WSR 23-14-055
HEALTH CARE AUTHORITY
[Filed June 27, 2023, 3:37 p.m.]
NOTICE
Subject: Medicaid State Plan Amendment (SPA) 23-0043 Adult Family Home, Adult Day Respite, Nurse Delegation, Enhanced Service Facility, Assisted Living Facility, Home Care Agency Provider, Consumer Directed Employer Rates (Home and Community Services).
Effective Date: July 1, 2023.
Description: The health care authority (HCA) and the aging and long-term support administration (ALTSA) of the department of social and health services (DSHS) intend to submit SPA 23-0043 in order to increase daily rates for adult family homes, adult day respite, nurse delegation, enhanced service facilities, assisted living facilities, agency providers, and consumer directed employer [rates] as outlined below. SPA 23-0043 is expected to:
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| • | Increase adult family home daily rate by 19 percent, a weighted average increase of $31.46 per day. |
| • | Increase nurse delegation - individual by three percent, an increase of $1.60 per hour. |
| • | Increase nurse delegation - agency by 23 percent, an increase of $11.88 per hour. |
| • | Increase enhanced service facility daily rates by 31 percent, an increase of $141.10 per day. |
| • | Increase assisted living facility daily rate by 18 percent, a weighted average increase of $19.68 per day. |
| • | Increase home care agency provider hourly rate by 13 percent, an increase of $4.44 per hour. |
| • | Increase consumer directed employer rates by seven percent, an increase of $2.12 per hour. |
SPA 23-0043 is under development. HCA and DSHS would appreciate any input or concerns regarding this SPA. To request a copy when it becomes available or submit comments, please contact the person named below.
Interested parties may submit comments and concerns about the rates or the effects the changes may have on beneficiary access to care or continued service access. Please submit comments and concerns to Elizabeth Pashley, regulatory advisor, at Elizabeth.pashley@dshs.wa.gov with a courtesy copy to Ann Myers, state plan coordinator, at ann.myers@hca.wa.gov by July 31, 2023. Please note that all comments are subject to public review and disclosure, as are the names of those who comment.
CONTACT: Elizabeth Pashley, Office of Rates Management, ALTSA, DSHS, P.O. Box 45600, phone 360-995-2807, TRS 711, fax 360-725-2641, email Elizabeth.Pashley@gmail.com, website https://www.dshs.wa.gov/altsa/management-services-division/office-rates-management.