WSR 11-23-012

PROPOSED RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed November 7, 2011, 8:21 a.m. ]

Original Notice.

Preproposal statement of inquiry was filed as WSR 11-17-144; and proposal is exempt under RCW 34.05.310(4).

Title of Rule and Other Identifying Information: 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.

Hearing Location(s): Office Building 2, Auditorium, DSHS Headquarters, 1115 Washington, Olympia, WA 98504 (public parking at 11th and Jefferson. A map is available at http://www1.dshs.wa.gov/msa/rpau/RPAU-OB-2directions.html or by calling (360) 664-6094), on December 27, 2011, at 10:00 a.m.

Date of Intended Adoption: Not sooner than December 28, 2011.

Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504-5850, delivery 1115 Washington Street S.E., Olympia, WA 98504, e-mail DSHSRPAURulesCoordinator@dshs.wa.gov, fax (360) 664-6185, by 5 p.m. on December 27, 2011.

Assistance for Persons with Disabilities: Contact Jennisha Johnson, DSHS rules consultant, by December 13, 2011, TTY (360) 664-6178 or (360) 664-6094 or by e-mail at jennisha.johnson@dshs.wa.gov.

Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: Effective July 1, 2011, the department increased the daily medicaid payment rates for clients assessed using the CARE tool and who resident 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 ot [to] ESHB 1548, 2011 1st sp. sess., the previously given rate enhancement for training is removed from the boarding home rate until such time that the new training requirements are reinstated.

Statutory Authority for Adoption: New chapter 74.34 RCW based on chapter 7, Laws of 2011 1st sp. sess.

Statute Being Implemented: Chapter 74.34 RCW.

Rule is not necessitated by federal law, federal or state court decision.

Name of Proponent: Department of social and health services, governmental.

Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Ken Callaghan, 4500 10th Avenue S.E., Lacey, WA, (360) 725-2499.

No small business economic impact statement has been prepared under chapter 19.85 RCW. Pursuant to RCW 19.85.025(3), a small business economic impact statement is not required because this rule adjusts rates according to legislative standards.

A cost-benefit analysis is not required under RCW 34.05.328. Proposal is exempt under RCW 34.05.310(4).

November 3, 2011

Katherine I. Vasquez

Rules Coordinator

4289.2
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))

66.52

$((72.07))

71.94

$((47.19))

47.06

$((47.19))

47.06

$((46.39))

46.61

A Med $((72.15))

72.02

$((77.57))

77.44

$((53.52))

53.39

$((53.52))

53.39

$((52.64))

52.86

A High $((80.94))

80.81

$((86.36))

86.23

$((58.76))

58.63

$((58.76))

58.63

$((58.90))

59.12

B Low $((66.65))

66.52

$((72.07))

71.94

$((47.19))

47.06

$((47.19))

47.06

$((46.62))

46.84

B Med $((74.35))

74.22

$((79.77))

79.64

$((59.85))

59.72

$((59.85))

59.72

$((59.19))

59.41

B Med-High $((84.18))

84.05

$((89.60)) 89.47 $((63.63))

63.50

$((63.63))

63.50

$((63.42))

63.64

B High $((88.61))

88.48

$((94.03))

93.90

$((72.71))

72.58

$((72.71))

72.58

$((72.51))

72.73

C Low $((72.15))

72.02

$((77.57))

77.44

$((53.52))

53.39

$((53.52))

53.39

$((52.64))

52.86

C Med $((80.94))

80.81

$((86.36))

86.23

$((67.13))

67.00

$((67.13))

67.00

$((67.22))

67.44

C Med-High $((100.71))

100.58

$((106.13))

106.00

$((89.42))

89.29

$((89.42))

89.29

$((88.06))

88.28

C High $((101.71))

101.58

$((107.13))

107.00

$((90.27))

90.14

$((90.27))

90.14

$((89.29))

89.51

D Low $((74.35))

74.22

$((79.77))

79.64

$((72.27))

72.14

$((72.27))

72.14

$((68.52))

68.74

D Med $((82.59))

82.46

$((88.01))

87.88

$((83.70))

83.57

$((83.70))

83.57

$((83.87))

84.09

D Med-High $((106.74))

106.61

$((112.16))

112.03

$((106.39))

106.26

$((106.39))

106.26

$((100.92))

101.14

D High $((115.01))

114.88

$((120.43))

120.30

$((115.01))

114.88

$((115.01))

114.88

$((114.90))

115.12

E Med $((138.95))

138.82

$((144.37))

144.24

$((138.95))

138.82

$((138.95))

138.82

$((138.84))

139.06

E High $((162.89))

162.76

$((168.31))

168.18

$((162.89))

162.76

$((162.89))

162.76

$((162.79))

163.01


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))

61.02

$((66.07))

65.94

$((47.19))

47.06

$((47.19))

47.06

$((46.39))

46.61

A Med $((64.46))

64.33

$((69.38))

69.25

$((51.41))

51.28

$((51.41))

51.28

$((50.55))

50.77

A High $((78.74))

78.61

$((83.66))

83.53

$((56.04))

55.91

$((56.04))

55.91

$((55.76))

55.98

B Low $((61.15))

61.02

$((66.07))

65.94

$((47.19))

47.06

$((47.19))

47.06

$((46.62))

46.84

B Med $((69.94))

69.81

$((74.86))

74.73

$((56.69))

56.56

$((56.69))

56.56

$((56.04))

56.26

B Med-High $((79.20))

79.07

$((84.12))

83.99

$((60.27))

60.14

$((60.27))

60.14

$((60.10))

60.32

B High $((86.42))

86.29

$((91.34))

91.21

$((70.66))

70.53

$((70.66))

70.53

$((70.46))

70.68

C Low $((64.46))

64.33

$((69.38))

69.25

$((51.62))

51.49

$((51.62))

51.49

$((50.93))

51.15

C Med $((78.74))

78.61

$((83.66))

83.53

$((66.27))

66.14

$((66.27))

66.14

$((65.58))

65.80

C Med-High $((97.40))

97.27

$((102.32))

102.19

$((83.09))

82.96

$((83.09))

82.96

$((81.82))

82.04

C High $((98.37))

98.24

$((103.29))

103.16

$((88.37))

88.24

$((88.37))

88.24

$((86.81))

87.03

D Low $((69.94))

69.81

$((74.86))

74.73

$((71.28))

71.15

$((71.28))

71.15

$((67.01))

67.23

D Med $((80.34))

80.21

$((85.26))

85.13

$((82.03))

81.90

$((82.03))

81.90

$((81.61))

81.83

D Med-High $((103.24))

103.11

$((108.16))

108.03

$((103.76))

103.63

$((103.76))

103.63

$((97.84))

98.06

D High $((111.85))

111.72

$((116.77))

116.64

$((111.85))

111.72

$((111.85))

111.72

$((111.16))

111.38

E Med $((134.64))

134.51

$((139.56))

139.43

$((134.64))

134.51

$((134.64))

134.51

$((133.95))

134.17

E High $((157.43))

157.30

$((162.35))

162.22

$((157.43))

157.30

$((157.43))

157.30

$((156.74))

156.96

*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))

59.94

$((65.31))

65.18

$((47.19))

47.06

$((47.19))

47.06

$((46.39))

46.61

A Med $((64.46))

64.33

$((69.70))

69.57

$((50.36))

50.23

$((50.36))

50.23

$((49.52))

49.74

A High $((78.74))

78.61

$((83.98))

83.85

$((55.14))

55.01

$((55.14))

55.01

$((54.73))

54.95

B Low $((60.07))

59.94

$((65.31))

65.18

$((47.19))

47.06

$((47.19))

47.06

$((46.62))

46.84

B Med $((69.94))

69.81

$((75.18))

75.05

$((55.64))

55.51

$((55.64))

55.51

$((55.00))

55.22

B Med-High $((79.20))

79.07

$((84.44))

84.31

$((59.14))

59.01

$((59.14))

59.01

$((58.92))

59.14

B High $((86.42))

86.29

$((91.66))

91.53

$((66.84))

66.71

$((66.84))

66.71

$((66.64))

66.86

C Low $((64.46))

64.33

$((69.70))

69.57

$((50.36))

50.23

$((50.36))

50.23

$((49.52))

49.74

C Med $((78.74))

78.61

$((83.98))

83.85

$((62.65))

62.52

$((62.65))

62.52

$((63.07))

63.29

C Med-High $((97.40))

97.27

$((102.64))

102.51

$((79.92))

79.79

$((79.92))

79.79

$((78.70))

78.92

C High $((98.37))

98.24

$((103.61))

103.48

$((83.54))

83.41

$((83.54))

83.41

$((82.10))

82.32

D Low $((69.94))

69.81

$((75.18))

75.05

$((67.39))

67.26

$((67.39))

67.26

$((63.37))

63.59

D Med $((80.34))

80.21

$((85.58))

85.45

$((77.55))

77.42

$((77.55))

77.42

$((77.17))

77.39

D Med-High $((103.24))

103.11

$((108.48))

108.35

$((98.08))

97.95

$((98.08))

97.95

$((92.52))

92.74

D High $((105.73))

105.60

$((110.97))

110.84

$((105.73))

105.60

$((105.73))

105.60

$((105.10))

105.32

E Med $((127.27))

127.14

$((132.51))

132.38

$((127.27))

127.14

$((127.27))

127.14

$((126.64))

126.86

E High $((148.81))

148.68

$((154.05))

153.92

$((148.81))

148.68

$((148.81))

148.68

$((148.19))

148.41


** 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