WSR 10-14-057

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed June 30, 2010, 8:29 a.m. , effective July 1, 2010 ]


     Effective Date of Rule: July 1, 2010.

     Purpose: Effective July 1, 2010, the department will increase the boarding home licensing fee from $79 a bed to $106 a bed. The rates in WAC 388-105-0005 will be increased to cover the medicaid share of the license fee increase and new training needs.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.

     Statutory Authority for Adoption: RCW 74.39A.030 (3)(a), section 206(9), chapter 37, Laws of 2010.

     Under RCW 34.05.350 the agency for good cause finds that immediate adoption, amendment, or repeal of a rule is necessary for the preservation of the public health, safety, or general welfare, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the public interest; and that in order to implement the requirements or reductions in appropriations enacted in any budget for fiscal years 2009, 2010, or 2011, which necessitates the need for the immediate adoption, amendment, or repeal of a rule, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the fiscal needs or requirements of the agency.

     Reasons for this Finding: See above.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 1 [0], Amended [1], Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1 [0], Amended [1], Repealed 0.

     Date Adopted: June 23, 2010.

Katherine I. Vasquez

Rules Coordinator

4213.1
AMENDATORY SECTION(Amending WSR 09-20-011, filed 9/25/09, effective 10/26/09)

WAC 388-105-0005   The daily medicaid payment rates for clients assessed using the comprehensive assessment reporting evaluation (CARE) tool and that reside in adult family homes (AFH) and boarding homes contracted to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.   For contracted AFH and boarding homes contracted to provide AL, ARC, and EARC services, the department pays the following daily rates for care of a medicaid resident:


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
KING COUNTY
CARE CLASSIFICATION AL Without Capital Add-on AL With Capital Add-on ARC EARC AFH
A Low $((66.45))

66.65

 $((71.87))

72.07

 $((46.99))

47.19

 $((46.99))

47.19

 $46.39
A Med $((71.95))

72.15

 $((77.37))

77.57

 $((53.32))

53.52

 $((53.32))

53.52

 $52.64
A High $((80.74))

80.94

 $((86.16))

86.36

 $((58.56))

58.76

 $((58.56))

58.76

 $58.90
B Low $((66.45))

66.65

 $((71.87))

72.07

 $((46.99))

47.19

 $((46.99))

47.19

 $46.62
B Med $((74.15))

74.35

 $((79.57))

79.77

 $((59.65))

59.85

 $((59.65))

59.85

 $59.19
B Med-High $((83.98))

84.18

 $((89.40))

89.60

 $((63.43))

63.63

 $((63.43))

63.63

 $63.42
B High $((88.41))

88.61

 $((93.83))

94.03

 $((72.51))

72.71

 $((72.51))

72.71

 $72.51
C Low $((71.95))

72.15

 $((77.37))

77.57

 $((53.32))

53.52

 $((53.32))

53.52

 $52.64
C Med $((80.74))

80.94

 $((86.16))

86.36

 $((66.93))

67.13

 $((66.93))

67.13

 $67.22
C Med-High $((100.51))

100.71

 $((105.93))

106.13

 $((89.22))

89.42

 $((89.22))

89.42

 $88.06
C High $((101.51))

101.71

 $((106.93))

107.13

 $((90.07))

90.27

 $((90.07))

90.27

 $89.29
D Low $((74.15))

74.35

 $((79.57))

79.77

 $((72.07))

72.27

 $((72.07))

72.27

 $68.52
D Med $((82.39))

82.59

 $((87.81))

88.01

 $((83.50))

83.70

 $((83.50))

83.70

 $83.87
D Med-High $((106.54))

106.74

 $((111.96))

112.16

 $((106.19))

106.39

 $((106.19))

106.39

 $100.92
D High $((114.81))

115.01

 $((120.23))

120.43

 $((114.81))

115.01

 $((114.81))

115.01

 $114.90
E Med $((138.75))

138.95

 $((144.17))

144.37

 $((138.75))

138.95

 $((138.75))

138.95

 $138.84
E High $((162.69))

162.89

 $((168.11))

168.31

 $((162.69))

162.89

 $((162.69))

162.89

 $162.79


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
METROPOLITAN COUNTIES*
CARE CLASSIFICATION AL Without Capital Add-on AL With Capital Add-on ARC EARC AFH
A Low $((60.95))

61.15

 $((65.87))

66.07

 $((46.99))

47.19

 $((46.99))

47.19

 $46.39
A Med $((64.26))

64.46

 $((69.18))

69.38

 $((51.21))

51.41

 $((51.21))

51.41

 $50.55
A High $((78.54))

78.74

 $((83.46))

83.66

 $((55.84))

56.04

 $((55.84))

56.04

 $55.76
B Low $((60.95))

61.15

 $((65.87))

66.07

 $((46.99))

47.19

 $((46.99))

47.19

 $46.62
B Med $((69.74))

69.94

 $((74.66))

74.86

 $((56.49))

56.69

 $((56.49))

56.69

 $56.04
B Med-High $((79.00))

79.20

 $((83.92))

84.12

 $((60.07))

60.27

 $((60.07))

60.27

 $60.10
B High $((86.22))

86.42

 $((91.14))

91.34

 $((70.46))

70.66

 $((70.46))

70.66

 $70.46
C Low $((64.26))

64.46

 $((69.18))

69.38

 $((51.42))

51.62

 $((51.42))

51.62

 $50.93
C Med $((78.54))

78.74

 $((83.46))

83.66

 $((66.07))

66.27

 $((66.07))

66.27

 $65.58
C Med-High $((97.20))

97.40

 $((102.12))

102.32

 $((82.89))

83.09

 $((82.89))

83.09

 $81.82
C High $((98.17))

98.37

 $((103.09))

103.29

 $((88.17))

88.37

 $((88.17))

88.37

 $86.81
D Low $((69.74))

69.94

 $((74.66))

74.86

 $((71.08))

71.28

 $((71.08))

71.28

 $67.01
D Med $((80.14))

80.34

 $((85.06))

85.26

 $((81.83))

82.03

 $((81.83))

82.03

 $81.61
D Med-High $((103.04))

103.24

 $((107.96))

108.16

 $((103.56))

103.76

 $((103.56))

103.76

 $97.84
D High $((111.65))

111.85

 $((116.57))

116.77

 $((111.65))

111.85

 $((111.65))

111.85

 $111.16
E Med $((134.44))

134.64

 $((139.36))

139.56

 $((134.44))

134.64

 $((134.44))

134.64

 $133.95
E High $((157.23))

157.43

 $((162.15))

162.35

 $((157.23))

157.43

 $((157.23))

157.43

 $156.74

*Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima counties.


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
NONMETROPOLITAN COUNTIES**
CARE CLASSIFICATION AL Without Capital Add-on AL With Capital Add-on ARC EARC AFH
A Low $((59.87))

60.07

 $((65.11))

65.31

 $((46.99))

47.19

 $((46.99))

47.19

 $46.39
A Med $((64.26))

64.46

 $((69.50))

69.70

 $((50.16))

50.36

 $((50.16))

50.36

 $49.52
A High $((78.54))

78.74

 $((83.78))

83.98

 $((54.94))

55.14

 $((54.94))

55.14

 $54.73
B Low $((59.87))

60.07

 $((65.11))

65.31

 $((46.99))

47.19

 $((46.99))

47.19

 $46.62
B Med $((69.74))

69.94

 $((74.98))

75.18

 $((55.44))

55.64

 $((55.44))

55.64

 $55.00
B Med-High $((79.00))

79.20

 $((84.24))

84.44

 $((58.94))

59.14

 $((58.94))

59.14

 $58.92
B High $((86.22))

86.42

 $((91.46))

91.66

 $((66.64))

66.84

 $((66.64))

66.84

 $66.64
C Low $((64.26))

64.46

 $((69.50))

69.70

 $((50.16))

50.36

 $((50.16))

50.36

 $49.52
C Med $((78.54))

78.74

 $((83.78))

83.98

 $((62.45))

62.65

 $((62.45))

62.65

 $63.07
C Med-High $((97.20))

97.40

 $((102.44))

102.64

 $((79.72))

79.92

 $((79.72))

79.92

 $78.70
C High $((98.17))

98.37

 $((103.41))

103.61

 $((83.34))

83.54

 $((83.34))

83.54

 $82.10
D Low $((69.74))

69.94

 $((74.98))

75.18

 $((67.19))

67.39

 $((67.19))

67.39

 $63.37
D Med $((80.14))

80.34

 $((85.38))

85.58

 $((77.35))

77.55

 $((77.35))

77.55

 $77.17
D Med-High $((103.04))

103.24

 $((108.28))

108.48

 $((97.88))

98.08

 $((97.88))

98.08

 $92.52
D High $((105.53))

105.73

 $((110.77))

110.97

 $((105.53))

105.73

 $((105.53))

105.73

 $105.10
E Med $((127.07))

127.27

 $((132.31))

132.51

 $((127.07))

127.27

 $((127.07))

127.27

 $126.64
E High $((148.61))

148.81

 $((153.85))

154.05

 $((148.61))

148.81

 $((148.61))

148.81

 $148.19

** Nonmetropolitan counties: Adams, Asotin, Chelan, Clallam, Columbia, Cowlitz, Douglas, Ferry, Garfield, Grant, Grays Harbor, Jefferson, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Orielle, San Juan, Skagit, Skamania, Stevens, Wahkiakum, Walla Walla and Whitman.

[Statutory Authority: RCW 74.39A.030(3), 18.20.290, and 2009 c 564 § 206(4). 09-20-011, § 388-105-0005, filed 9/25/09, effective 10/26/09. Statutory Authority: RCW 74.39A.030 (3)(a). 09-11-053, § 388-105-0005, filed 5/13/09, effective 6/13/09. Statutory Authority: Chapter 74.39A RCW, RCW 18.20.290, 2006 c 372, 260, and 64. 06-19-017, § 388-105-0005, filed 9/8/06, effective 10/9/06. Statutory Authority: Chapter 74.39A RCW. 06-07-013, § 388-105-0005, filed 3/3/06, effective 4/3/06. Statutory Authority: RCW 74.39A.030, 2003 c 231. 04-09-092, § 388-105-0005, filed 4/20/04, effective 5/21/04. Statutory Authority: 2002 c 371. 02-22-058, § 388-105-0005, filed 10/31/02, effective 12/1/02. Statutory Authority: 2001 c 7 § 206. 01-21-077, § 388-105-0005, filed 10/18/01, effective 11/18/01. Statutory Authority: Chapter 74.39A RCW. 01-14-056, § 388-105-0005, filed 6/29/01, effective 7/30/01.]

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