WSR 15-23-050
EMERGENCY RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Aging and Long-Term Support Administration)
[Filed November 12, 2015, 9:14 a.m., effective November 12, 2015, 9:14 a.m.]
Effective Date of Rule: Immediately upon filing.
Purpose: The department is updating the rate table contained in WAC 388-105-0005 in accordance with the 2015-2017 operating budget.
Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.
Statutory Authority for Adoption: RCW 74.39A.030 (3)(a).
Under RCW 34.05.350 the agency for good cause finds that state or federal law or federal rule or a federal deadline for state receipt of federal funds requires immediate adoption of a rule.
Reasons for this Finding: The budget raised rates, and the table must reflect that. The department intends to file a CR-102 proposal for permanent adoption in November 2015.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: November 3, 2015.
Katherine I. Vasquez
Rules Coordinator
AMENDATORY SECTION (Amending WSR 14-03-113, filed 1/21/14, effective 2/21/14)
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))
67.22
$((71.00))
72.64
$((46.51)) 47.67
$((46.51)) 47.67
$((47.59)) 49.97
A Med
$((70.97))
72.74
$((76.39))
78.16
$((52.71)) 54.03
$((52.71)) 54.03
$((53.84)) 56.53
A High
$((79.58))
81.57
$((85.00))
86.99
$((57.85)) 59.30
$((57.85)) 59.30
$((60.10)) 63.11
 
 
 
 
 
 
 
B Low
$((65.58))
67.22
$((71.00))
72.64
$((46.51)) 47.67
$((46.51)) 47.67
$((47.82)) 50.21
B Med
$((73.13))
74.96
$((78.55))
80.39
$((58.92)) 60.39
$((58.92)) 60.39
$((60.39)) 63.41
B Med-High
$((82.76))
84.83
$((88.18))
90.25
$((62.62)) 64.19
$((62.62)) 64.19
$((64.62)) 67.85
B High
$((87.10))
89.28
$((92.52))
94.70
$((71.52)) 73.31
$((71.52)) 73.31
$((73.71)) 77.40
 
 
 
 
 
 
 
C Low
$((70.97))
72.74
$((76.39))
78.16
$((52.71)) 54.03
$((52.71)) 54.03
$((53.84)) 56.53
C Med
$((79.58))
81.57
$((85.00))
86.99
$((66.05)) 67.70
$((66.05)) 67.70
$((68.42)) 71.84
C Med-High
$((98.96))
101.43
$((104.38))
106.85
$((87.89)) 90.09
$((87.89)) 90.09
$((89.26)) 93.72
C High
$((99.94))
102.44
$((105.36))
107.86
$((88.73)) 90.95
$((88.73)) 90.95
$((90.49)) 95.01
 
 
 
 
 
 
D Low
$((73.13))
74.96
$((78.55))
80.38
$((71.09)) 72.87
$((71.09)) 72.87
$((69.72)) 73.21
D Med
$((81.20))
83.23
$((86.62))
88.65
$((82.29)) 84.35
$((82.29)) 84.35
$((85.07)) 89.32
D Med-High
$((104.87))
107.49
$((110.29))
112.91
$((104.52)) 107.13
$((104.52)) 107.13
$((102.12)) 107.23
D High
$((112.97))
115.79
$((118.39))
121.21
$((112.97)) 115.79
$((112.97)) 115.79
$((116.10)) 121.91
 
 
 
 
 
 
E Med
$((136.43))
139.84
$((141.85))
145.26
$((136.43)) 139.84
$((136.43)) 139.84
$((140.04)) 147.04
E High
$((159.89))
163.89
$((165.31))
169.31
$((159.89)) 163.89
$((159.89)) 163.89
$((163.99)) 172.19
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))
61.69
$((65.11))
66.61
$((46.51)) 47.67
$((46.51)) 47.67
$((47.59)) 49.97
A Med
$((63.43))
65.02
$((68.35))
69.94
$((50.64)) 51.91
$((50.64)) 51.91
$((51.75)) 54.34
A High
$((77.43))
79.37
$((82.35))
84.29
$((55.18)) 56.56
$((55.18)) 56.56
$((56.96)) 59.81
 
 
 
 
 
 
 
B Low
$((60.19))
61.69
$((65.11))
66.61
$((46.51)) 47.67
$((46.51)) 47.67
$((47.82)) 50.21
B Med
$((68.80))
70.52
$((73.72))
75.44
$((55.82)) 57.22
$((55.82)) 57.22
$((57.24)) 60.10
B Med-High
$((77.88))
79.83
$((82.80))
84.75
$((59.33)) 60.81
$((59.33)) 60.81
$((61.30)) 64.37
B High
$((84.95))
87.07
$((89.87))
91.99
$((69.51)) 71.25
$((69.51)) 71.25
$((71.66)) 75.24
 
 
 
 
 
 
 
C Low
$((63.43))
65.02
$((68.35))
69.94
$((50.85)) 52.12
$((50.85)) 52.12
$((52.13)) 54.74
C Med
$((77.43))
79.37
$((82.35))
84.29
$((65.21)) 66.84
$((65.21)) 66.84
$((66.78)) 70.12
C Med-High
$((95.71))
98.10
$((100.63))
103.02
$((81.69)) 83.73
$((81.69)) 83.73
$((83.02)) 87.17
C High
$((96.67))
99.09
$((101.59))
104.01
$((86.87)) 89.04
$((86.87)) 89.04
$((88.01)) 92.41
 
 
 
 
 
 
 
D Low
$((68.80))
70.52
$((73.72))
75.44
$((70.12)) 71.87
$((70.12)) 71.87
$((68.21)) 71.62
D Med
$((79.00))
80.98
$((83.92))
85.90
$((80.65)) 82.67
$((80.65)) 82.67
$((82.81)) 86.95
D Med-High
$((101.44))
103.98
$((106.36))
108.90
$((101.95)) 104.50
$((101.95)) 104.50
$((99.04)) 103.99
D High
$((109.88))
112.63
$((114.80))
117.55
$((109.88)) 112.63
$((109.88)) 112.63
$((112.36)) 117.98
 
 
 
 
 
 
E Med
$((132.21))
135.52
$((137.13))
140.44
$((132.21)) 135.52
$((132.21)) 135.52
$((135.15)) 141.91
E High
$((154.54))
158.40
$((159.46))
163.32
$((154.54)) 158.40
$((154.54)) 158.40
$((157.94)) 165.84
*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))
60.61
$((64.37))
65.85
$((46.51)) 47.67
$((46.51)) 47.67
$((47.59)) 49.97
A Med
$((63.43))
65.02
$((68.67))
70.26
$((49.62)) 50.86
$((49.62)) 50.86
$((50.72)) 53.26
A High
$((77.43))
79.37
$((82.67))
84.61
$((54.30)) 55.66
$((54.30)) 55.66
$((55.93)) 58.73
 
 
 
 
 
 
 
B Low
$((59.13))
60.61
$((64.37))
65.85
$((46.51)) 47.67
$((46.51)) 47.67
$((47.82)) 50.21
B Med
$((68.80))
70.52
$((74.04))
75.76
$((54.79)) 56.16
$((54.79)) 56.16
$((56.20)) 59.01
B Med-High
$((77.88))
79.83
$((83.12))
85.07
$((58.22)) 59.68
$((58.22)) 59.68
$((60.12)) 63.13
B High
$((84.95))
87.07
$((90.19))
92.31
$((65.77)) 67.41
$((65.77)) 67.41
$((67.84)) 71.23
 
 
 
 
 
 
 
C Low
$((63.43))
65.02
$((68.67))
70.26
$((49.62)) 50.86
$((49.62)) 50.86
$((50.72)) 53.26
C Med
$((77.43))
79.37
$((82.67))
84.61
$((61.66)) 63.20
$((61.66)) 63.20
$((64.27)) 67.48
C Med-High
$((95.71))
98.10
$((100.95))
103.34
$((78.58)) 80.54
$((78.58)) 80.54
$((79.90)) 83.90
C High
$((96.67))
99.09
$((101.91))
104.33
$((82.13)) 84.18
$((82.13)) 84.18
$((83.30)) 87.47
 
 
 
 
 
 
 
D Low
$((68.80))
70.52
$((74.04))
75.76
$((66.30)) 67.96
$((66.30)) 67.96
$((64.57)) 67.80
D Med
$((79.00))
80.98
$((84.24))
86.22
$((76.26)) 78.17
$((76.26)) 78.17
$((78.37)) 82.29
D Med-High
$((101.44))
103.98
$((106.68))
109.22
$((96.38)) 98.79
$((96.38)) 98.79
$((93.72)) 98.41
D High
$((103.88))
106.48
$((109.12))
111.72
$((103.88)) 106.48
$((103.88)) 106.48
$((106.30)) 111.62
 
 
 
 
 
 
E Med
$((124.99))
128.11
$((130.23))
133.35
$((124.99)) 128.11
$((124.99)) 128.11
$((127.84)) 134.23
E High
$((146.10))
149.75
$((151.34))
154.99
$((146.10)) 149.75
$((146.10)) 149.75
$((149.39)) 156.86
** 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.