WSR 03-24-110

PROPOSED RULES

HEALTH CARE AUTHORITY


(Community Health Services)

[ Order 03-03 -- Filed December 3, 2003, 11:29 a.m. ]

     Original Notice.

     Preproposal statement of inquiry was filed as WSR 03-16-032.

     Title of Rule: Limitations on award per chapter 25, Laws of 2003, E1 for nonprofit community clinics funded under the community health services program.

     Purpose: To modify funding limitation methodology that will allow services to be delivered pursuant to chapter 25, Laws of 2003, E1.

     Statutory Authority for Adoption: RCW 41.05.220.

     Statute Being Implemented: Chapter 25, Laws of 2003, E1.

     Summary: Limitations on award per chapter 25, Laws of 2003, E1 for nonprofit community clinics funded under the community health services program.

     Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Bob Blacksmith, Health Care Authority, (360) 923-2755.

     Name of Proponent: Health Care Authority, governmental.

     Rule is not necessitated by federal law, federal or state court decision.

     Explanation of Rule, its Purpose, and Anticipated Effects: The first administrative change is the addition of the words "a ratio based on" to WAC 182-20-400 (1) and (2) to correct technical language. This change allows us to accurately reflect how the funding formulae works mathematically to allow full distribution of funds.

     The second administrative change is the addition of language that will limit the 40% base portion of our funding formulae for medical and dental awards to a maximum of $30,000 and put funds in excess of the $30,000 into the productivity portion of the funding formulae. This change will allow increases in funding by the legislature, if approved, to target the productivity portions of our funding formulae and more accurately reflect the needs (utilization) of the clinics.

     Proposal Changes the Following Existing Rules:

Addition of the words "a ratio based on" to WAC 182-20-400 (1) and (2) to correct technical language.
Addition of language that will limit the 40% base portion of the funding formulae for medical and dental awards to a maximum of $30,000 and put funds in excess of the $30,000 into the productivity portion of the funding formulae.

     No small business economic impact statement has been prepared under chapter 19.85 RCW. Not required. The Joint Administrative Rules Review Committee has not requested the filing of a small business economic impact statement, and there will be no costs to small businesses.

     RCW 34.05.328 does not apply to this rule adoption. RCW 34.05.328 does not apply to Health Care Authority (HCA) rules unless requested by the Joint Administrative Rules Review Committee or applied voluntarily by the HCA.

     Hearing Location: Health Care Authority, West Wing, Conference Room W302, 676 Woodland Square Loop S.E., Olympia, WA 98504, on January 6, 2004, at 9:00 a.m.

     Assistance for Persons with Disabilities: Contact Nikki Johnson by December 29, 2003, TDD (888) 923-5622 or (360) 923-2805.

     Submit Written Comments to: Bob Blacksmith, 676 Woodland Square Loop S.E., Olympia, WA 98504, fax (360) 923-2605, by 4:00 p.m. on January 6, 2004.

     Date of Intended Adoption: January 7, 2004.

December 3, 2003

Melodie Bankers

Rules Coordinator

OTS-6714.2


AMENDATORY SECTION(Amending Order 00-06, filed 2/7/01, effective 3/10/01)

WAC 182-20-400   Limitations on awards.   Specific to the medical, dental, and migrant base as referenced in WAC 182-20-200 (1)(b), (2)(b), and (3)(b):

     Starting July 1, 1997:

     (1) Any approved contractor shall initially receive no more than a ratio based on one hundred twenty-five percent of that contractor's previous year's initial allotment.

     (2) Any approved contractor shall initially receive no less than a ratio based on seventy-five percent of that contractor's previous year's initial allotment. In the event that funding is inadequate to provide seventy-five percent, criteria shall be established to equitably allocate the available funds.

     (3) Funds in excess of the initial allocation shall be distributed in a supplemental allotment pursuant to WAC 182-20-200.

     Starting July 1, 2004:

     (4) Funds specific to WAC 182-20-200 (1)(b)(i)(A) and (2)(b)(i)(A), the forty percent base, shall be limited to no more than $30,000.

     Funds in excess of the $30,000 limitation shall be added to the appropriate medical in WAC 182-20-200 (1)(b)(i)(B) and (C), or dental in WAC 182-20-200 (2)(b)(i)(B) and (C), productivity portions of the funding formulae.

[Statutory Authority: RCW 41.05.160. 01-04-080 (Order 00-06), § 182-20-400, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. 95-12-010, § 182-20-400, filed 5/26/95, effective 6/26/95.]

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