WSR 21-14-020
HEALTH CARE AUTHORITY
[Filed June 28, 2021, 11:29 a.m.]
NOTICE
Title or Subject: Medicaid State Plan Amendment (SPA) 21-0026 Nursing Facility, Adult Family Home, Individual Provider, and Agency Provider Rates.
Effective Date: January 1, 2021.
Description: The health care authority (HCA) in conjunction with the aging and long-term support administration in the department of social and health services (DSHS) intends to submit medicaid SPA 21-0026 in order to increase the reimbursement rates for individual providers, agency providers, and adult family homes, and raise the nursing facility budget dial and swing bed rates.
This SPA is expected to have the following impacts on rates (these estimates are generated using standard federal match):
•Individual providers: An average increase of $0.18 per quarter hour across CARE classifications for federal fiscal years 2021 and 2022.
•Agency providers: An average increase of $0.24 per quarter hour across CARE classifications for federal fiscal years 2021 and 2022.
•Adult family homes: An average increase of $5.18 per day across CARE classifications for federal fiscal years 2021 and 2022.
•Nursing facility budget dial: Increasing from $250.71 to $259.84.
•Nursing facility swing beds: Increasing from $217.23 to $232.58.
A copy of proposed SPA 21-0026 is currently under development. HCA and DSHS would appreciate any input or concerns regarding this SPA. To request a copy of the SPA when it becomes available or submit comments, please contact the person named below (please note that all comments are subject to public review and disclosure, as are the names of those who comment).
Interested parties may submit comments and concerns about the rates or the effects the changes may have on beneficiary access to care or continued service access. Please submit comments and concerns to the person named below. Please note that all comments are subject to public review and disclosure, as are the names of those who comment.
Contact: Elizabeth Pashley, Office of Rates Management, Aging and Long-Term Support, DSHS, P.O. Box 45600, Olympia, WA 98504-5600, TRS (TDD/TTY) 711, fax 360-725-2641, email Elizabeth.Pashley@dshs.wa.gov, website https://www.dshs.wa.gov/altsa/management-services-division/office-rates-management.