WSR 13-22-039
EMERGENCY RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Behavioral Health and Service Integration Administration)
[Filed October 31, 2013, 10:27 a.m., effective October 31, 2013, 10:27 a.m.]
Effective Date of Rule: Immediately upon filing.
Purpose: To adjust the rate table in WAC 388-105-0005 in accordance with the 2014-2016 biennial budget (3ESSB 5034).
Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.
Statutory Authority for Adoption: RCW 74.39A.050 (3)(a).
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.
Reasons for this Finding: In order to comply with the 2014-2015 biennial budget, the seventeen level payments for adult family homes must be adjusted. The adjusted rates will ensure adequate care for medicaid clients residing in adult family homes. This emergency rule supersedes the emergency filed as WSR 13-15-002. A CR-102 has been filed as WSR 13-22-038 and hearing is scheduled on December 10, 2013.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: October 29, 2013.
Katherine I. Vasquez
Rules Coordinator
AMENDATORY SECTION (Amending WSR 13-03-093, filed 1/15/13, effective 2/15/13)
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 assisted living facilities contracted to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.
For contracted AFH and assisted living facilities 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
$65.58
$71.00
$46.51
$46.51
$((47.45)) 47.59
A Med
$70.97
$76.39
$52.71
$52.71
$((53.70)) 53.84
A High
$79.58
$85.00
$57.85
$57.85
$((59.96)) 60.10
 
 
 
 
 
 
 
B Low
$65.58
$71.00
$46.51
$46.51
$((47.68)) 47.82
B Med
$73.13
$78.55
$58.92
$58.92
$((60.25)) 60.39
B Med-High
$82.76
$88.18
$62.62
$62.62
$((64.48)) 64.62
B High
$87.10
$92.52
$71.52
$71.52
$((73.57)) 73.71
 
 
 
 
 
 
 
C Low
$70.97
$76.39
$52.71
$52.71
$((53.70)) 53.84
C Med
$79.58
$85.00
$66.05
$66.05
$((68.28)) 68.42
C Med-High
$98.96
$104.38
$87.89
$87.89
$((89.12)) 89.26
C High
$99.94
$105.36
$88.73
$88.73
$((90.35)) 90.49
 
 
 
 
 
 
D Low
$73.13
$78.55
$71.09
$71.09
$((69.58)) 69.72
D Med
$81.20
$86.62
$82.29
$82.29
$((84.93)) 85.07
D Med-High
$104.87
$110.29
$104.52
$104.52
$((101.98)) 102.12
D High
$112.97
$118.39
$112.97
$112.97
$((115.96)) 116.10
 
 
 
 
 
 
E Med
$136.43
$141.85
$136.43
$136.43
$((139.90)) 140.04
E High
$159.89
$165.31
$159.89
$159.89
$((163.85)) 163.99
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
$60.19
$65.11
$46.51
$46.51
$((47.45)) 47.59
A Med
$63.43
$68.35
$50.64
$50.64
$((51.61)) 51.75
A High
$77.43
$82.35
$55.18
$55.18
$((56.82)) 56.96
 
 
 
 
 
 
 
B Low
$60.19
$65.11
$46.51
$46.51
$((47.68)) 47.82
B Med
$68.80
$73.72
$55.82
$55.82
$((57.10)) 57.24
B Med-High
$77.88
$82.80
$59.33
$59.33
$((61.16)) 61.30
B High
$84.95
$89.87
$69.51
$69.51
$((71.52)) 71.66
 
 
 
 
 
 
 
C Low
$63.43
$68.35
$50.85
$50.85
$((51.99)) 52.13
C Med
$77.43
$82.35
$65.21
$65.21
$((66.64)) 66.78
C Med-High
$95.71
$100.63
$81.69
$81.69
$((82.88)) 83.02
C High
$96.67
$101.59
$86.87
$86.87
$((87.87)) 88.01
 
 
 
 
 
 
 
D Low
$68.80
$73.72
$70.12
$70.12
$((68.07)) 68.21
D Med
$79.00
$83.92
$80.65
$80.65
$((82.67)) 82.81
D Med-High
$101.44
$106.36
$101.95
$101.95
$((98.90)) 99.04
D High
$109.88
$114.80
$109.88
$109.88
$((112.22)) 112.36
 
 
 
 
 
 
E Med
$132.21
$137.13
$132.21
$132.21
$((135.01)) 135.15
E High
$154.54
$159.46
$154.54
$154.54
$((157.80)) 157.94
*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
$59.13
$64.37
$46.51
$46.51
$((47.45)) 47.59
A Med
$63.43
$68.67
$49.62
$49.62
$((50.58)) 50.72
A High
$77.43
$82.67
$54.30
$54.30
$((55.79)) 55.93
 
 
 
 
 
 
 
B Low
$59.13
$64.37
$46.51
$46.51
$((47.68)) 47.82
B Med
$68.80
$74.04
$54.79
$54.79
$((56.06)) 56.20
B Med-High
$77.88
$83.12
$58.22
$58.22
$((59.98)) 60.12
B High
$84.95
$90.19
$65.77
$65.77
$((67.70)) 67.84
 
 
 
 
 
 
 
C Low
$63.43
$68.67
$49.62
$49.62
$((50.58)) 50.72
C Med
$77.43
$82.67
$61.66
$61.66
$((64.13)) 64.27
C Med-High
$95.71
$100.95
$78.58
$78.58
$((79.76)) 79.90
C High
$96.67
$101.91
$82.13
$82.13
$((83.16)) 83.30
 
 
 
 
 
 
 
D Low
$68.80
$74.04
$66.30
$66.30
$((64.43)) 64.57
D Med
$79.00
$84.24
$76.26
$76.26
$((78.23)) 78.37
D Med-High
$101.44
$106.68
$96.38
$96.38
$((93.58)) 93.72
D High
$103.88
$109.12
$103.88
$103.88
$((106.16)) 106.30
 
 
 
 
 
 
E Med
$124.99
$130.23
$124.99
$124.99
$((127.70)) 127.84
E High
$146.10
$151.34
$146.10
$146.10
$((149.25)) 149.39
** 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.
Reviser's note: The spelling error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.