STATE OF WASHINGTON

DEPARTMENT OF SOCIAL AND HEALTH SERVICES

AGING AND DISABILITY SERVICES ADMINISTRATION

PO Box 45600 « Olympia, WA 98504-5600

H13-046 – Policy/Procedure

July 26, 2013

TO: / Area Agency on Aging (AAA) Directors
Home and Community Services (HSC) Division Regional Administrators
FROM: / Bea Rector, Director, Home and Community Services Division
Chanh Ly, Director, Management Services Division
SUBJECT: /
Assisted Living Facilities with Assisted Living Contracts Receiving Capital Add-On Rate July 1, 2013 through June 30, 2014
Purpose: / To notify field staff of the Assisted Living (AL) Facility contracts that will receive a capital add-on to their Medicaid daily rate for the state fiscal year (SFY) 2014 beginning July 1, 2013 and ending June 30, 2014.
Background: / Under RCW 74.39A.320 and WAC 388-105-0035, the Department will:
·  Pay a capital add-on rate for every SFY to any AL contractor that has a Medicaid occupancy percentage of sixty percent or greater. The Medicaid occupancy percentage will be calculated using Medicaid service days from the last six months of the calendar year preceding the applicable fiscal year divided by the product of all the AL contractors’ licensed boarding home beds irrespective of use, times calendar days for the same six-month period; and
·  Include in Medicaid service days those from Medicaid managed long-term care program, including but not limited to the Program for All-inclusive Care of the Elderly (PACE) and the Washington Medicaid Integration Project (WMIP).
What’s new, changed, or
Clarified / The WAC and procedure remain the same. The list of facilities that will qualify for the capital add-on rate for SFY 2014 (July 1, 2013 through June 30, 2014) is attached.
ACTION: / By the July 2013 Social Service Payment System (SSPS) cutoff date, field staff must adjust rates to “AL with a capital add-on rate” for all Medicaid residents receiving assisted living services in the facilities listed in Attachment A.
Related
REFERENCES: / RCW 74.39A.320; WAC 388-105-0035
ATTACHMENT(S): / Attachment A:

CONTACT(S): / Lynda Di Giorgio, Management Services Division
(360) 725-2473