EMERGENCY RULES
SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)
Effective Date of Rule: July 1, 2008.
Purpose: The purpose of this rule change is to implement the seventeen level medicaid payment system for adult family homes (AFH) and licensed boarding homes with contracts to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.
Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.
Statutory Authority for Adoption: RCW 74.39.030 and 18.20.290.
Other Authority: Section 206(16), chapter 329, Laws of 2008.
Under RCW 34.05.350 the agency for good cause finds that immediate adoption, amendment, or repeal of a rule is necessary for the preservation of the public health, safety, or general welfare, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the public interest.
Reasons for this Finding: This emergency rule implements section 929, chapter 329, Laws of 2008, states, "This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately."
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: June 20, 2008.
Stephanie E. Schiller
Rules Coordinator
3990.1
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE | ||||||
KING COUNTY | ||||||
ARC | EARC | AFH | ||||
CARE CLASSIFICATION | AL Without Capital Add-on | AL With Capital Add-on | ||||
A Low (1) | $(( 69.22 |
$(( 74.64 |
$(( 48.95 |
$(( 48.95 |
$(( 48.32 |
|
A Med (2) | $(( 74.95 |
$(( 80.37 |
$(( 55.54 |
$(( 55.54 |
$(( 54.83 |
|
A High (3) | $(( 84.10 |
$(( 89.52 |
$(( 61.00 |
$(( 61.00 |
$(( 61.35 |
|
B Low (4) | $(( 69.22 |
$(( 74.64 |
$(( 48.95 |
$(( 48.95 |
$(( 48.56 |
|
B Med (5) | $(( 77.24 |
$(( 82.66 |
$(( 62.14 |
$(( 62.14 |
$(( 61.66 |
|
B (( Med H (6) |
$(( 87.48 |
$(( 92.90 |
$(( 66.07 |
$(( 66.07 |
$(( 66.06 |
|
B High (7) | $92.09 | $97.51 | $75.53 | $75.53 | $75.53 | |
C Low (( |
$(( 74.95 |
$(( 80.37 |
$(( 55.54 |
$(( 55.54 |
$(( 54.83 |
|
C Med (( |
$(( 84.10 |
$(( 89.52 |
$(( 69.72 |
$(( 69.72 |
$(( 70.02 |
|
C (( Med H (10) |
$(( 104.70 |
$(( 110.12 |
$(( 92.94 |
$(( 92.94 |
$(( 91.73 |
|
C High (11) | $105.74 | $111.16 | $93.82 | $93.82 | $93.01 | |
D Low (( |
$(( 77.24 |
$(( 82.66 |
$(( 75.07 |
$(( 75.07 |
$(( 71.38 |
|
D Med (( |
$(( 85.82 |
$(( 91.24 |
$(( 86.98 |
$(( 86.98 |
$(( 87.36 |
|
D High (( |
$(( 110.98 |
$(( 116.40 |
$(( 110.61 |
$(( 110.61 |
$(( 105.12 |
|
D High (15) | $119.59 | $125.01 | $119.59 | $119.59 | $119.69 | |
E Med (16) | $144.53 | $149.95 | $144.53 | $144.53 | $144.63 | |
E High (17) | $169.47 | $174.89 | $169.47 | $169.47 | $169.57 |
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE | ||||||
METROPOLITAN COUNTIES* | ||||||
ARC | EARC | AFH | ||||
CARE CLASSIFICATION | AL Without Capital Add-on | AL With Capital Add-on | ||||
A Low (1) | $(( 63.49 |
$(( 68.41 |
$(( 48.95 |
$(( 48.95 |
$(( 48.32 |
|
A Med (2) | $(( 66.94 |
$(( 71.86 |
$(( 53.34 |
$(( 53.34 |
$(( 52.66 |
|
A High (3) | $(( 81.81 |
$(( 86.73 |
$(( 58.17 |
$(( 58.17 |
$(( 58.08 |
|
B Low (4) | $(( 63.49 |
$(( 68.41 |
$(( 48.95 |
$(( 48.95 |
$(( 48.56 |
|
B Med (5) | $(( 72.65 |
$(( 77.57 |
$(( 58.84 |
$(( 58.84 |
$(( 58.37 |
|
B (( Med H (6) |
$(( 82.29 |
$(( 87.21 |
$(( 62.57 |
$(( 62.57 |
$(( 62.60 |
|
B High (7) | $89.81 | $94.73 | $73.40 | $73.40 | $73.40 | |
C Low (( |
$(( 66.94 |
$(( 71.86 |
$(( 53.56 |
$(( 53.56 |
$(( 53.05 |
|
C Med (( |
$(( 81.81 |
$(( 86.73 |
$(( 68.82 |
$(( 68.82 |
$(( 68.31 |
|
C (( Med H (10) |
$(( 101.25 |
$(( 106.17 |
$(( 86.34 |
$(( 86.34 |
$(( 85.23 |
|
C High (11) | $102.26 | $107.18 | $91.84 | $91.84 | $90.43 | |
D Low (( |
$(( 72.65 |
$(( 77.57 |
$(( 74.04 |
$(( 74.04 |
$(( 69.80 |
|
D Med (( |
$(( 83.48 |
$(( 88.40 |
$(( 85.24 |
$(( 85.24 |
$(( 85.01 |
|
D (( Med H (14) |
$(( 107.33 |
$(( 112.25 |
$(( 107.87 |
$(( 107.87 |
$(( 101.92 |
|
D High (15) | $116.30 | $121.22 | $116.30 | $116.30 | $115.79 | |
E Med (16) | $140.04 | $144.96 | $140.04 | $140.04 | $139.53 | |
E High (17) | $163.78 | $168.70 | $163.78 | $163.78 | $163.27 |
*Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima counties.
COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE | ||||||
NONMETROPOLITAN COUNTIES** | ||||||
ARC | EARC | AFH | ||||
CARE CLASSIFICATION | AL Without Capital Add-on | AL With Capital Add-on | ||||
A Low (1) | $(( 62.36 |
$(( 67.60 |
$(( 48.95 |
$(( 48.95 |
$(( 48.32 |
|
A Med (2) | $(( 66.94 |
$(( 72.18 |
$(( 52.25 |
$(( 52.25 |
$(( 51.58 |
|
A High (3) | $(( 81.81 |
$(( 87.05 |
$(( 57.23 |
$(( 57.23 |
$(( 57.01 |
|
B Low (4) | $(( 62.36 |
$(( 67.60 |
$(( 48.95 |
$(( 48.95 |
$(( 48.56 |
|
B Med (5) | $(( 72.65 |
$(( 77.89 |
$(( 57.75 |
$(( 57.75 |
$(( 57.29 |
|
B (( Med H (6) |
$(( 82.29 |
$(( 87.53 |
$(( 61.40 |
$(( 61.40 |
$(( 61.38 |
|
B High (7) | $89.81 | $95.05 | $69.42 | $69.42 | $69.42 | |
C Low (( |
$(( 66.94 |
$(( 72.18 |
$(( 52.25 |
$(( 52.25 |
$(( 51.58 |
|
C Med (( |
$(( 81.81 |
$(( 87.05 |
$(( 65.05 |
$(( 65.05 |
$(( 65.70 |
|
C (( Med H (10) |
$(( 101.25 |
$(( 106.49 |
$(( 83.04 |
$(( 83.04 |
$(( 81.98 |
|
C High (11) | $102.26 | $107.50 | $86.81 | $86.81 | $85.52 | |
D Low (( |
$(( 72.65 |
$(( 77.89 |
$(( 69.99 |
$(( 69.99 |
$(( 66.01 |
|
D Med (( |
$(( 83.48 |
$(( 88.72 |
$(( 80.57 |
$(( 80.57 |
$(( 80.39 |
|
D (( Med H (14) |
$(( 107.33 |
$(( 112.57 |
$(( 101.96 |
$(( 101.96 |
$(( 96.37 |
|
D High (15) | $109.93 | $115.17 | $109.93 | $109.93 | $109.48 | |
E Med (16) | $132.36 | $137.60 | $132.36 | $132.36 | $131.92 | |
E High (17) | $154.80 | $160.04 | $154.80 | $154.80 | $154.36 |
[Statutory Authority: Chapter 74.39A RCW, RCW 18.20.290, 2006 c 372, 260, and 64. 06-19-017, § 388-105-0005, filed 9/8/06, effective 10/9/06. Statutory Authority: Chapter 74.39A RCW. 06-07-013, § 388-105-0005, filed 3/3/06, effective 4/3/06. Statutory Authority: RCW 74.39A.030, 2003 c 231. 04-09-092, § 388-105-0005, filed 4/20/04, effective 5/21/04. Statutory Authority: 2002 c 371. 02-22-058, § 388-105-0005, filed 10/31/02, effective 12/1/02. 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.]