H17-066– Procedure

August03,2017

TO: / Area Agency on Aging (AAA) Directors
Home and Community Services (HCS) Division Regional Administrators
Developmental Disabilities Administration (DDA) Regional Administrators
FROM: / Kathy Morgan, Acting Director, Home and Community Services Division
Chanh Ly, Director, Management Services Division
Don Clintsman, Deputy Assistant Secretary, Developmental Disabilities Administration
SUBJECT: / Licensed Assisted Living Facilities with Assisted Living Contracts Receiving a Capital Add-on Rate July 1, 2017 through June 30, 2018
Purpose: / To notify field staff of the Licensed Assisted Living Facilities with Assisted Living (AL) contracts that will receive a capital add-on to their Medicaid daily rate for the State Fiscal Year (SFY)2018beginning July 1, 2017 and ending June 30, 2018.
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 assisted living facilities 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 for the Elderly (PACE).

What’s new, changed, or
Clarified: / The WAC and procedure remain the same.
Not all AL facilities that qualified for the capital add-on rate for SFY 2017 (July 1, 2016 through June 30, 2017) qualified for the add-on for SFY 2018 (July 1, 2017 through June 30, 2018). There are also some AL facilities on the new list, attached below, that were not on the SFY 2016 list.
ACTION: /
  • Staff must begin authorizing new services for July 1 forward using the new rates.
  • After June 30, 2017, view all July 1, 2017 rates at:

Related
REFERENCES: / RCW 74.39A.320; WAC 388-105-0035
ATTACHMENT(S): / Attachment A:
AL Facilities Qualified for Capital Add-on July 1, 2017 – June 30, 2018 Because Their Medicaid Occupancy Was 60% or Greater for July 2016-Dec 2016:

Attachment B:
AL Facilities Qualified for Capital Add-on July 1, 2016 - June 30, 2017 But Not Qualified for July 1, 2017 – June 30, 2018:

CONTACT(S): / Damien Valadez,Management Analyst 5/Office of Rates Management

360-725-3274

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