WSR 16-05-028

PERMANENT RULES

[Filed February 9, 2016, 8:39 a.m., effective March 11, 2016]

Effective Date of Rule: March 11, 2016.

Purpose: The department is amending 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, to comply with the current budget.

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 15-23-002 on November 4, 2015.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: February 8, 2016.

Katherine I. Vasquez

Rules Coordinator

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)) 67.22	$((71.00)) 72.64	$((46.51)) 47.67	$((46.51)) 47.67	$((47.59)) 49.97
A Med		$((70.97)) 72.74	$((76.39)) 78.16	$((52.71)) 54.03	$((52.71)) 54.03	$((53.84)) 56.53
A High		$((79.58)) 81.57	$((85.00)) 86.99	$((57.85)) 59.30	$((57.85)) 59.30	$((60.10)) 63.11
B Low		$((65.58)) 67.22	$((71.00)) 72.64	$((46.51)) 47.67	$((46.51)) 47.67	$((47.82)) 50.21
B Med		$((73.13)) 74.96	$((78.55)) 80.39	$((58.92)) 60.39	$((58.92)) 60.39	$((60.39)) 63.41
B Med-High		$((82.76)) 84.83	$((88.18)) 90.25	$((62.62)) 64.19	$((62.62)) 64.19	$((64.62)) 67.85
B High		$((87.10)) 89.28	$((92.52)) 94.70	$((71.52)) 73.31	$((71.52)) 73.31	$((73.71)) 77.40
C Low		$((70.97)) 72.74	$((76.39)) 78.16	$((52.71)) 54.03	$((52.71)) 54.03	$((53.84)) 56.53
C Med		$((79.58)) 81.57	$((85.00)) 86.99	$((66.05)) 67.70	$((66.05)) 67.70	$((68.42)) 71.84
C Med-High		$((98.96)) 101.43	$((104.38)) 106.85	$((87.89)) 90.09	$((87.89)) 90.09	$((89.26)) 93.72
C High		$((99.94)) 102.44	$((105.36)) 107.86	$((88.73)) 90.95	$((88.73)) 90.95	$((90.49)) 95.01
D Low		$((73.13)) 74.96	$((78.55)) 80.38	$((71.09)) 72.87	$((71.09)) 72.87	$((69.72)) 73.21
D Med		$((81.20)) 83.23	$((86.62)) 88.65	$((82.29)) 84.35	$((82.29)) 84.35	$((85.07)) 89.32
D Med-High		$((104.87)) 107.49	$((110.29)) 112.91	$((104.52)) 107.13	$((104.52)) 107.13	$((102.12)) 107.23
D High		$((112.97)) 115.79	$((118.39)) 121.21	$((112.97)) 115.79	$((112.97)) 115.79	$((116.10)) 121.91
E Med		$((136.43)) 139.84	$((141.85)) 145.26	$((136.43)) 139.84	$((136.43)) 139.84	$((140.04)) 147.04
E High		$((159.89)) 163.89	$((165.31)) 169.31	$((159.89)) 163.89	$((159.89)) 163.89	$((163.99)) 172.19

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)) 61.69	$((65.11)) 66.61	$((46.51)) 47.67	$((46.51)) 47.67	$((47.59)) 49.97
A Med		$((63.43)) 65.02	$((68.35)) 69.94	$((50.64)) 51.91	$((50.64)) 51.91	$((51.75)) 54.34
A High		$((77.43)) 79.37	$((82.35)) 84.29	$((55.18)) 56.56	$((55.18)) 56.56	$((56.96)) 59.81
B Low		$((60.19)) 61.69	$((65.11)) 66.61	$((46.51)) 47.67	$((46.51)) 47.67	$((47.82)) 50.21
B Med		$((68.80)) 70.52	$((73.72)) 75.44	$((55.82)) 57.22	$((55.82)) 57.22	$((57.24)) 60.10
B Med-High		$((77.88)) 79.83	$((82.80)) 84.75	$((59.33)) 60.81	$((59.33)) 60.81	$((61.30)) 64.37
B High		$((84.95)) 87.07	$((89.87)) 91.99	$((69.51)) 71.25	$((69.51)) 71.25	$((71.66)) 75.24
C Low		$((63.43)) 65.02	$((68.35)) 69.94	$((50.85)) 52.12	$((50.85)) 52.12	$((52.13)) 54.74
C Med		$((77.43)) 79.37	$((82.35)) 84.29	$((65.21)) 66.84	$((65.21)) 66.84	$((66.78)) 70.12
C Med-High		$((95.71)) 98.10	$((100.63)) 103.02	$((81.69)) 83.73	$((81.69)) 83.73	$((83.02)) 87.17
C High		$((96.67)) 99.09	$((101.59)) 104.01	$((86.87)) 89.04	$((86.87)) 89.04	$((88.01)) 92.41
D Low		$((68.80)) 70.52	$((73.72)) 75.44	$((70.12)) 71.87	$((70.12)) 71.87	$((68.21)) 71.62
D Med		$((79.00)) 80.98	$((83.92)) 85.90	$((80.65)) 82.67	$((80.65)) 82.67	$((82.81)) 86.95
D Med-High		$((101.44)) 103.98	$((106.36)) 108.90	$((101.95)) 104.50	$((101.95)) 104.50	$((99.04)) 103.99
D High		$((109.88)) 112.63	$((114.80)) 117.55	$((109.88)) 112.63	$((109.88)) 112.63	$((112.36)) 117.98
E Med		$((132.21)) 135.52	$((137.13)) 140.44	$((132.21)) 135.52	$((132.21)) 135.52	$((135.15)) 141.91
E High		$((154.54)) 158.40	$((159.46)) 163.32	$((154.54)) 158.40	$((154.54)) 158.40	$((157.94)) 165.84

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)) 60.61	$((64.37)) 65.85	$((46.51)) 47.67	$((46.51)) 47.67	$((47.59)) 49.97
A Med		$((63.43)) 65.02	$((68.67)) 70.26	$((49.62)) 50.86	$((49.62)) 50.86	$((50.72)) 53.26
A High		$((77.43)) 79.37	$((82.67)) 84.61	$((54.30)) 55.66	$((54.30)) 55.66	$((55.93)) 58.73
B Low		$((59.13)) 60.61	$((64.37)) 65.85	$((46.51)) 47.67	$((46.51)) 47.67	$((47.82)) 50.21
B Med		$((68.80)) 70.52	$((74.04)) 75.76	$((54.79)) 56.16	$((54.79)) 56.16	$((56.20)) 59.01
B Med-High		$((77.88)) 79.83	$((83.12)) 85.07	$((58.22)) 59.68	$((58.22)) 59.68	$((60.12)) 63.13
B High		$((84.95)) 87.07	$((90.19)) 92.31	$((65.77)) 67.41	$((65.77)) 67.41	$((67.84)) 71.23
C Low		$((63.43)) 65.02	$((68.67)) 70.26	$((49.62)) 50.86	$((49.62)) 50.86	$((50.72)) 53.26
C Med		$((77.43)) 79.37	$((82.67)) 84.61	$((61.66)) 63.20	$((61.66)) 63.20	$((64.27)) 67.48
C Med-High		$((95.71)) 98.10	$((100.95)) 103.34	$((78.58)) 80.54	$((78.58)) 80.54	$((79.90)) 83.90
C High		$((96.67)) 99.09	$((101.91)) 104.33	$((82.13)) 84.18	$((82.13)) 84.18	$((83.30)) 87.47
D Low		$((68.80)) 70.52	$((74.04)) 75.76	$((66.30)) 67.96	$((66.30)) 67.96	$((64.57)) 67.80
D Med		$((79.00)) 80.98	$((84.24)) 86.22	$((76.26)) 78.17	$((76.26)) 78.17	$((78.37)) 82.29
D Med-High		$((101.44)) 103.98	$((106.68)) 109.22	$((96.38)) 98.79	$((96.38)) 98.79	$((93.72)) 98.41
D High		$((103.88)) 106.48	$((109.12)) 111.72	$((103.88)) 106.48	$((103.88)) 106.48	$((106.30)) 111.62
E Med		$((124.99)) 128.11	$((130.23)) 133.35	$((124.99)) 128.11	$((124.99)) 128.11	$((127.84)) 134.23
E High		$((146.10)) 149.75	$((151.34)) 154.99	$((146.10)) 149.75	$((146.10)) 149.75	$((149.39)) 156.86