WSR 11-08-001

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed March 24, 2011, 10:02 a.m. , effective April 1, 2011 ]


Effective Date of Rule: April 1, 2011.

Purpose: Effective April 1, 2011, the department will decrease the daily medicaid payment rates for clients assessed using the comprehensive assessment reporting evaluation (CARE) tool and that reside in boarding homes contracted to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Under the Governor's Executive Order 10-04, the aging and disability services administration (ADSA) must reduce its expenditures for the current fiscal year ending June 30, 2011, by 6.287 percent. To help achieve this level of reduction, ADSA anticipates the possibility of reducing its medicaid payment rates to licensed boarding homes.

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

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

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: Under the Governor's Executive Order 10-04, ADSA must reduce its expenditures for the current fiscal year ending June 30, 2011, by 6.287 percent. To help achieve this level of reduction, ADSA anticipates the possibility of reducing its medicaid payment rates to licensed boarding homes.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.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: March 23, 2011.

Katherine I. Vasquez

Rules Coordinator

4289.1
AMENDATORY SECTION(Amending WSR 10-21-035, filed 10/12/10, effective 10/29/10)

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 $((66.65))

61.98

$((72.07))

67.40

$((47.19))

43.89

$((47.19))

43.89

$46.39
A Med $((72.15))

67.10

$((77.57))

72.52

$((53.52))

49.77

$((53.52))

49.77

$52.64
A High $((80.94))

75.27

$((86.36))

80.69

$((58.76))

54.65

$((58.76))

54.65

$58.90
B Low $((66.65))

61.98

$((72.07))

67.40

$((47.19))

43.89

$((47.19))

43.89

$46.62
B Med $((74.35))

69.15

$((79.77))

74.57

$((59.85))

55.66

$((59.85))

55.66

$59.19
B Med-High $((84.18))

78.29

$((89.60))

83.71

$((63.63))

59.18

$((63.63))

59.18

$63.42
B High $((88.61))

82.41

$((94.03))

87.83

$((72.71))

67.62

$((72.71))

67.62

$72.51
C Low $((72.15))

67.10

$((77.57))

72.52

$((53.52))

49.77

$((53.52))

49.77

$52.64
C Med $((80.94))

75.27

$((86.36))

80.69

$((67.13))

62.43

$((67.13))

62.43

$67.22
C Med-High $((100.71))

93.66

$((106.13))

99.08

$((89.42))

83.16

$((89.42))

83.16

$88.06
C High $((101.71))

94.59

$((107.13))

100.01

$((90.27))

83.95

$((90.27))

83.95

$89.29
D Low $((74.35))

69.15

$((79.77))

74.57

$((72.27))

67.21

$((72.27))

67.21

$68.52
D Med $((82.59))

76.81

$((88.01))

82.23

$((83.70))

77.84

$((83.70))

77.84

$83.87
D Med-High $((106.74))

99.27

$((112.16))

104.69

$((106.39))

98.94

$((106.39))

98.94

$100.92
D High $((115.01))

106.96

$((120.43))

112.38

$((115.01))

106.96

$((115.01))

106.96

$114.90
E Med $((138.95))

129.22

$((144.37))

134.64

$((138.95))

129.22

$((138.95))

129.22

$138.84
E High $((162.89))

151.49

$((168.31))

156.91

$((162.89))

151.49

$((162.89))

151.49

$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 $((61.15))

56.87

$((66.07))

61.79

$((47.19))

43.89

$((47.19))

43.89

$46.39
A Med $((64.46))

59.95

$((69.38))

64.87

$((51.41))

47.81

$((51.41))

47.81

$50.55
A High $((78.74))

73.23

$((83.66))

78.15

$((56.04))

52.12

$((56.04))

52.12

$55.76
B Low $((61.15))

56.87

$((66.07))

61.79

$((47.19))

43.89

$((47.19))

43.89

$46.62
B Med $((69.94))

65.04

$((74.86))

69.96

$((56.69))

52.72

$((56.69))

52.72

$56.04
B Med-High $((79.20))

73.66

$((84.12))

78.58

$((60.27))

56.05

$((60.27))

56.05

$60.10
B High $((86.42))

80.37

$((91.34))

85.29

$((70.66))

65.71

$((70.66))

65.71

$70.46
C Low $((64.46))

59.95

$((69.38))

64.87

$((51.62))

48.01

$((51.62))

48.01

$50.93
C Med $((78.74))

73.23

$((83.66))

78.15

$((66.27))

61.63

$((66.27))

61.63

$65.58
C Med-High $((97.40))

90.58

$((102.32))

95.50

$((83.09))

77.27

$((83.09))

77.27

$81.82
C High $((98.37))

91.48

$((103.29))

96.40

$((88.37))

82.18

$((88.37))

82.18

$86.81
D Low $((69.94))

65.04

$((74.86))

69.96

$((71.28))

66.29

$((71.28))

66.29

$67.01
D Med $((80.34))

74.72

$((85.26))

79.64

$((82.03))

76.29

$((82.03))

76.29

$81.61
D Med-High $((103.24))

96.01

$((108.16))

100.93

$((103.76))

96.50

$((103.76))

96.50

$97.84
D High $((111.85))

104.02

$((116.77))

108.94

$((111.85))

104.02

$((111.85))

104.02

$111.16
E Med $((134.64))

125.22

$((139.56))

130.14

$((134.64))

125.22

$((134.64))

125.22

$133.95
E High $((157.43))

146.41

$((162.35))

151.33

$((157.43))

146.41

$((157.43))

146.41

$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 $((60.07))

55.87

$((65.31))

61.11

$((47.19))

43.89

$((47.19))

43.89

$46.39
A Med $((64.46))

59.95

$((69.70))

65.19

$((50.36))

46.83

$((50.36))

46.83

$49.52
A High $((78.74))

73.23

$((83.98))

78.47

$((55.14))

51.28

$((55.14))

51.28

$54.73
B Low $((60.07))

55.87

$((65.31))

61.11

$((47.19))

43.89

$((47.19))

43.89

$46.62
B Med $((69.94))

65.04

$((75.18))

70.28

$((55.64))

51.75

$((55.64))

51.75

$55.00
B Med-High $((79.20))

73.66

$((84.44))

78.90

$((59.14))

55.00

$((59.14))

55.00

$58.92
B High $((86.42))

80.37

$((91.66))

85.61

$((66.84))

62.16

$((66.84))

62.16

$66.64
C Low $((64.46))

59.95

$((69.70))

65.19

$((50.36))

46.83

$((50.36))

46.83

$49.52
C Med $((78.74))

73.23

$((83.98))

78.47

$((62.65))

58.26

$((62.65))

58.26

$63.07
C Med-High $((97.40))

90.58

$((102.64))

95.82

$((79.92))

74.33

$((79.92))

74.33

$78.70
C High $((98.37))

91.48

$((103.61))

96.72

$((83.54))

77.69

$((83.54))

77.69

$82.10
D Low $((69.94))

65.04

$((75.18))

70.28

$((67.39))

62.67

$((67.39))

62.67

$63.37
D Med $((80.34))

74.72

$((85.58))

79.96

$((77.55))

72.12

$((77.55))

72.12

$77.17
D Med-High $((103.24))

96.01

$((108.48))

101.25

$((98.08))

91.21

$((98.08))

91.21

$92.52
D High $((105.73))

98.33

$((110.97))

103.57

$((105.73))

98.33

$((105.73))

98.33

$105.10
E Med $((127.27))

118.36

$((132.51))

123.60

$((127.27))

118.36

$((127.27))

118.36

$126.64
E High $((148.81))

138.39

$((154.05))

143.63

$((148.81))

138.39

$((148.81))

138.39

$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) and 2010 c 37 206 (19)(a). 10-21-035, 388-105-0005, filed 10/12/10, effective 10/29/10. Statutory Authority: RCW 74.39A.030(3), 18.20.290, and 2009 c 564 206(4). 09-20-011, 388-105-0005, filed 9/25/09, effective 10/26/09. 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