WSR 17-23-169

EMERGENCY RULES

[Filed November 21, 2017, 11:15 a.m., effective November 22, 2017]

Effective Date of Rule: November 22, 2017.

Purpose: The department is amending WAC 388-105-0005 The daily medicaid payment rates for clients who have been assessed using the CARE tool and reside at an AFH or assisted living facility contracted to provide AL, ARC, or EARC services, in order to update the comprehensive assessment reporting evaluation (CARE) table found in rule to reflect the current daily rates. The department has filed proposed rules as WSR 17-21-074 and a public hearing will be held on November 21, 2017.

Citation of 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 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 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 daily medicaid payment rates changed effective July 1, 2017, with the new budget/fiscal year.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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 15, 2017.

Katherine I. Vasquez

Rules Coordinator

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)) $70.59	(($72.64)) $76.01	(($47.67)) $50.06	(($47.67)) $50.06	(($52.47)) $71.96
A Med		(($72.74)) $76.38	(($78.16)) $81.80	(($54.03)) $56.74	(($54.03)) $56.74	(($59.36)) $74.74
A High		(($81.57)) $85.66	(($86.99)) $91.08	(($59.30)) $62.27	(($59.30)) $62.27	(($66.27)) $81.23
B Low		(($67.22)) $70.59	(($72.64)) $76.01	(($47.67)) $50.06	(($47.67)) $50.06	(($52.72)) $73.40
B Med		(($74.96)) $78.72	(($80.39)) $84.14	(($60.39)) $63.42	(($60.39)) $63.42	(($66.58)) $79.78
B Med-High		(($84.83)) $89.08	(($90.25)) $94.50	(($64.19)) $67.41	(($64.19)) $67.41	(($71.24)) $86.56
B High		(($89.28)) $93.75	(($94.70)) $99.17	(($73.31)) $76.98	(($73.31)) $76.98	(($81.27)) $89.05
C Low		(($72.74)) $76.38	(($78.16)) $81.80	(($54.03)) $56.74	(($54.03)) $56.74	(($59.36)) $81.03
C Med		(($81.57)) $85.66	(($86.99)) $91.08	(($67.70)) $71.09	(($67.70)) $71.09	(($75.43)) $93.33
C Med-High		(($101.43)) $106.51	(($106.85)) $111.93	(($90.09)) $94.60	(($90.09)) $94.60	(($98.41)) $98.41
C High		(($102.44)) $107.57	(($107.86)) $112.99	(($90.95)) $95.51	(($90.95)) $95.51	$99.76
D Low		(($74.96)) $78.72	(($80.38)) $84.14	(($72.87)) $76.52	(($72.87)) $76.52	(($76.87)) $86.46
D Med		(($83.23)) $87.40	(($88.65)) $92.82	(($84.35)) $88.58	(($84.35)) $88.58	(($93.79)) $95.25
D Med-High		(($107.49)) $112.88	(($112.91)) $118.30	(($107.13)) $112.50	(($107.13)) $112.50	$112.59
D High		(($115.79)) $121.59	(($121.21)) $127.01	(($115.79)) $121.59	(($115.79)) $121.59	$128.01
E Med		(($139.84)) $146.85	(($145.26)) $152.27	(($139.84)) $146.85	(($139.84)) $146.85	$154.39
E High		(($163.89)) $172.10	(($169.31)) $177.52	(($163.89))$172.10	(($163.89)) $172.10	$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)) $64.78	(($66.61)) $69.70	(($47.67)) $50.06	(($47.67)) $50.06	(($52.47)) $70.78
A Med		(($65.02)) $68.28	(($69.94)) $73.20	(($51.91)) $54.51	(($51.91)) $54.51	(($57.06)) $73.49
A High		(($79.37)) $83.35	(($84.29)) $88.27	(($56.56)) $59.39	(($56.56)) $59.39	(($62.80)) $79.80
B Low		(($61.69)) $64.78	(($66.61)) $69.70	(($47.67)) $50.06	(($47.67)) $50.06	(($52.72)) $72.18
B Med		(($70.52)) $74.05	(($75.44)) $78.97	(($57.22)) $60.09	(($57.22)) $60.09	(($63.11)) $78.39
B Med-High		(($79.83)) $83.83	(($84.75)) $88.78	(($60.81)) $63.86	(($60.81)) $63.86	(($67.59)) $84.98
B High		(($87.07)) $91.43	(($91.99)) $96.35	(($71.25)) $74.82	(($71.25)) $74.82	(($79.00)) $87.41
C Low		(($65.02)) $68.28	(($69.94)) $73.20	(($52.12)) $54.73	(($52.12)) $54.73	(($57.48)) $79.61
C Med		(($79.37)) $83.35	(($84.29)) $88.27	(($66.84)) $70.19	(($66.84)) $70.19	(($73.63)) $91.57
C Med-High		(($98.10)) $103.01	(($103.02)) $107.93	(($83.73)) $87.92	(($83.73)) $87.92	(($91.53)) $93.63
C High		(($99.09)) $105.05	(($104.01)) $108.97	(($89.04)) $93.50	(($89.04)) $93.50	$97.03
D Low		(($70.52)) $74.05	(($75.44)) $78.97	(($71.87)) $75.47	(($71.87)) $75.47	(($75.20)) $84.89
D Med		(($80.98)) $85.04	(($85.90)) $89.96	(($82.67)) $86.81	(($82.67)) $86.81	(($91.30)) $93.44
D Med-High		(($103.98)) $109.19	(($108.90)) $114.11	(($104.50)) $109.74	(($104.50)) $109.74	$109.19
D High		(($112.63)) $118.27	(($117.55)) $123.19	(($112.63)) $118.27	(($112.63)) $118.27	$123.88
E Med		(($135.52)) $142.31	(($140.44)) $147.23	(($135.52)) $142.31	(($135.52)) $142.31	$149.01
E High		(($158.40)) $166.34	(($163.32)) $171.23	(($158.40)) $166.34	(($158.40)) $166.34	$174.13

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)) $63.65	(($65.85)) $68.89	(($47.67)) $50.06	(($47.67)) $50.06	(($52.47)) $69.07
A Med		(($65.02)) $68.28	(($70.26)) $73.52	(($50.86)) $53.41	(($50.86)) $53.41	(($55.92)) $71.67
A High		(($79.37)) $83.38	(($84.61)) $88.59	(($55.66)) $58.45	(($55.66)) $58.45	(($61.67)) $77.73
B Low		(($60.61)) $63.65	(($65.85)) $68.89	(($47.67)) $50.06	(($47.67)) $50.06	(($52.72)) $70.42
B Med		(($70.52)) $74.05	(($75.76)) $79.29	(($56.16)) $58.97	(($56.16)) $58.97	(($61.96)) $76.38
B Med-High		(($79.83)) $83.83	(($85.07)) $89.07	(($59.68)) $62.67	(($59.68)) $62.67	(($66.29)) $82.71
B High		(($87.07)) $91.43	(($92.31)) $96.67	(($67.41)) $70.79	(($67.41)) $70.79	(($74.79)) $85.04
C Low		(($65.02)) $68.28	(($70.26)) $73.52	(($50.86)) $53.41	(($50.86)) $53.41	(($55.92)) $77.55
C Med		(($79.37)) $83.35	(($84.61)) $88.59	(($63.20)) $66.67	(($63.20)) $66.37	(($70.85)) $89.04
C Med-High		(($98.10)) $103.01	(($103.34)) $108.25	(($80.54)) $84.58	(($80.54)) $84.58	(($88.10)) $91.01
C High		(($99.09)) $104.05	(($104.33)) $109.29	(($84.18)) $88.40	(($84.18)) $88.40	(($91.84)) $93.08
D Low		(($70.52)) $74.05	(($75.76)) $79.29	(($67.96)) $71.36	(($67.96)) $71.36	(($71.19)) $82.62
D Med		(($80.98)) $85.04	(($86.22)) $90.28	(($78.17)) $82.09	(($78.17)) $82.09	(($86.40)) $90.83
D Med-High		(($103.98)) $109.19	(($109.22)) $114.43	(($98.79)) $103.74	(($98.79)) $103.74	(($103.33)) $104.36
D High		(($106.48)) $111.81	(($111.72)) $117.05	(($106.48)) $111.81	(($106.48)) $111.81	$117.20
E Med		(($128.11)) $134.53	(($133.35)) $139.77	(($128.11)) $134.53	(($128.11)) $134.53	$140.94
E High		(($149.75)) $157.25	(($154.99)) $162.49	(($149.75)) $157.25	(($149.75)) $157.25	$164.70