(1) Initial license. An applicant shall submit to the department an initial 12-month license fee of $5,000 for each service category (home care, home health, hospice) for persons not currently licensed to provide in-home services in Washington state.
(2) Adding new service categories to existing license. A licensee shall submit to the department an initial 12-month license fee of $5,000 for each new service category (home care, home health, hospice, hospice care center) for licensees not currently licensed in that category to provide in-home services in Washington state.
(3) County surcharge. An applicant or licensee shall submit to the department a service area county surcharge. One county of operation for each applicant or licensee is not subject to a county surcharge. Each additional county of operation is charged at:
(a) $500 per urban county; and
(b) $100 per rural county.
(4) Renewal license. A licensee shall submit to the department a 24 month renewal fee for home care, home health and hospice agencies, based on the number of full-time equivalents (FTEs), which is a measurement based on a 40 hour week and is applicable to paid agency personnel or contractors, according to Tables 1 and 2 of this section. The department will assume a minimum of 2 FTE for each approved service area per service category. The licensee shall submit to the department a 24 month renewal fee for hospice care centers, based on the number of beds, according to Tables 1 and 2 of this section.
(a) Unless eligible under (b) of this subsection, a licensee shall submit to the department applicable fees under Table 1:
Table 1 - Standard Renewal Fees
# of FTEs | Home Care | Home Health | Hospice | # of Beds | Hospice Care Center | |||||
5 or less | $2,400.00 | $5,100.00 | $2,500.00 | 5 or less | $2,500.00 | |||||
6 to 15 | $2,800.00 | $7,200.00 | $2,900.00 | 6 to 10 | $3,400.00 | |||||
16 to 50 | $3,000.00 | $8,100.00 | $3,700.00 | 11 to 15 | $5,100.00 | |||||
51 to 100 | $3,500.00 | $10,300.00 | $6,400.00 | 16 to 20 | $6,800.00 | |||||
101 or more | $3,700.00 | $10,600.00 | $6,700.00 | |||||||
(b) A licensee shall submit to the department applicable fees under Table 2 when a licensee has satisfied the substantial equivalency requirements of WAC 246-335-350 and:
(i) Is medicare certified (home health and hospice agencies only);
(ii) Is accredited by an accrediting organization recognized by the department (home health and hospice agencies only); or
(iii) Is under contract with and monitored by DSHS or the AAA (home care agencies only).
Table 2 - Renewal Fees for Facilities Certified by Medicare, Accredited, or Contracted by DSHS or AAA
# of FTEs | Home Care | Home Health | Hospice | # of Beds | Hospice Care Center | |||||
5 or less | $1,700.00 | $3,600.00 | $1,800.00 | 5 or less | $1,800.00 | |||||
6 to 15 | $2,000.00 | $5,000.00 | $2,000.00 | 6 to 10 | $2,400.00 | |||||
16 to 50 | $2,100.00 | $5,700.00 | $2,600.00 | 11 to 15 | $3,600.00 | |||||
51 to 100 | $2,500.00 | $7,200.00 | $4,500.00 | 16 to 20 | $4,800.00 | |||||
101 or more | $2,600.00 | $7,400.00 | $4,700.00 | |||||||
(5) Change of ownership. A change of ownership fee of $500 for each licensed service category (home care, home health, hospice, hospice care center). A new license will be issued and valid for the remainder of the current license period.
(6) The department may charge and collect from a licensee a fee of $5,000 for:
(a) An on-site follow-up compliance survey deemed necessary in order to complete the survey process;
(b) An on-site compliance survey deemed necessary due to failure of the licensee to adequately respond to a statement of deficiencies or a directed plan of correction;
(c) An on-site compliance survey deemed necessary due to a substantiated complaint investigation; or
(d) State licensing surveys conducted during renewal periods that require on-site survey time beyond two days.
(7) A licensee that is not subject to the state survey requirement according to WAC 246-335-350 shall pay fees according to this section.
(8) A licensee shall submit an additional late fee in the amount of $50 per day. The additional late fee will not exceed $1,000, from the renewal date, which is 30 days before the current license expiration date, until the date of mailing the fee, as evidenced by the postmark, or electronic submission.
(9) Refunds. The department shall refund fees paid by the applicant for initial licensure as follows:
(a) If an application has been received but no on-site survey or technical assistance has been performed or provided by the department, two-thirds of the fees paid, less a $50 processing fee; or
(b) If an application has been received and an on-site survey or technical assistance has been performed or provided by the department, one-third of the fees paid, less a $50 processing fee.
(10) The department may not refund applicant fees if:
(a) The department has performed more than one on-site visit for any purpose;
(b) Nine months has elapsed since an initial licensure application is received by the department, but no license has been issued due to applicant's failure to complete the requirements for licensure; or
(c) The amount to be refunded as calculated by subsection (9)(a) or (b) of this section is ten dollars or less.
[Statutory Authority: RCW 43.70.110, 43.70.250, and 70.127.090. WSR 26-04-110, s 246-335-990, filed 2/3/26, effective 6/1/26. Statutory Authority: RCW 70.127.120 and 43.70.250. WSR 18-06-093, § 246-335-990, filed 3/6/18, effective 4/6/18. Statutory Authority: Chapter 43.70 RCW, 2011 1st sp.s. c 50. WSR 12-11-063, § 246-335-990, filed 5/15/12, effective 6/30/12. Statutory Authority: RCW 43.70.250, 70.38.105, 18.46.030, 70.127.090, 43.70.040. WSR 08-12-036, § 246-335-990, filed 5/30/08, effective 7/1/08. Statutory Authority: RCW 43.70.250 and 70.127.090. WSR 04-19-142, § 246-335-990, filed 9/22/04, effective 10/23/04. Statutory Authority: RCW 43.70.250 and 70.38.105(5). WSR 03-22-020, § 246-335-990, filed 10/27/03, effective 11/27/03. Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-990, filed 8/23/02, effective 10/1/02.]