WSR 02-21-012



(Aging and Adult Services Administration)

[ Filed October 7, 2002, 12:53 p.m. ]

Subject of Possible Rule Making: To develop a new chapter for Title 388 WAC to implement a new Medicaid home and community rate system including a new comprehensive assessment (CARE) and rates. The chapter will contain rules that the department will use to transition from the present home and community Medicaid rate system and comprehensive assessment to the new CARE and rates. Also, to chapter 388-71 WAC, Social services for adults and chapter 388-105 WAC, Medicaid rates for contracted home and community residential care services, the department will make amendments that will clarify their relationship to the transition WAC. Other current chapters may be amended as appropriate.

Statutes Authorizing the Agency to Adopt Rules on this Subject: Chapter 74.39A RCW.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The department is developing a new comprehensive assessment to more effectively identify a Medicaid client's care needs. Based on the identified care needs, the department also is developing rates to assign to the level of need. Rules are needed to implement the new comprehensive assessment and rates and to transition from the current comprehensive assessment and rates.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None.

Process for Developing New Rule: By publishing in the Washington State Register: CR-101 Preproposal statement of inquiry; CR-102 Proposed rule making; and CR-103 Rule making order including a concise explanatory statement.

The Aging and Adult Services Administration (AASA) welcomes the public participation in developing its rule(s). Anyone interested in participating should contact the staff person indicated below. At a later date AASA will file proposed rules with the Office of the Code Reviser with a notice of proposed rule making, and send a copy to everyone currently on the HCS mailing list and anyone else who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication. If you would like to be personally notified when draft regulations are ready for review, please contact Kristi Olson by fax at (360) 438-8633, e-mail or Patricia Hague by fax at (360) 725-2641, e-mail at or write to either at Home and Community Rates, P.O. Box 45600, Olympia, WA 98504-5600.

October 2, 2002

Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

Washington State Code Reviser's Office