WSR 15-23-002

PROPOSED RULES

[Filed November 4, 2015, 3:58 p.m.]

Preproposal statement of inquiry was filed as WSR 15-15-074.

Title of Rule and Other Identifying Information: 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.

Hearing Location(s): Office Building 2, DSHS Headquarters, 1115 Washington, Olympia, WA 98504 (public parking at 11th and Jefferson. A map is available at http://www1.dshs.wa.gov/msa/rpau/RPAU-OB-2directions.html), on December 22, 2015, at 10:00 a.m.

Date of Intended Adoption: Not earlier than December 23, 2015.

Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504, e-mail DSHSRPAURulesCoordinator@dshs.wa.gov, fax (360) 664-6185, by 5:00 p.m., December 22, 2015.

Assistance for Persons with Disabilities: Contact Jeff Kildahl, DSHS rules consultant, by December 8, 2015, phone (360) 664-6092, TTY (360) 664-6178, or e-mail KildaJA@dshs.wa.gov.

Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The department is amending WAC 388-105-0005 to update the CARE table to comply with the current budget.

Reasons Supporting Proposal: This update is necessary to ensure the CARE table contained in WAC 388-105-0005 is consistent with the current budget.

Statutory Authority for Adoption: RCW 74.39A.030 (3)(a).

Name of Proponent: Department of social and health services, aging and long-term support administration, governmental.

Name of Agency Personnel Responsible for Drafting: Elizabeth Pashley, 4450 10th Avenue S.E., Lacey, WA 98504, (360) 725-2447; Implementation and Enforcement: Ken Callaghan, 4450 10th Avenue S.E., Lacey, WA 98504, (360) 725-2499.

No small business economic impact statement has been prepared under chapter 19.85 RCW. The rule change is adjusting rates pursuant to legislative standards. Exemption: RCW 34.05.310 (4)(f).

A cost-benefit analysis is not required under RCW 34.05.328. The rule change is adjusting rates pursuant to legislative standards. Exemption: RCW 34.05.328 (5)(b)(vi).

November 3, 2015

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		$((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

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