WSR 14-03-113
PERMANENT RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Behavioral Health and Service Integration Administration)
[Filed January 21, 2014, 1:18 p.m., effective February 21, 2014]
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 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 ESSB 5034 (2013-2015 biennial budget), changes need to be made to WAC 388-105-0005 including an increase to funding for adult family homes in relation to an increased license fee.
Adult family homes will be affected by this rule change.
Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.
Statutory Authority for Adoption: RCW 74.39A.050 (3)(a).
Adopted under notice filed as WSR 13-22-038 on October 31, 2013.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: January 15, 2014.
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.