45)) 47.59
A Med
$70.97
$76.39
$52.71
$52.71
$((53.70)) 53.84
A High
$79.58
$85.00
$57.85
$57.85
$((59.96)) 60.10
 
 
 
 
 
 
 
B Low
$65.58
$71.00
$46.51
$46.51
$((47.68)) 47.82
B Med
$73.13
$78.55
$58.92
$58.92
$((60.25)) 60.39
B Med-High
$82.76
$88.18
$62.62
$62.62
$((64.48)) 64.62
B High
$87.10
$92.52
$71.52
$71.52
$((73.57)) 73.71
 
 
 
 
 
 
 
C Low
$70.97
$76.39
$52.71
$52.71
$((53.70)) 53.84
C Med
$79.58
$85.00
$66.05
$66.05
$((68.28)) 68.42
C Med-High
$98.96
$104.38
$87.89
$87.89
$((89.12)) 89.26
C High
$99.94
$105.36
$88.73
$88.73
$((90.35)) 90.49
 
 
 
 
 
 
D Low
$73.13
$78.55
$71.09
$71.09
$((69.58)) 69.72
D Med
$81.20
$86.62
$82.29
$82.29
$((84.93)) 85.07
D Med-High
$104.87
$110.29
$104.52
$104.52
$((101.98)) 102.12
D High
$112.97
$118.39
$112.97
$112.97
$((115.96)) 116.10
 
 
 
 
 
 
E Med
$136.43
$141.85
$136.43
$136.43
$((139.90)) 140.04
E High
$159.89
$165.31
$159.89
$159.89
$((163.85)) 163.99
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
$60.19
$65.11
$46.51
$46.51
$((47.45)) 47.59
A Med
$63.43
$68.35
$50.64
$50.64
$((51.61)) 51.75
A High
$77.43
$82.35
$55.18
$55.18
$((56.82)) 56.96
 
 
 
 
 
 
 
B Low
$60.19
$65.11
$46.51
$46.51
$((47.68)) 47.82
B Med
$68.80
$73.72
$55.82
$55.82
$((57.10)) 57.24
B Med-High
$77.88
$82.80
$59.33
$59.33
$((61.16)) 61.30
B High
$84.95
$89.87
$69.51
$69.51
$((71.52)) 71.66
 
 
 
 
 
 
 
C Low
$63.43
$68.35
$50.85
$50.85
$((51.99)) 52.13
C Med
$77.43
$82.35
$65.21
$65.21
$((66.64)) 66.78
C Med-High
$95.71
$100.63
$81.69
$81.69
$((82.88)) 83.02
C High
$96.67
$101.59
$86.87
$86.87
$((87.87)) 88.01
 
 
 
 
 
 
 
D Low
$68.80
$73.72
$70.12
$70.12
$((68.07)) 68.21
D Med
$79.00
$83.92
$80.65
$80.65
$((82.67)) 82.81
D Med-High
$101.44
$106.36
$101.95
$101.95
$((98.90)) 99.04
D High
$109.88
$114.80
$109.88
$109.88
$((112.22)) 112.36
 
 
 
 
 
 
E Med
$132.21
$137.13
$132.21
$132.21
$((135.01)) 135.15
E High
$154.54
$159.46
$154.54
$154.54
$((157.80)) 157.94
*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
$59.13
$64.37
$46.51
$46.51
$((47.45)) 47.59
A Med
$63.43
$68.67
$49.62
$49.62
$((50.58)) 50.72
A High
$77.43
$82.67
$54.30
$54.30
$((55.79)) 55.93
 
 
 
 
 
 
 
B Low
$59.13
$64.37
$46.51
$46.51
$((47.68)) 47.82
B Med
$68.80
$74.04
$54.79
$54.79
$((56.06)) 56.20
B Med-High
$77.88
$83.12
$58.22
$58.22
$((59.98)) 60.12
B High
$84.95
$90.19
$65.77
$65.77
$((67.70)) 67.84
 
 
 
 
 
 
 
C Low
$63.43
$68.67
$49.62
$49.62
$((50.58)) 50.72
C Med
$77.43
$82.67
$61.66
$61.66
$((64.13)) 64.27
C Med-High
$95.71
$100.95
$78.58
$78.58
$((79.76)) 79.90
C High
$96.67
$101.91
$82.13
$82.13
$((83.16)) 83.30
 
 
 
 
 
 
 
D Low
$68.80
$74.04
$66.30
$66.30
$((64.43)) 64.57
D Med
$79.00
$84.24
$76.26
$76.26
$((78.23)) 78.37
D Med-High
$101.44
$106.68
$96.38
$96.38
$((93.58)) 93.72
D High
$103.88
$109.12
$103.88
$103.88
$((106.16)) 106.30
 
 
 
 
 
 
E Med
$124.99
$130.23
$124.99
$124.99
$((127.70)) 127.84
E High
$146.10
$151.34
$146.10
$146.10
$((149.25)) 149.39
** 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.
Reviser's note: The spelling error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.