WSR 09-14-094

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed June 30, 2009, 8:03 a.m. , effective July 1, 2009 ]


Effective Date of Rule: July 1, 2009.

Purpose: To reduce by approximately 4% the rates of all levels of 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 74.39A.030 (3)(a).

Other Authority: Section 206(4), chapter 564, Laws of 2009.

Under RCW 34.05.350 the agency for good cause finds that in order to implement the requirements or reductions in appropriations enacted in any budget for fiscal years 2009, 2010, or 2011, which necessitates the need for the immediate adoption, amendment, or repeal of a rule, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the fiscal needs or requirements of the agency.

Reasons for this Finding: Section 1812, chapter 564, Laws of 2009. 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. On May 19, 2009, the department began the permanent rule-making process by filing a CR-101 filed as WSR 09-11-100.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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 19, 2009.

Stephanie E. Schiller

Rules Coordinator

4115.2
AMENDATORY SECTION(Amending WSR 09-11-053, filed 5/13/09, effective 6/13/09)

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 boarding homes contracted to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.   For contracted AFH and boarding homes contracted to provide AL, ARC, and EARC services, the department pays the following daily rates for care of a medicaid resident:


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 $((69.22))

66.45

$((74.64))

71.87

$((48.95))

46.99

$((48.95))

46.99

$((48.32))

46.39

A Med $((74.95))

71.95

$((80.37))

77.37

$((55.54))

53.32

$((55.54))

53.32

$((54.83))

52.64

A High $((84.10))

80.74

$((89.52))

86.16

$((61.00))

58.56

$((61.00))

58.56

$((61.35))

58.90

B Low $((69.22))

66.45

$((74.64))

71.87

$((48.95))

46.99

$((48.95))

46.99

$((48.56))

46.62

B Med $((77.24))

74.15

$((82.66))

79.57

$((62.14))

59.65

$((62.14))

59.65

$((61.66))

59.19

B Med-High $((87.48))

83.98

$((92.90))

89.40

$((66.07))

63.43

$((66.07))

63.43

$((66.06))

63.42

B High $((92.09))

88.41

$((97.51))

93.83

$((75.53))

72.51

$((75.53))

72.51

$((75.53))

72.51

C Low $((74.95))

71.95

$((80.37))

77.37

$((55.54))

53.32

$((55.54))

53.32

$((54.83))

52.64

C Med $((84.10))

80.74

$((89.52))

86.16

$((69.72))

66.93

$((69.72))

66.93

$((70.02))

67.22

C Med-High $((104.70))

100.51

$((110.12))

105.93

$((92.94))

89.22

$((92.94))

89.22

$((91.73))

88.06

C High $((105.74))

101.51

$((111.16))

106.93

$((93.82))

90.07

$((93.82))

90.07

$((93.01))

89.29

D Low $((77.24))

74.15

$((82.66))

79.57

$((75.07))

72.07

$((75.07))

72.07

$((71.38))

68.52

D Med $((85.82))

82.39

$((91.24))

87.81

$((86.98))

83.50

$((86.98))

83.50

$((87.36))

83.87

D Med-High $((110.98))

106.54

$((116.40))

111.96

$((110.61))

106.19

$((110.61))

106.19

$((105.12))

100.92

D High $((119.59))

114.81

$((125.01))

120.23

$((119.59))

114.81

$((119.59))

114.81

$((119.69))

114.90

E Med $((144.53))

138.75

$((149.95))

144.17

$((144.53))

138.75

$((144.53))

138.75

$((144.63))

138.84

E High $((169.47))

162.69

$((174.89))

168.11

$((169.47))

162.69

$((169.47))

162.69

$((169.57))

162.79


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 $((63.49))

60.95

$((68.41))

65.87

$((48.95))

46.99

$((48.95))

46.99

$((48.32))

46.39

A Med $((66.94))

64.26

$((71.86))

69.18

$((53.34))

51.21

$((53.34))

51.21

$((52.66))

50.55

A High $((81.81))

78.54

$((86.73))

83.46

$((58.17))

55.84

$((58.17))

55.84

$((58.08))

55.76

B Low $((63.49))

60.95

$((68.41))

65.87

$((48.95))

46.99

$((48.95))

46.99

$((48.56))

46.62

B Med $((72.65))

69.74

$((77.57))

74.66

$((58.84))

56.49

$((58.84))

56.49

$((58.37))

56.04

B Med-High $((82.29))

79.00

$((87.21))

83.92

$((62.57))

60.07

$((62.57))

60.07

$((62.60))

60.10

B High $((89.81))

86.22

$((94.73))

91.14

$((73.40))

70.46

$((73.40))

70.46

$((73.40))

70.46

C Low $((66.94))

64.26

$((71.86))

69.18

$((53.56))

51.42

$((53.56))

51.42

$((53.05))

50.93

C Med $((81.81))

78.54

$((86.73))

83.46

$((68.82))

66.07

$((68.82))

66.07

$((68.31))

65.58

C Med-High $((101.25))

97.20

$((106.17))

102.12

$((86.34))

82.89

$((86.34))

82.89

$((85.23))

81.82

C High $((102.26))

98.17

$((107.18))

103.09

$((91.84))

88.17

$((91.84))

88.17

$((90.43))

86.81

D Low $((72.65))

69.74

$((77.57))

74.66

$((74.04))

71.08

$((74.04))

71.08

$((69.80))

67.01

D Med $((83.48))

80.14

$((88.40))

85.06

$((85.24))

81.83

$((85.24))

81.83

$((85.01))

81.61

D Med-High $((107.33))

103.04

$((112.25))

107.96

$((107.87))

103.56

$((107.87))

103.56

$((101.92))

97.84

D High $((116.30))

111.65

$((121.22))

116.57

$((116.30))

111.65

$((116.30))

111.65

$((115.79))

111.16

E Med $((140.04))

134.44

$((144.96))

139.36

$((140.04))

134.44

$((140.04))

134.44

$((139.53))

133.95

E High $((163.78))

157.23

$((168.70))

162.15

$((163.78))

157.23

$((163.78))

157.23

$((163.27))

156.74

*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 AFH
A Low $((62.36))

59.87

$((67.60))

65.11

$((48.95))

46.99

$((48.95))

46.99

$((48.32))

46.39

A Med $((66.94))

64.26

$((72.18))

69.50

$((52.25))

50.16

$((52.25))

50.16

$((51.58))

49.52

A High $((81.81))

78.54

$((87.05))

83.78

$((57.23))

54.94

$((57.23))

54.94

$((57.01))

54.73

B Low $((62.36))

59.87

$((67.60))

65.11

$((48.95))

46.99

$((48.95))

46.99

$((48.56))

46.62

B Med $((72.65))

69.74

$((77.89))

74.98

$((57.75))

55.44

$((57.75))

55.44

$((57.29))

55.00

B Med-High $((82.29))

79.00

$((87.53))

84.24

$((61.40))

58.94

$((61.40))

58.94

$((61.38))

58.92

B High $((89.81))

86.22

$((95.05))

91.46

$((69.42))

66.64

$((69.42))

66.64

$((69.42))

66.64

C Low $((66.94))

64.26

$((72.18))

69.50

$((52.25))

50.16

$((52.25))

50.16

$((51.58))

49.52

C Med $((81.81))

78.54

$((87.05))

83.78

$((65.05))

62.45

$((65.05))

62.45

$((65.70))

63.07

C Med-High $((101.25))

97.20

$((106.49))

102.44

$((83.04))

79.72

$((83.04))

79.72

$((81.98))

78.70

C High $((102.26))

98.17

$((107.50))

103.41

$((86.81))

83.34

$((86.81))

83.34

$((85.52))

82.10

D Low $((72.65))

69.74

$((77.89))

74.98

$((69.99))

67.19

$((69.99))

67.19

$((66.01))

63.37

D Med $((83.48))

80.14

$((88.72))

85.38

$((80.57))

77.35

$((80.57))

77.35

$((80.39))

77.17

D Med-High $((107.33))

103.04

$((112.57))

108.28

$((101.96))

97.88

$((101.96))

97.88

$((96.37))

92.52

D High $((109.93))

105.53

$((115.17))

110.77

$((109.93))

105.53

$((109.93))

105.53

$((109.48))

105.10

E Med $((132.36))

127.07

$((137.60))

132.31

$((132.36))

127.07

$((132.36))

127.07

$((131.92))

126.64

E High $((154.80))

148.61

$((160.04))

153.85

$((154.80))

148.61

$((154.80))

148.61

$((154.36))

148.19


** 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.

[Statutory Authority: RCW 74.39A.030 (3)(a). 09-11-053, 388-105-0005, filed 5/13/09, effective 6/13/09. 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.]

Washington State Code Reviser's Office