WSR 18-03-097
PERMANENT RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Aging and Long-Term Support Administration)
[Filed January 17, 2018, 12:01 p.m., effective February 17, 2018]
Effective Date of Rule: Thirty-one days after filing.
Purpose: The department is amending WAC 388-105-0005 The daily medicaid payment rates for clients who have been assessed using the CARE tool and reside at an AFH or assisted living facility contracted to provide AL, ARC, or EARC services, in order to update the comprehensive assessment reporting evaluation (CARE) table found in rule to reflect the current daily rates.
Citation of 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 17-21-074 on October 16, 2017.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 0.
Date Adopted: January 17, 2018.
Katherine I. Vasquez
Rules Coordinator
AMENDATORY SECTION (Amending WSR 17-02-029, filed 12/28/16, effective 1/28/17)
WAC 388-105-0005 The daily medicaid payment rates for clients who have been assessed using the CARE tool and reside at an AFH or assisted living facility contracted to provide ((AL)) assisted living, ((ARC)) adult residential care, or ((EARC)) enhanced adult residential care services.
For contracted adult family homes (AFH) and assisted living facilities contracted to provide assisted living (AL), adult residential care (ARC), or enhanced adult residential care (EARC) services, the department pays the following daily rates for medicaid residents who have been assessed using the comprehensive assessment reporting evaluation (CARE) tool:
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
(($67.22))
$70.59
(($72.64))
$76.01
(($47.67))
$50.06
(($47.67))
$50.06
(($52.47))
$71.96
A Med
(($72.74))
$76.38
(($78.16))
$81.80
(($54.03))
$56.74
(($54.03))
$56.74
(($59.36))
$74.74
A High
(($81.57))
$85.66
(($86.99))
$91.08
(($59.30))
$62.27
(($59.30))
$62.27
(($66.27))
$81.23
 
 
 
 
 
 
 
B Low
(($67.22))
$70.59
(($72.64))
$76.01
(($47.67))
$50.06
(($47.67))
$50.06
(($52.72))
$73.40
B Med
(($74.96))
$78.72
(($80.39))
$84.14
(($60.39))
$63.42
(($60.39))
$63.42
(($66.58))
$79.78
B Med-High
(($84.83))
$89.08
(($90.25))
$94.50
(($64.19))
$67.41
(($64.19))
$67.41
(($71.24))
$86.56
B High
(($89.28))
$93.75
(($94.70))
$99.17
(($73.31))
$76.98
(($73.31))
$76.98
(($81.27))
$89.05
 
 
 
 
 
 
 
C Low
(($72.74))
$76.38
(($78.16))
$81.80
(($54.03))
$56.74
(($54.03))
$56.74
(($59.36))
$81.03
C Med
(($81.57))
$85.66
(($86.99))
$91.08
(($67.70))
$71.09
(($67.70))
$71.09
(($75.43))
$93.33
C Med-High
(($101.43))
$106.51
(($106.85))
$111.93
(($90.09))
$94.60
(($90.09))
$94.60
(($98.41))
$98.41
C High
(($102.44))
$107.57
(($107.86))
$112.99
(($90.95))
$95.51
(($90.95))
$95.51
$99.76
 
 
 
 
 
 
D Low
(($74.96))
$78.72
(($80.38))
$84.14
(($72.87))
$76.52
(($72.87))
$76.52
(($76.87))
$86.46
D Med
(($83.23))
$87.40
(($88.65))
$92.82
(($84.35))
$88.58
(($84.35))
$88.58
(($93.79))
$95.25
D Med-High
(($107.49))
$112.88
(($112.91))
$118.30
(($107.13))
$112.50
(($107.13))
$112.50
$112.59
D High
(($115.79))
$121.59
(($121.21))
$127.01
(($115.79))
$121.59
(($115.79))
$121.59
$128.01
 
 
 
 
 
 
E Med
(($139.84))
$146.85
(($145.26))
$152.27
(($139.84))
$146.85
(($139.84))
$146.85
$154.39
E High
(($163.89))
$172.10
(($169.31))
$177.52
(($163.89))$172.10
(($163.89))
$172.10
$180.80
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
(($61.69))
$64.78
(($66.61))
$69.70
(($47.67))
$50.06
(($47.67))
$50.06
(($52.47))
$70.78
A Med
(($65.02))
$68.28
(($69.94))
$73.20
(($51.91))
$54.51
(($51.91))
$54.51
(($57.06))
$73.49
A High
(($79.37))
$83.35
(($84.29))
$88.27
(($56.56))
$59.39
(($56.56))
$59.39
(($62.80))
$79.80
 
 
 
 
 
 
 
B Low
(($61.69))
$64.78
(($66.61))
$69.70
(($47.67))
$50.06
(($47.67))
$50.06
(($52.72))
$72.18
B Med
(($70.52))
$74.05
(($75.44))
$78.97
(($57.22))
$60.09
(($57.22))
$60.09
(($63.11))
$78.39
B Med-High
(($79.83))
$83.83
(($84.75))
$88.78
(($60.81))
$63.86
(($60.81))
$63.86
(($67.59))
$84.98
B High
(($87.07))
$91.43
(($91.99))
$96.35
(($71.25))
$74.82
(($71.25))
$74.82
(($79.00))
$87.41
 
 
 
 
 
 
 
C Low
(($65.02))
$68.28
(($69.94))
$73.20
(($52.12))
$54.73
(($52.12))
$54.73
(($57.48))
$79.61
C Med
(($79.37))
$83.35
(($84.29))
$88.27
(($66.84))
$70.19
(($66.84))
$70.19
(($73.63))
$91.57
C Med-High
(($98.10))
$103.01
(($103.02))
$107.93
(($83.73))
$87.92
(($83.73))
$87.92
(($91.53))
$93.63
C High
(($99.09))
$105.05
(($104.01))
$108.97
(($89.04))
$93.50
(($89.04))
$93.50
$97.03
 
 
 
 
 
 
 
D Low
(($70.52))
$74.05
(($75.44))
$78.97
(($71.87))
$75.47
(($71.87))
$75.47
(($75.20))
$84.89
D Med
(($80.98))
$85.04
(($85.90))
$89.96
(($82.67))
$86.81
(($82.67))
$86.81
(($91.30))
$93.44
D Med-High
(($103.98))
$109.19
(($108.90))
$114.11
(($104.50))
$109.74
(($104.50))
$109.74
$109.19
D High
(($112.63))
$118.27
(($117.55))
$123.19
(($112.63))
$118.27
(($112.63))
$118.27
$123.88
 
 
 
 
 
 
E Med
(($135.52))
$142.31
(($140.44))
$147.23
(($135.52))
$142.31
(($135.52))
$142.31
$149.01
E High
(($158.40))
$166.34
(($163.32))
$171.23
(($158.40))
$166.34
(($158.40))
$166.34
$174.13
*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
(($60.61))
$63.65
(($65.85))
$68.89
(($47.67))
$50.06
(($47.67))
$50.06
(($52.47))
$69.07
A Med
(($65.02))
$68.28
(($70.26))
$73.52
(($50.86))
$53.41
(($50.86))
$53.41
(($55.92))
$71.67
A High
(($79.37))
$83.38
(($84.61))
$88.59
(($55.66))
$58.45
(($55.66))
$58.45
(($61.67))
$77.73
 
 
 
 
 
 
 
B Low
(($60.61))
$63.65
(($65.85))
$68.89
(($47.67))
$50.06
(($47.67))
$50.06
(($52.72))
$70.42
B Med
(($70.52))
$74.05
(($75.76))
$79.29
(($56.16))
$58.97
(($56.16))
$58.97
(($61.96))
$76.38
B Med-High
(($79.83))
$83.83
(($85.07))
$89.07
(($59.68))
$62.67
(($59.68))
$62.67
(($66.29))
$82.71
B High
(($87.07))
$91.43
(($92.31))
$96.67
(($67.41))
$70.79
(($67.41))
$70.79
(($74.79))
$85.04
 
 
 
 
 
 
 
C Low
(($65.02))
$68.28
(($70.26))
$73.52
(($50.86))
$53.41
(($50.86))
$53.41
(($55.92))
$77.55
C Med
(($79.37))
$83.35
(($84.61))
$88.59
(($63.20))
$66.67
(($63.20))
$66.37
(($70.85))
$89.04
C Med-High
(($98.10))
$103.01
(($103.34))
$108.25
(($80.54))
$84.58
(($80.54))
$84.58
(($88.10))
$91.01
C High
(($99.09))
$104.05
(($104.33))
$109.29
(($84.18))
$88.40
(($84.18))
$88.40
(($91.84))
$93.08
 
 
 
 
 
 
 
D Low
(($70.52))
$74.05
(($75.76))
$79.29
(($67.96))
$71.36
(($67.96))
$71.36
(($71.19))
$82.62
D Med
(($80.98))
$85.04
(($86.22))
$90.28
(($78.17))
$82.09
(($78.17))
$82.09
(($86.40))
$90.83
D Med-High
(($103.98))
$109.19
(($109.22))
$114.43
(($98.79))
$103.74
(($98.79))
$103.74
(($103.33))
$104.36
D High
(($106.48))
$111.81
(($111.72))
$117.05
(($106.48))
$111.81
(($106.48))
$111.81
$117.20
 
 
 
 
 
 
E Med
(($128.11))
$134.53
(($133.35))
$139.77
(($128.11))
$134.53
(($128.11))
$134.53
$140.94
E High
(($149.75))
$157.25
(($154.99))
$162.49
(($149.75))
$157.25
(($149.75))
$157.25
$164.70
** 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.