WSR 18-17-085
PROPOSED RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Aging and Long-Term Support Administration)
[Filed August 14, 2018, 9:17 a.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 18-08-076.
Title of Rule and Other Identifying Information: The department is proposing to amend 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 assisted living, adult residential care, or enhanced adult residential care services.
Hearing Location(s): On September 25, 2018, at 10:00 a.m., at Office Building 2, Department of Social and Health Services (DSHS) Headquarters, 1115 Washington, Olympia, WA 98504. Public parking at 11th and Jefferson. A map is available at https://www.dshs.wa.gov/sesa/rules-and-policies-assistance-unit/driving-directions-office-bldg-2.
Date of Intended Adoption: Not earlier than September 26, 2018.
Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504, email DSHSRPAURulesCoordinator@dshs.wa.gov, fax 360-664-6185, by 5:00 p.m., September 25, 2018.
Assistance for Persons with Disabilities: Contact Jeff Kildahl, DSHS rules consultant, phone 360-664-6092, fax 360-664-6185, TTY 711 relay service, email Kildaja@dshs.wa.gov, by September 11, 2018.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The department is proposing to amend WAC 388-105-0005 to update the rates in the tables to reflect new rates that are being paid effective July 1, 2018, currently in place by emergency filed as WSR 18-14-060.
Reasons Supporting Proposal: The changes to rates are directed by legislation.
Statutory Authority for Adoption: RCW 74.39A.030 (3)(a).
Statute Being Implemented: SB 6032 (chapter 299, Laws of 2018).
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: DSHS, governmental.
Name of Agency Personnel Responsible for Drafting, Implementation, and Enforcement: Elizabeth Pashley, 4450 10th Avenue S.E., Lacey, WA 98503, 360-725-2447.
A school district fiscal impact statement is not required under RCW 28A.305.135.
A cost-benefit analysis is not required under RCW 34.05.328. This rule is adjusting rates pursuant to legislative standards (RCW 34.05.328 (5)(b)(vi)).
This rule proposal, or portions of the proposal, is exempt from requirements of the Regulatory Fairness Act because the proposal:
Is exempt under RCW 19.85.025(3) as the rules set or adjust fees under the authority of RCW 19.02.075 or that set or adjust fees or rates pursuant to legislative standards, including fees set or adjusted under the authority of RCW 19.80.045.
August 8, 2018
Katherine I. Vasquez
Rules Coordinator
AMENDATORY SECTION(Amending WSR 18-03-097, filed 1/17/18, effective 2/17/18)
WAC 388-105-0005The 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 assisted living, adult residential care, or enhanced adult residential care services.
For contracted adult family homes (AFH) and assisted living facilities contracted to provide assisted living (AL), adult residential care (ARC), or enhanced adult residential care (EARC) services, the department pays the following daily rates for 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 Without Capital Add-On
ARC/EARC With Capital Add-On
AFH
A Low
$((70.59))
73.34
$((76.01))
81.18
$((50.06))
52.02
$((50.06))
54.44
$71.96
A Med
$((76.38))
79.35
$((81.80))
87.19
$((56.74))
58.95
$((56.74))
61.37
$74.74
A High
$((85.66))
88.99
$((91.08))
96.83
$((62.27))
64.70
$((62.27))
67.12
$81.23
 
 
 
 
 
 
 
B Low
$((70.59))
73.34
$((76.01))
81.18
$((50.06))
52.02
$((50.06))
54.44
$73.40
B Med
$((78.72))
81.78
$((84.14))
89.62
$((63.42))
65.89
$((63.42))
68.31
$79.78
B Med-High
$((89.08))
92.54
$((94.50))
100.38
$((67.41))
70.04
$((67.41))
72.46
$86.56
B High
$((93.75))
97.39
$((99.17))
105.23
$((76.98))
79.97
$((76.98))
82.39
$89.05
 
 
 
 
 
 
 
C Low
$((76.38))
79.35
$((81.80))
87.19
$((56.74))
58.95
$((56.74))
61.37
$81.03
C Med
$((85.66))
88.99
$((91.08))
96.83
$((71.09))
73.83
$((71.09))
76.28
$93.33
C Med-High
$((106.51))
110.64
$((111.93))
118.48
$((94.60))
98.27
$((94.60))
100.69
$98.41
C High
$((107.57))
111.74
$((112.99))
119.58
$((95.51))
99.22
$((95.51))
101.64
$99.76
 
 
 
 
 
 
D Low
$((78.72))
81.78
$((84.14))
89.62
$((76.52))
79.50
$((76.52))
81.92
$86.46
D Med
$((87.40))
90.79
$((92.82))
98.63
$((88.58))
92.02
$((88.58))
94.44
$95.25
D Med-High
$((112.88))
117.26
$((118.30))
125.10
$((112.50))
116.86
$((112.50))
119.28
$((112.59))
114.84
D High
$((121.59))
126.30
$((127.01))
134.14
$((121.59))
126.30
$((121.59))
128.72
$((128.01))
130.57
 
 
 
 
 
 
E Med
$((146.85))
152.53
$((152.27))
160.37
$((146.85))
152.53
$((146.85))
154.95
$((154.39))
157.48
E High
$((172.10))
178.76
$((177.52))
186.60
$((172.10))
178.76
$((172.10))
181.18
$((180.80))
184.42
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 Without Capital Add-On
ARC/EARC With Capital Add-On
AFH
A Low
$((64.78))
67.30
$((69.70))
74.64
$((50.06))
52.02
$((50.06))
54.44
$70.78
A Med
$((68.28))
70.94
$((73.20))
78.28
$((54.51))
56.64
$((54.51))
59.06
$73.49
A High
$((83.35))
86.59
$((88.27))
93.93
$((59.39))
61.71
$((59.39))
64.13
$79.80
 
 
 
 
 
 
 
B Low
$((64.78))
67.30
$((69.70))
74.64
$((50.06))
52.02
$((50.06))
54.44
$72.18
B Med
$((74.05))
76.93
$((78.97))
84.27
$((60.09))
62.43
$((60.09))
64.85
$78.39
B Med-High
$((83.83))
87.09
$((88.78))
94.43
$((63.86))
66.35
$((63.86))
68.77
$84.98
B High
$((91.43))
94.98
$((96.35))
102.32
$((74.82))
77.73
$((74.82))
80.15
$87.41
 
 
 
 
 
 
 
C Low
$((68.28))
70.94
$((73.20))
78.28
$((54.73))
56.87
$((54.73))
59.29
$79.61
C Med
$((83.35))
86.59
$((88.27))
93.93
$((70.19))
72.92
$((70.19))
75.31
$91.57
C Med-High
$((103.01))
107.01
$((107.93))
114.35
$((87.92))
91.33
$((87.92))
93.75
$93.63
C High
$((105.05))
108.09
$((108.97))
115.43
$((93.50))
97.13
$((93.50))
99.55
$97.03
 
 
 
 
 
 
 
D Low
$((74.05))
76.93
$((78.97))
84.27
$((75.47))
78.41
$((75.47))
80.83
$84.89
D Med
$((85.04))
88.34
$((89.96))
95.68
$((86.81))
90.18
$((86.81))
92.60
$93.44
D Med-High
$((109.19))
113.42
$((114.11))
120.76
$((109.74))
113.99
$((109.74))
116.41
$((109.19))
111.37
D High
$((118.27))
122.85
$((123.19))
130.19
$((118.27))
122.85
$((118.27))
125.27
$((123.88))
126.36
 
 
 
 
 
 
E Med
$((142.31))
147.82
$((147.23))
155.16
$((142.31))
147.82
$((142.31))
150.24
$((149.01))
151.99
E High
$((166.34))
172.77
$((171.23))
180.11
$((166.34))
172.77
$((166.34))
175.19
$((174.13))
177.61
*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 Without Capital Add-On
ARC/EARC With Capital Add-On
AFH
A Low
$((63.65))
66.13
$((68.89))
73.79
$((50.06))52.02
$((50.06))54.44
$69.07
A Med
$((68.28))
70.94
$((73.52))
78.60
$((53.41))55.50
$((53.41))57.92
$71.67
A High
$((83.38))
86.59
$((88.59))
94.25
$((58.45))60.73
$((58.45))63.15
$77.73
 
 
 
 
 
 
 
B Low
$((63.65))
66.13
$((68.89))
73.79
$((50.06))52.02
$((50.06))54.44
$70.42
B Med
$((74.05))
76.93
$((79.29))
84.59
$((58.97))61.27
$((58.97))63.69
$76.38
B Med-High
$((83.83))
87.09
$((89.07))
94.25
$((62.67))65.11
$((62.67))67.53
$82.71
B High
$((91.43))
94.98
$((96.67))
102.64
$((70.79))73.55
$((70.79))75.97
$85.04
 
 
 
 
 
 
 
C Low
$((68.28))
70.94
$((73.52))
78.60
$((53.41))55.50
$((53.41))57.92
$77.55
C Med
$((83.35))
86.59
$((88.59))
94.25
$((66.67))68.96
$((66.37))71.38
$89.04
C Med-High
$((103.01))
107.01
$((108.25))
114.67
$((84.58))87.87
$((84.58))90.29
$91.01
C High
$((104.05))
108.09
$((109.29))
115.75
$((88.40))91.83
$((88.40))94.25
$93.08
 
 
 
 
 
 
 
D Low
$((74.05))
76.93
$((79.29))
84.59
$((71.36))74.14
$((71.36))76.56
$82.62
D Med
$((85.04))
88.34
$((90.28))
96.00
$((82.09))85.28
$((82.09))87.70
$90.83
D Med-High
$((109.19))
113.42
$((114.43))
121.08
$((103.74))107.76
$((103.74))110.18
$((104.36))103.46
D High
$((111.81))
116.14
$((117.05))
123.80
$((111.81))116.14
$((111.81))118.56
$((117.20))119.54
 
 
 
 
 
 
E Med
$((134.53))
139.74
$((139.77))
147.40
$((134.53))139.74
$((134.53))142.16
$((140.94))143.76
E High
$((157.25))
163.33
$((162.49))
170.99
$((157.25))163.33
$((157.25))165.75
$((164.70))167.99
** 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.