WSR 18-21-001
PERMANENT RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Aging and Long-Term Support Administration)
[Filed October 3, 2018, 1:03 p.m., effective November 3, 2018]
Effective Date of Rule: Thirty-one days after filing.
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 assisted living, adult residential care, or enhanced adult residential care services, to update rates in the table for all settings to reflect new rates paid effective July 1, 2018, currently in place by emergency filed as WSR 18-14-060.
Citation of 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 18-17-085 on August 14, 2018.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: October 3, 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.