WSR 02-22-058

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Disabilities and Long-Term Care Administration)

[ Filed October 31, 2002, 3:56 p.m. ]

     Date of Adoption: October 28, 2002.

     Purpose: To implement a $2.7 million reduction of funding for fiscal year 2003 for the assisted living facility capital add-on rate. To increase the daily payment rates for boarding homes and adult family homes by the vendor rate increase of 1.5%.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.

     Statutory Authority for Adoption: Chapter 371, Laws of 2002.

      Adopted under notice filed as WSR 02-18-099 on September 3, 2002.

     Changes Other than Editing from Proposed to Adopted Version: WAC 388-105-0005, the rates were increased by $.09 to reflect increases made effective September 1, 2002.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 3, Amended 1, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 3, Amended 1, Repealed 0.
     Effective Date of Rule: Thirty-one days after filing.

October 28, 2002

Wanda Emmick

for Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

3136.5
Chapter 388-105 WAC

MEDICAID RATES FOR CONTRACTED HOME AND COMMUNITY RESIDENTIAL CARE ((SERVICE RATES)) SERVICES


AMENDATORY SECTION(Amending WSR 01-21-077, filed 10/18/01, effective 11/18/01)

WAC 388-105-0005   What are the daily Medicaid payment rates for contracted adult family home (AFH), adult residential care (ARC), and enhanced adult residential care (EARC) services?   For contracted AFH, ARC, and EARC services, the department pays the following daily rates for care of a Medicaid resident:


Four level payment system rates for AFHs, ARCs, & EARCs
Care Levels Non-

metropolitan

Metropolitan*

King Co.
Level 1 $((44.94))

46.06

 $((43.68))

44.79

 $((43.68))

44.79
Level 2 $((47.84))

49.28

 $((50.05))

51.52

 $((55.42))

56.97
Level 3 $((55.40))

57.07

 $((57.80))

59.51

 $((63.96))

65.76
Level 4 $((66.66))

68.15

$((70.52))

72.07

 $((76.67))

78.31

*Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima Counties.

[Statutory Authority: 2001 c 7 § 206. 01-21-077, § 388-105-0005, filed 10/18/01, effective 11/18/01. Statutory Authority: Chapter 74.39A RCW. 01-14-056, § 388-105-0005, filed 6/29/01, effective 7/30/01.]


NEW SECTION
WAC 388-105-0030   What are the daily Medicaid payment rates for contracted assisted living facilities (ALF) not receiving a capital rate add-on?   For contracted ALF services for care of a Medicaid resident, the department pays the following daily rates:


COPES ALF Daily Payment Rates w/o

Capital Add-on Rate
Care Levels Non-

metropolitan

Metropolitan*

King Co.
Level 1 $ 54.84 $ 56.35 $ 61.03
Level 2 $ 61.14 $ 62.92 $ 68.52
Level 3 $ 67.54 $ 69.90 $ 76.46

*Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima Counties.

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NEW SECTION
WAC 388-105-0035   What are the requirements for a capital add-on rate for assisted living facilities (ALF)?   (1) Effective July 1, 2002, the department will grant a capital add-on rate to an ALF that:

     (a) Meets the construction requirements of WAC 388-110-140; and

     (b) Has a Medicaid occupancy percentage that equals or exceeds the applicable bi-yearly Medicaid minimum occupancy percentage set in accordance with subsection (3) of this section.

     (2) The department will determine an ALF's Medicaid occupancy percentage by dividing its Medicaid resident days by the product of all its licensed boarding home beds irrespective of use times calendar days for the six-month period beginning one year prior to the percentage effective date.

     (3)(a) To set the bi-yearly Medicaid minimum occupancy percentage, the department will:

     (i) Determine the estimated total budgeted funds for capital add-on rates for the six-month period;

     (ii) Rank from highest to lowest the individual ALF occupancy percentages determined in accordance with subsection (2) of this section;

     (iii) Assign, beginning with the highest ALF Medicaid occupancy percentage, the estimated expenditure needed to pay the capital add-on rate to each facility for the six-month period;

     (iv) Identify the ALF Medicaid occupancy percentage at which the estimated total budgeted funds determined under subsection (3)(a)(i) of this section would be expended; and

     (v) Set that Medicaid occupancy percentage as the bi-yearly Medicaid minimum occupancy percentage.

     (b) The bi-yearly Medicaid minimum occupancy percentage will be set every January 1 and July 1.

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NEW SECTION
WAC 388-105-0040   What are the daily capital add-on rates for assisted living facilities (ALF) and the ALF daily payment rates with a capital add-on rate?   For an ALF that qualifies for a capital add-on rate, the department will add the following amount to the per resident day payment rates in WAC 388-105-0030:


COPES ALF Add-on Rate July 1, 2002
Non-

metropolitan

Metropolitan*

King Co.
$ 4.68 $ 4.39 $ 4.84


COPES ALF Daily Payment Rates with a

Capital Add-on Rate
Care Levels Non-

metropolitan

Metropolitan*

King Co.
Level 1 $ 59.52 $ 60.74 $ 65.87
Level 2 $ 65.82 $ 67.31 $ 73.36
Level 3 $ 72.22 $ 74.29 $ 81.30

*Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima Counties.

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