S-3450.1          _______________________________________________


                                 SENATE BILL 6225



State of Washington              52nd Legislature             1992 Regular Session


By Senators West, McDonald, Wojahn and Niemi


Read first time 01/22/92.  Referred to Committee on Health & Long‑Term Care.Exempting excess nursing supplies cost from the reimbursement of the pilot facility for persons living with AIDS.

     AN ACT Relating to the reimbursement of facilities specifically authorized to meet the needs of persons living with AIDS; and amending RCW 74.46.500.




     Sec. 1.  RCW 74.46.500 and 1980 c 177 s 50 are each amended to read as follows:

     (1) The administration and operations cost center shall include all items not included in the cost centers of nursing services, food, and property.

     (2) Subject to subsection (4) of this section, the administration and operations cost center reimbursement rate for each facility shall be based on the computation in this subsection and shall not exceed the eighty-fifth percentile of (a) the rates of all reporting facilities derived from the computation below, or (b) reporting facilities grouped in accordance with subsection (3) of this section:

     AR = TAC/TPD, where

AR = the administration and operations cost center reimbursement   rate for a facility;

TAC = the total costs of the administration and operations cost     center plus the retained savings from such cost center as      provided in RCW 74.46.180 of a facility; and

TPD = the total patient days for a facility for the prior year.

     (3) The secretary may group facilities based on factors which could reasonably influence cost requirements of this cost center, other than ownership or legal organization characteristics.

     (4) In applying the eighty-fifth percentile reimbursement limit authorized by subsection (2) of this section to the pilot facility specially designed to meet the needs of persons living with AIDS as defined by RCW 70.24.017, and specifically authorized for this purpose under the 1989 amendment to the Washington state health plan, the department shall exempt the cost of nursing supplies reported by the pilot facility in excess of the average of nursing supplies cost for medicaid nursing facilities state-wide.