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 assisted living facilities contracted to provide assisted livi...

Link to law: http://apps.leg.wa.gov/wac/default.aspx?cite=388-105-0005
Published: 2015

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WACs > Title 388 > Chapter 388-105 > Section 388-105-0005











Beginning of Chapter    

388-105-0035







Agency filings affecting this section







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 assisted living facilities contracted to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.









For contracted AFH and assisted living facilities 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 $65.58 $71.00 $46.51 $46.51 $47.59

A Med $70.97 $76.39 $52.71 $52.71 $53.84

A High $79.58 $85.00 $57.85 $57.85 $60.10

             

B Low $65.58 $71.00 $46.51 $46.51 $47.82

B Med $73.13 $78.55 $58.92 $58.92 $60.39

B Med-High $82.76 $88.18 $62.62 $62.62 $64.62

B High $87.10 $92.52 $71.52 $71.52 $73.71

             

C Low $70.97 $76.39 $52.71 $52.71 $53.84

C Med $79.58 $85.00 $66.05 $66.05 $68.42

C Med-High $98.96 $104.38 $87.89 $87.89 $89.26

C High $99.94 $105.36 $88.73 $88.73 $90.49

           

D Low $73.13 $78.55 $71.09 $71.09 $69.72

D Med $81.20 $86.62 $82.29 $82.29 $85.07

D Med-High $104.87 $110.29 $104.52 $104.52 $102.12

D High $112.97 $118.39 $112.97 $112.97 $116.10

           

E Med $136.43 $141.85 $136.43 $136.43 $140.04

E High $159.89 $165.31 $159.89 $159.89 $163.99



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 $60.19 $65.11 $46.51 $46.51 $47.59

A Med $63.43 $68.35 $50.64 $50.64 $51.75

A High $77.43 $82.35 $55.18 $55.18 $56.96

             

B Low $60.19 $65.11 $46.51 $46.51 $47.82

B Med $68.80 $73.72 $55.82 $55.82 $57.24

B Med-High $77.88 $82.80 $59.33 $59.33 $61.30

B High $84.95 $89.87 $69.51 $69.51 $71.66

             

C Low $63.43 $68.35 $50.85 $50.85 $52.13

C Med $77.43 $82.35 $65.21 $65.21 $66.78

C Med-High $95.71 $100.63 $81.69 $81.69 $83.02

C High $96.67 $101.59 $86.87 $86.87 $88.01

             

D Low $68.80 $73.72 $70.12 $70.12 $68.21

D Med $79.00 $83.92 $80.65 $80.65 $82.81

D Med-High $101.44 $106.36 $101.95 $101.95 $99.04

D High $109.88 $114.80 $109.88 $109.88 $112.36

           

E Med $132.21 $137.13 $132.21 $132.21 $135.15

E High $154.54 $159.46 $154.54 $154.54 $157.94

*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 $59.13 $64.37 $46.51 $46.51 $47.59

A Med $63.43 $68.67 $49.62 $49.62 $50.72

A High $77.43 $82.67 $54.30 $54.30 $55.93

             

B Low $59.13 $64.37 $46.51 $46.51 $47.82

B Med $68.80 $74.04 $54.79 $54.79 $56.20

B Med-High $77.88 $83.12 $58.22 $58.22 $60.12

B High $84.95 $90.19 $65.77 $65.77 $67.84

             

C Low $63.43 $68.67 $49.62 $49.62 $50.72

C Med $77.43 $82.67 $61.66 $61.66 $64.27

C Med-High $95.71 $100.95 $78.58 $78.58 $79.90

C High $96.67 $101.91 $82.13 $82.13 $83.30

             

D Low $68.80 $74.04 $66.30 $66.30 $64.57

D Med $79.00 $84.24 $76.26 $76.26 $78.37

D Med-High $101.44 $106.68 $96.38 $96.38 $93.72

D High $103.88 $109.12 $103.88 $103.88 $106.30

           

E Med $124.99 $130.23 $124.99 $124.99 $127.84

E High $146.10 $151.34 $146.10 $146.10 $149.39

** 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.050 (3)(a). WSR 14-03-113, § 388-105-0005, filed 1/21/14, effective 2/21/14. Statutory Authority: RCW 74.39A.030 (3)(a). WSR 13-03-093, § 388-105-0005, filed 1/15/13, effective 2/15/13. Statutory Authority: RCW 74.34 RCW based on 2011 1st sp.s. c 7. WSR 12-02-050, § 388-105-0005, filed 12/30/11, effective 1/30/12. Statutory Authority: RCW 74.39A.030(3) and 2010 c 37 § 206 (19)(a). WSR 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). WSR 09-20-011, § 388-105-0005, filed 9/25/09, effective 10/26/09. Statutory Authority: RCW 74.39A.030 (3)(a). WSR 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. WSR 06-19-017, § 388-105-0005, filed 9/8/06, effective 10/9/06. Statutory Authority: Chapter 74.39A RCW. WSR 06-07-013, § 388-105-0005, filed 3/3/06, effective 4/3/06. Statutory Authority: RCW 74.39A.030, 2003 c 231. WSR 04-09-092, § 388-105-0005, filed 4/20/04, effective 5/21/04. Statutory Authority: 2002 c 371. WSR 02-22-058, § 388-105-0005, filed 10/31/02, effective 12/1/02. Statutory Authority: 2001 c 7 § 206. WSR 01-21-077, § 388-105-0005, filed 10/18/01, effective 11/18/01. Statutory Authority: Chapter 74.39A RCW. WSR 01-14-056, § 388-105-0005, filed 6/29/01, effective 7/30/01.]