Brief Description: Concerning assisted living medicaid minimum occupancy of sixty percent or greater.

Sponsors: By House Committee on Appropriations (originally sponsored by Representatives Santos, Morrell, Bailey, Cody, Hinkle, Pettigrew, Linville and Schual-Berke).

House Committee on Health Care
House Committee on Appropriations
Senate Committee on Health & Long-Term Care
Senate Committee on Ways & Means

Background:

The Department of Social and Health Services (Department) pays assisted living facilities a daily rate. The Department also pays a capital add-on rate to facilities that meet construction requirements specified in the Washington Administrative Code and serve a minimum number of Medicaid clients. The formula for determining eligibility for the capital add-on rate is contingent on the total amount budgeted for this purpose and is adjusted twice annually.

Summary:

The Department of Social and Health Services is required to establish a capital add-on rate for assisted living facilities that have a Medicaid minimum occupancy percentage of 60 percent or greater. The Department of Social and Health Services is required to determine the facility's Medicaid occupancy percentage using the last six month's Medicaid resident days from the preceding calendar year divided by the product of all its licensed boarding home beds, regardless of use, times calendar days for the six-month period. Managed care clients will be included in the calculation of Medicaid occupancy. This capital add-on rate applies to rates established on or after July 1, 2006.

Votes on Final Passage:

House   98   0
Senate   49   0   (Senate amended)
House   98   0   (House concurred)

Effective: July 1, 2006