WSR 19-22-003
EMERGENCY RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Aging and Long-Term Support Administration)
[Filed October 24, 2019, 8:58 a.m., effective October 26, 2019]
Effective Date of Rule: October 26, 2019.
Purpose: The department is amending WAC 388-105-0005 in order to update the tables of rates in WAC 388-105-0005 to reflect rates consistent with legislative appropriation and direction.
Citation of Rules Affected by this Order: Amending WAC 388-105-0005.
Statutory Authority for Adoption: RCW 74.39A.030 (3)(a).
Under RCW 34.05.350 the agency for good cause finds that immediate adoption, amendment, or repeal of a rule is necessary for the preservation of the public health, safety, or general welfare, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the public interest.
Reasons for this Finding: The rule needs to reflect the appropriate rate amounts to avoid confusion and possible interruption of service. Regular rule making has been completed. The department filed a CR-103 Rule-making order as WSR 19-21-175 on October 23, 2019.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: October 23, 2019.
Katherine I. Vasquez
Rules Coordinator
AMENDATORY SECTION(Amending WSR 18-21-001, filed 10/3/18, effective 11/3/18)
WAC 388-105-0005The 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 assisted living, adult residential care, or 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 Without Capital Add-On))
((ARC/EARC With Capital Add-On))
AFH
A Low
(($73.34))
(($81.18))
(($52.02))
(($54.44))
$((71.96))81.40
A Med
(($79.35))
(($87.19))
(($58.95))
(($61.37))
$((74.74))84.53
A High
(($88.99))
(($96.83))
(($64.70))
(($67.12))
$((81.23))91.82
 
 
 
 
 
 
 
B Low
(($73.34))
(($81.18))
(($52.02))
(($54.44))
$((73.40))83.02
B Med
(($81.78))
(($89.62))
(($65.89))
(($68.31))
$((79.78))90.20
B Med-High
(($92.54))
(($100.38))
(($70.04))
(($72.46))
$((86.56))97.81
B High
(($97.39))
(($105.23))
(($79.97))
(($82.39))
$((89.05))100.62
 
 
 
 
 
 
 
C Low
(($79.35))
(($87.19))
(($58.95))
(($61.37))
$((81.03))91.60
C Med
(($88.99))
(($96.83))
(($73.83))
(($76.28))
$((93.33))105.42
C Med-High
(($110.64))
(($118.48))
(($98.27))
(($100.69))
$((98.41))107.80
C High
(($111.74))
(($119.58))
(($99.22))
(($101.64))
$((99.76))110.28
 
 
 
 
 
 
D Low
(($81.78))
(($89.62))
(($79.50))
(($81.92))
$((86.46))97.70
D Med
(($90.79))
(($98.63))
(($92.02))
(($94.44))
$((95.25))107.58
D Med-High
(($117.26))
(($125.10))
(($116.86))
(($119.28))
$((114.84))122.78
D High
(($126.30))
(($134.14))
(($126.30))
(($128.72))
$((130.57))135.29
 
 
 
 
 
 
E Med
(($152.53))
(($160.37))
(($152.53))
(($154.95))
$((157.48))162.20
E High
(($178.76))
(($186.60))
(($178.76))
(($181.18))
$((184.42))189.14
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 Without Capital Add-On))
((ARC/EARC With Capital Add-On))
AFH
A Low
(($67.30))
(($74.64))
(($52.02))
(($54.44))
$((70.78))79.00
A Med
(($70.94))
(($78.28))
(($56.64))
(($59.06))
$((73.49))81.99
A High
(($86.59))
(($93.93))
(($61.71))
(($64.13))
$((79.80))88.92
 
 
 
 
 
 
 
B Low
(($67.30))
(($74.64))
(($52.02))
(($54.44))
$((72.18))80.55
B Med
(($76.93))
(($84.27))
(($62.43))
(($64.85))
$((78.39))87.38
B Med-High
(($87.09))
(($94.43))
(($66.35))
(($68.77))
$((84.98))94.62
B High
(($94.98))
(($102.32))
(($77.73))
(($80.15))
$((87.41))97.30
 
 
 
 
 
 
 
C Low
(($70.94))
(($78.28))
(($56.87))
(($59.29))
$((79.61))88.72
C Med
(($86.59))
(($93.93))
(($72.92))
(($75.31))
$((91.57))101.87
C Med-High
(($107.01))
(($114.35))
(($91.33))
(($93.75))
$((93.63))104.13
C High
(($108.09))
(($115.43))
(($97.13))
(($99.55))
$((97.03))106.49
 
 
 
 
 
 
 
D Low
(($76.93))
(($84.27))
(($78.41))
(($80.83))
$((84.89))94.52
D Med
(($88.34))
(($95.68))
(($90.18))
(($92.60))
$((93.44))103.92
D Med-High
(($113.42))
(($120.76))
(($113.99))
(($116.41))
$((111.37))118.39
D High
(($122.85))
(($130.19))
(($122.85))
(($125.27))
$((126.36))131.08
 
 
 
 
 
 
E Med
(($147.82))
(($155.16))
(($147.82))
(($150.24))
$((151.99))156.71
E High
(($172.77))
(($180.11))
(($172.77))
(($175.19))
$((177.61))182.33
*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 Without Capital Add-On))
((ARC/EARC With Capital Add-On))
AFH
A Low
(($66.13))
(($73.79))
(($52.02))
(($54.44))
$((69.07))76.61
A Med
(($70.94))
(($78.60))
(($55.50))
(($57.92))
$((71.67))79.44
A High
(($86.59))
(($94.25))
(($60.73))
(($63.15))
$((77.73))86.02
 
 
 
 
 
 
 
B Low
(($66.13))
(($73.79))
(($52.02))
(($54.44))
$((70.42))78.07
B Med
(($76.93))
(($84.59))
(($61.27))
(($63.69))
$((76.38))84.56
B Med-High
(($87.09))
(($94.25))
(($65.11))
(($67.53))
$((82.71))91.43
B High
(($94.98))
(($102.64))
(($73.55))
(($75.97))
$((85.04))93.97
 
 
 
 
 
 
 
C Low
(($70.94))
(($78.60))
(($55.50))
(($57.92))
$((77.55))85.83
C Med
(($86.59))
(($94.25))
(($68.96))
(($71.38))
$((89.04))98.31
C Med-High
(($107.01))
(($114.67))
(($87.87))
(($90.29))
$((91.01))100.46
C High
(($108.09))
(($115.75))
(($91.83))
(($94.25))
$((93.08))102.70
 
 
 
 
 
 
 
D Low
(($76.93))
(($84.59))
(($74.14))
(($76.56))
$((82.62))91.34
D Med
(($88.34))
(($96.00))
(($85.28))
(($87.70))
$((90.83))
100.26
D Med-High
(($113.42))
(($121.08))
(($107.76))
(($110.18))
$((103.46))113.99
D High
(($116.14))
(($123.80))
(($116.14))
(($118.56))
$((119.54))124.26
 
 
 
 
 
 
E Med
(($139.74))
(($147.40))
(($139.74))
(($142.16))
$((143.76))148.48
E High
(($163.33))
(($170.99))
(($163.33))
(($165.75))
$((167.99))172.71
** 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.
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
HIGH COST COUNTIES***
CARE CLASSIFICATION
AL Without Capital Add-On
AL With Capital Add-On
ARC Without Capital Add-On
EARC Without Capital Add-On
A Low
$73.34
$81.44
$56.18
$58.52
A Med
$79.35
$87.45
$71.90
$75.31
A High
$88.99
$97.09
$82.62
$86.75
 
 
 
 
 
B Low
$73.34
$81.44
$57.33
$59.75
B Med
$85.24
$93.34
$81.20
$85.24
B Med-High
$92.54
$100.64
$86.70
$91.12
B High
$97.39
$105.49
$92.21
$96.99
 
 
 
 
 
C Low
$79.35
$87.45
$75.07
$78.70
C Med
$88.99
$97.09
$84.29
$88.54
C Med-High
$110.64
$118.74
$98.27
$98.27
C High
$111.74
$119.84
$99.22
$99.22
 
 
 
 
 
D Low
$88.02
$96.12
$83.80
$88.02
D Med
$90.79
$98.89
$92.02
$92.02
D Med-High
$117.26
$125.36
$116.86
$116.86
D High
$126.30
$134.40
$126.30
$126.30
 
 
 
 
 
E Med
$152.53
$160.63
$152.53
$152.53
E High
$178.76
$186.86
$178.76
$178.76
***High cost counties: King and Snohomish.
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
MEDIUM-HIGH COST COUNTIES****
CARE CLASSIFICATION
AL Without Capital Add-On
AL With Capital Add-On
ARC Without Capital Add-On
EARC Without Capital Add-On
A Low
$67.30
$74.90
$53.50
$55.66
A Med
$71.16
$78.76
$68.01
$71.16
A High
$86.59
$94.19
$77.89
$81.71
 
 
 
 
 
B Low
$67.30
$74.90
$57.24
$56.80
B Med
$80.32
$84.91
$76.59
$80.32
B Med-High
$87.09
$94.69
$81.67
$85.74
B High
$94.98
$102.58
$86.74
$91.16
 
 
 
 
 
C Low
$74.28
$81.88
$70.93
$74.28
C Med
$86.59
$94.19
$79.44
$83.36
C Med-High
$107.01
$114.61
$91.33
$91.33
C High
$108.09
$115.69
$97.13
$97.13
 
 
 
 
 
D Low
$82.88
$90.48
$78.99
$82.88
D Med
$88.34
$95.94
$90.18
$90.18
D Med-High
$113.42
$121.02
$113.99
$113.99
D High
$122.85
$130.45
$122.85
$122.85
 
 
 
 
 
E Med
$147.82
$155.42
$147.82
$147.82
E High
$172.77
$180.37
$172.77
$172.77
****Medium-High cost counties: Benton, Clark, Franklin, Grays Harbor, Kitsap, Kittitas, Klickitat, Lewis, Mason, Okanogan, Pacific, Pierce, Skagit, Skamania, Wahkiakum, and Whatcom.
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
STANDARD COST COUNTIES*****
CARE CLASSIFICATION
AL Without Capital Add-On
AL With Capital Add-On
ARC Without Capital Add-On
EARC Without Capital Add-On
A Low
$66.13
$74.05
$52.73
$57.84
A Med
$70.94
$78.86
$66.89
$69.96
A High
$86.59
$94.51
$76.54
$80.27
 
 
 
 
 
B Low
$66.13
$74.05
$53.76
$55.95
B Med
$78.91
$86.83
$75.27
$78.91
B Med-High
$87.09
$95.01
$80.22
$84.20
B High
$94.98
$102.90
$85.18
$89.49
 
 
 
 
 
C Low
$73.01
$80.93
$69.75
$73.01
C Med
$86.59
$94.51
$78.05
$81.88
C Med-High
$107.01
$114.93
$87.87
$87.87
C High
$108.09
$116.01
$91.83
$91.83
 
 
 
 
 
D Low
$81.41
$89.33
$77.61
$81.41
D Med
$88.34
$96.26
$85.28
$85.28
D Med-High
$113.42
$121.34
$107.76
$107.76
D High
$116.14
$124.06
$116.14
$116.14
 
 
 
 
 
E Med
$139.74
$147.66
$139.74
$139.74
E High
$163.33
$171.25
$163.33
$163.33
*****Standard cost counties: Nonmetropolitan counties: Adams, Asotin, Chelan, Clallam, Columbia, Cowlitz, Douglas, Ferry, Garfield, Grant, Island, Jefferson, Lincoln, Pend Orielle, San Juan, Spokane, Stevens, Thurston, Walla Walla, Whitman, and Yakima.
Reviser's note: The spelling errors in the above section occurred in the copy filed by the agency and appear in the Register pursuant to the requirements of RCW 34.08.040.