WSR 11-17-144



(Aging and Disability Services Administration)

[ Filed August 24, 2011, 11:10 a.m. ]

Subject of Possible Rule Making: 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.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.39.030(3).

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Effective July 1, 2011, the department increased the daily medicaid payment rates for clients assessed using CARE tool and who reside in adult family homes or who reside in boarding homes contracted to provide AL, ARC, and EARC services. Under ESSB [2ESHB] 1087, the 2011/13 biennial operating budget, 2011 1st sp. sess., adult family home rates are enhanced to compensate for the licensing fee increase. Boarding home rates are restored to March 31, 2011, levels. However, because new training requirements are delayed pursuant to ESHB 1548, 2011 1st sp. sess., the previously given rate enhancement for training is removed from the boarding home rate until such a time that the new training requirements are reinstated.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None.

Process for Developing New Rule: DSHS welcomes the public to take part in developing the rules. Anyone interested should contact the staff person identified below. At a later date, DSHS will file a proposal with the office of the code reviser with a notice of proposed rule making. A copy of the proposal will be sent to everyone on the mailing list and to anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Ken Callaghan, P.O. Box 45600, Mailstop 45600, Olympia, WA 98504-5600, phone (360) 725-2499, fax (360) 725-2641, e-mail

August 24, 2011

Katherine I. Vasquez

Rules Coordinator

Washington State Code Reviser's Office