WSR 17-02-029
PERMANENT RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Aging and Long-Term Support Administration)
[Filed December 28, 2016, 10:26 a.m., effective January 28, 2017]
Effective Date of Rule: Thirty-one days after filing.
Purpose: The daily medicaid payment rates are changing per collective bargaining and the fiscal year 2017 state budget. The department is amending 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, to update the rate table included in WAC 388-105-0005.
Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.
Statutory Authority for Adoption: RCW 74.39A.030 (3)(a).
Adopted under notice filed as WSR 16-22-069 on November 1, 2016.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: December 27, 2016.
Katherine I. Vasquez
Rules Coordinator
AMENDATORY SECTION (Amending WSR 16-05-028, filed 2/9/16, effective 3/11/16)
WAC 388-105-0005 The daily medicaid payment rates for clients who have been assessed using the ((comprehensive assessment reporting evaluation (CARE))) CARE tool and ((that)) reside ((in adult family homes (AFH) and)) at an AFH or assisted living ((facilities)) facility contracted to provide ((assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC))) AL, ARC, or EARC services.
For contracted ((AFH)) adult family homes (AFH) and assisted living facilities contracted to provide ((AL, ARC, and EARC)) assisted living (AL), adult residential care (ARC), or enhanced adult residential care (EARC) services, the department pays the following daily rates for ((care of a)) medicaid residents who have been assessed using the comprehensive assessment reporting evaluation (CARE) tool:
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
$67.22
$72.64
$47.67
$47.67
(($49.97)) $52.47
A Med
$72.74
$78.16
$54.03
$54.03
(($56.53)) $59.36
A High
$81.57
$86.99
$59.30
$59.30
(($63.11)) $66.27
 
 
 
 
 
 
 
B Low
$67.22
$72.64
$47.67
$47.67
(($50.21)) $52.72
B Med
$74.96
$80.39
$60.39
$60.39
(($63.41)) $66.58
B Med-High
$84.83
$90.25
$64.19
$64.19
(($67.85)) $71.24
B High
$89.28
$94.70
$73.31
$73.31
(($77.40)) $81.27
 
 
 
 
 
 
 
C Low
$72.74
$78.16
$54.03
$54.03
(($56.53)) $59.36
C Med
$81.57
$86.99
$67.70
$67.70
(($71.84)) $75.43
C Med-High
$101.43
$106.85
$90.09
$90.09
(($93.72)) $98.41
C High
$102.44
$107.86
$90.95
$90.95
(($95.01)) $99.76
 
 
 
 
 
 
D Low
$74.96
$80.38
$72.87
$72.87
(($73.21)) $76.87
D Med
$83.23
$88.65
$84.35
$84.35
(($89.32)) $93.79
D Med-High
$107.49
$112.91
$107.13
$107.13
(($107.23)) $112.59
D High
$115.79
$121.21
$115.79
$115.79
(($121.91)) $128.01
 
 
 
 
 
 
E Med
$139.84
$145.26
$139.84
$139.84
(($147.04)) $154.39
E High
$163.89
$169.31
$163.89
$163.89
(($172.19)) $180.80
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
$61.69
$66.61
$47.67
$47.67
(($49.97)) $52.47
A Med
$65.02
$69.94
$51.91
$51.91
(($54.34)) $57.06
A High
$79.37
$84.29
$56.56
$56.56
(($59.81)) $62.80
 
 
 
 
 
 
 
B Low
$61.69
$66.61
$47.67
$47.67
(($50.21)) $52.72
B Med
$70.52
$75.44
$57.22
$57.22
(($60.10)) $63.11
B Med-High
$79.83
$84.75
$60.81
$60.81
(($64.37)) $67.59
B High
$87.07
$91.99
$71.25
$71.25
(($75.24)) $79.00
 
 
 
 
 
 
 
C Low
$65.02
$69.94
$52.12
$52.12
(($54.74)) $57.48
C Med
$79.37
$84.29
$66.84
$66.84
(($70.12)) $73.63
C Med-High
$98.10
$103.02
$83.73
$83.73
(($87.17)) $91.53
C High
$99.09
$104.01
$89.04
$89.04
(($92.41)) $97.03
 
 
 
 
 
 
 
D Low
$70.52
$75.44
$71.87
$71.87
(($71.62)) $75.20
D Med
$80.98
$85.90
$82.67
$82.67
(($86.95)) $91.30
D Med-High
$103.98
$108.90
$104.50
$104.50
(($103.99)) $109.19
D High
$112.63
$117.55
$112.63
$112.63
(($117.98)) 123.88
 
 
 
 
 
 
E Med
$135.52
$140.44
$135.52
$135.52
(($141.91)) $149.01
E High
$158.40
$163.32
$158.40
$158.40
(($165.84)) $174.13
*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
$60.61
$65.85
$47.67
$47.67
(($49.97)) $52.47
A Med
$65.02
$70.26
$50.86
$50.86
(($53.26)) $55.92
A High
$79.37
$84.61
$55.66
$55.66
(($58.73)) $61.67
 
 
 
 
 
 
 
B Low
$60.61
$65.85
$47.67
$47.67
(($50.21)) $52.72
B Med
$70.52
$75.76
$56.16
$56.16
(($59.01)) $61.96
B Med-High
$79.83
$85.07
$59.68
$59.68
(($63.13)) $66.29
B High
$87.07
$92.31
$67.41
$67.41
(($71.23)) $74.79
 
 
 
 
 
 
 
C Low
$65.02
$70.26
$50.86
$50.86
(($53.26)) $55.92
C Med
$79.37
$84.61
$63.20
$63.20
(($67.48)) $70.85
C Med-High
$98.10
$103.34
$80.54
$80.54
(($83.90)) $88.10
C High
$99.09
$104.33
$84.18
$84.18
(($87.47)) $91.84
 
 
 
 
 
 
 
D Low
$70.52
$75.76
$67.96
$67.96
(($67.80)) $71.19
D Med
$80.98
$86.22
$78.17
$78.17
(($82.29)) $86.40
D Med-High
$103.98
$109.22
$98.79
$98.79
(($98.41)) $103.33
D High
$106.48
$111.72
$106.48
$106.48
(($111.62)) $117.20
 
 
 
 
 
 
E Med
$128.11
$133.35
$128.11
$128.11
(($134.23)) $140.94
E High
$149.75
$154.99
$149.75
$149.75
(($156.86)) $164.70
** 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.