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WAC 388-105-0005

The daily medicaid payment rates for clients who have been assessed using the CARE tool and reside at an AFH or assisted living facility contracted to provide assisted living, adult residential care, or enhanced adult residential care services.

For contracted adult family homes (AFH) and assisted living facilities contracted to provide assisted living (AL), adult residential care (ARC), or enhanced adult residential care (EARC) services, the department pays the following daily rates for medicaid residents who have been assessed using the comprehensive assessment reporting evaluation (CARE) tool:
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 Without Capital Add-On
ARC/EARC With Capital Add-On
AFH
A Low
$73.34
$81.18
$52.02
$54.44
$71.96
A Med
$79.35
$87.19
$58.95
$61.37
$74.74
A High
$88.99
$96.83
$64.70
$67.12
$81.23
 
 
 
 
 
 
 
B Low
$73.34
$81.18
$52.02
$54.44
$73.40
B Med
$81.78
$89.62
$65.89
$68.31
$79.78
B Med-High
$92.54
$100.38
$70.04
$72.46
$86.56
B High
$97.39
$105.23
$79.97
$82.39
$89.05
 
 
 
 
 
 
 
C Low
$79.35
$87.19
$58.95
$61.37
$81.03
C Med
$88.99
$96.83
$73.83
$76.28
$93.33
C Med-High
$110.64
$118.48
$98.27
$100.69
$98.41
C High
$111.74
$119.58
$99.22
$101.64
$99.76
 
 
 
 
 
 
D Low
$81.78
$89.62
$79.50
$81.92
$86.46
D Med
$90.79
$98.63
$92.02
$94.44
$95.25
D Med-High
$117.26
$125.10
$116.86
$119.28
$114.84
D High
$126.30
$134.14
$126.30
$128.72
$130.57
 
 
 
 
 
 
E Med
$152.53
$160.37
$152.53
$154.95
$157.48
E High
$178.76
$186.60
$178.76
$181.18
$184.42
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 Without Capital Add-On
ARC/EARC With Capital Add-On
AFH
A Low
$67.30
$74.64
$52.02
$54.44
$70.78
A Med
$70.94
$78.28
$56.64
$59.06
$73.49
A High
$86.59
$93.93
$61.71
$64.13
$79.80
 
 
 
 
 
 
 
B Low
$67.30
$74.64
$52.02
$54.44
$72.18
B Med
$76.93
$84.27
$62.43
$64.85
$78.39
B Med-High
$87.09
$94.43
$66.35
$68.77
$84.98
B High
$94.98
$102.32
$77.73
$80.15
$87.41
 
 
 
 
 
 
 
C Low
$70.94
$78.28
$56.87
$59.29
$79.61
C Med
$86.59
$93.93
$72.92
$75.31
$91.57
C Med-High
$107.01
$114.35
$91.33
$93.75
$93.63
C High
$108.09
$115.43
$97.13
$99.55
$97.03
 
 
 
 
 
 
 
D Low
$76.93
$84.27
$78.41
$80.83
$84.89
D Med
$88.34
$95.68
$90.18
$92.60
$93.44
D Med-High
$113.42
$120.76
$113.99
$116.41
$111.37
D High
$122.85
$130.19
$122.85
$125.27
$126.36
 
 
 
 
 
 
E Med
$147.82
$155.16
$147.82
$150.24
$151.99
E High
$172.77
$180.11
$172.77
$175.19
$177.61
*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 Without Capital Add-On
ARC/EARC With Capital Add-On
AFH
A Low
$66.13
$73.79
$52.02
$54.44
$69.07
A Med
$70.94
$78.60
$55.50
$57.92
$71.67
A High
$86.59
$94.25
$60.73
$63.15
$77.73
 
 
 
 
 
 
 
B Low
$66.13
$73.79
$52.02
$54.44
$70.42
B Med
$76.93
$84.59
$61.27
$63.69
$76.38
B Med-High
$87.09
$94.25
$65.11
$67.53
$82.71
B High
$94.98
$102.64
$73.55
$75.97
$85.04
 
 
 
 
 
 
 
C Low
$70.94
$78.60
$55.50
$57.92
$77.55
C Med
$86.59
$94.25
$68.96
$71.38
$89.04
C Med-High
$107.01
$114.67
$87.87
$90.29
$91.01
C High
$108.09
$115.75
$91.83
$94.25
$93.08
 
 
 
 
 
 
 
D Low
$76.93
$84.59
$74.14
$76.56
$82.62
D Med
$88.34
$96.00
$85.28
$87.70
$90.83
D Med-High
$113.42
$121.08
$107.76
$110.18
$103.46
D High
$116.14
$123.80
$116.14
$118.56
$119.54
 
 
 
 
 
 
E Med
$139.74
$147.40
$139.74
$142.16
$143.76
E High
$163.33
$170.99
$163.33
$165.75
$167.99
** 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)(a). WSR 18-21-001, § 388-105-0005, filed 10/3/18, effective 11/3/18; WSR 18-03-097, § 388-105-0005, filed 1/17/18, effective 2/17/18; WSR 17-02-029, § 388-105-0005, filed 12/28/16, effective 1/28/17. Statutory Authority: RCW 74.39A.050 (3)(a). WSR 16-05-028, § 388-105-0005, filed 2/9/16, effective 3/11/16; 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.]
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