S-3780.1
SENATE BILL 6335
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State of Washington | 64th Legislature | 2016 Regular Session |
By Senators Parlette, Cleveland, and Becker
Read first time 01/15/16. Referred to Committee on Health Care.
AN ACT Relating to nursing facility case mix classification methodology; and amending RCW
74.46.485.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
Sec. 1. RCW 74.46.485 and 2011 1st sp.s. c 7 s 4 are each amended to read as follows:
(1) The department shall:
(a) Employ the resource utilization group III case mix classification methodology. The department shall use the
((forty-four)) fifty-seven group index maximizing model for the resource utilization group III grouper version 5.10, but the department may revise or update the classification methodology to reflect advances or refinements in resident assessment or classification, subject to federal requirements. The department may adjust the case mix index for any of the lowest ten resource utilization group categories
((beginning with PA1 through PE2)) to any case mix index that aids in achieving the purpose and intent of RCW
74.39A.007 and cost
-efficient care; and
(b) Implement minimum data set 3.0 under the authority of this section
((and RCW 74.46.431(3))). The department must notify nursing home contractors twenty-eight days in advance the date of implementation of the minimum data set 3.0. In the notification, the department must identify for all semiannual rate settings following the date of minimum data set 3.0 implementation a previously established semiannual case mix adjustment established for the semiannual rate settings that will be used for semiannual case mix calculations in direct care until minimum data set 3.0 is fully implemented.
(2) A default case mix group shall be established for cases in which the resident dies or is discharged for any purpose prior to completion of the resident's initial assessment. The default case mix group and case mix weight for these cases shall be designated by the department.
(3) A default case mix group may also be established for cases in which there is an untimely assessment for the resident. The default case mix group and case mix weight for these cases shall be designated by the department.
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