STATE OF WASHINGTON



348615022860000STATE OF WASHINGTONDEPARTMENT OF SOCIAL AND HEALTH SERVICESAging and Long-Term Support AdministrationHome and Community Services DivisionPO Box 45600, Olympia, WA 98504-560094996016065500H17-065 – Policy & ProcedureAugust 03, 2017 TO: Area Agency on Aging (AAA) DirectorsHome and Community Services (HCS) Division Regional AdministratorsDevelopmental Disabilities Administration (DDA) Regional AdministratorsFROM:Kathy Morgan, Acting Director, Home and Community Services DivisionChanh Ly, Director, Management Services DivisionDon Clintsman, Deputy Assistant Secretary of Developmental Disabilities Administration (DDA)SUBJECT: July 1, 2017 Home and Community Service RatesPurpose:To notify field staff of changes in Home and Community (HCS) rates effective July 1, 2017.Background:Based on the budget passed by the Legislature, some HCS rates will change. What’s new, changed, orClarified:Effective July 1, 2017, Adult Family Home rates will increase (see Appendix A).Effective July 1, 2017, Assisted Living, Adult Residential Care, and Enhanced Adult Residential Care rates increased by a 2% vendor rate increase and minimum wage (see Reference Link).Effective July 1, 2017, the Specialized Dementia Care daily rates increased by a 2% vendor rate increase and minimum wage (see Reference Link).Effective July 1, 2017, the Expanded Community Service (ECS) daily rate increased by a 2% vendor rate increase and minimum wage. The add-on rate will change from $107.68 to $113.07 for the Enhanced Adult Residential Care (EARC). The cap on the sum of the EARC [T1020, U3] daily rate plus the ECS Add-On for the EARC [T2033, U3] will change from $107.68 to $113.07.Effective July 1, 2017, the Adult Day Care and Adult Day Health daily rates have been increased by a 2% vendor rate increase and minimum wage (see Reference Link).Effective September 1, 2017, Nurse Delegation [H2014, U5] will increase from $32.96 to $45.32.Effective July 1, 2017, Private Duty Nursing hourly RN and LPN will increase by 2% vendor rate increase. RN [T1000, TD] from $44.96 hourly and $11.24 quarter hour to $45.84 hourly and $11.46 quarter hour. LPN [T1000 and T1000, TE] from $36.96 hourly and $9.24 quarter hour to $37.68 hourly and $9.42 quarter hour. Effective July 1, 2017, Expanded Community Service daily rate increased. The rate will change from $117.72 to $122.43 in Adult Family Homes. The cap on the sum of the Adult Family Home [T1020, U1] daily rate plus the ECS Add-On for the AFH [T2033, U1] will change from $117.72 to $122.43.Effective July 1, 2017, Specialized Behavioral Support Add-On for Adult Family Homes has increased from $104.33 to $108.50. Effective July 1, 2017, Specialty Private Duty Nursing Daily Rate in Adult Family Homes has increased from $591.82 to $691.10. Effective July 1, 2017, HIV/AIDS House Rates in Adult Family Homes who have a contract with the state to provide specialized HIV/AIDS care shall receive a specialized daily rate, or the Base Daily Rate, whichever is greater. Effective July 1, 2017, the daily rate for Adult Family Homes providing specialized HIV/AIDS care shall be increased from $95.50 to $99.32.Effective July 1, 2017, Respite Services in Adult Family Homes who have a contract with the State to provide Respite Services as defined in WAC 388-845 and WAC 388-825 shall receive a Respite Hourly Rate. Effective July 1, 2017, the Respite Hourly Rate paid to Adult Family Home providers providing up to nine (9) hours of respite services in a twenty-four (24) hour period shall remain $14.76 per hour for each hour of service provided. Effective July 1, 2017, Adult Family Home providers who provide nine (9) or more hours of respite services in a twenty-four (24) hour period, including overnight stays, shall receive a maximum amount of $132.84 per day which is the equivalent of nine hours at the Respite Hourly Rate.For clients who have a CARE Classification Base Daily Rate that is higher than the maximum amount of $132.84, the provider shall receive an additional two (2) hours at the Respite Hourly Rate for a total of eleven (11) hours, which is equivalent to $162.36 per day. Effective July 1, 2017, Adult Family Home providers who have a contract with the State to provide support to clients with an assessed need for support to access and participate in the community will receive an adjusted daily rate to provide four (4) hours per month. The adjusted daily rate will be the total of the Service Area Community Integration daily rate added to the Base Daily Rate. The Community Integration Service Area daily rates are set as follows: King County: one dollar and eighty-two cents ($1.82); Metropolitan Service Area: one dollar and seventy-seven cents ($1.77); and the Non-Metropolitan Service Area: one dollar and seventy-one cents ($1.71). Effective July 1, 2017 the adjusted daily rates for Adult Family Home providers who support clients to access and participate in the community shall be as shown in Appendix B.Adult Family Home providers who transport clients to access and participate in the community as authorized in the client’s care or service plan, will be reimbursed per-mile driven for up to one-hundred (100) miles per month per client based on the standard mileage rate recognized by the Internal Revenue Service federal mileage.Effective July 1, 2017, Adult Family Home providers shall be compensated for transporting their residents to medical providers as authorized in the client’s care or service plans for individual residents. Such compensation shall be paid on a per-mile-driven basis at the standard mileage rate as recognized by the Internal Revenue Service, up to a maximum of fifty (50) miles per month per resident.Adult Family Home providers who have a contract with the State to provide Meaningful Home-Based activities for an eligible client shall receive the Meaningful Home-Based Activities (MHBA) Pilot Project add-on rate in addition to the Base Daily Rate. Effective July 1, 2017, the MHBA Pilot Project add-on rates shall be ($15.11) for King County, ($14.52) for Metropolitan Counties and ($13.99) for Non-Metropolitan Counties. Effective July 1, 2017, the Individual Provider base rate will change. Attached is the table of the new base rates. The base rate range is $13.50-$15.70. The base rate in Provider One is $3.37 per quarter hour. ACTION:Staff must begin authorizing new services for July 1, 2017 forward using the new rates. ProviderOne will automatically update current authorizations and IPOne will automatically assign the correct payment step to IPs. The attached Duplicate rates exception contains a list of rates that will not auto populate in CARE and they will need to be manually entered. RELATED REFERENCES:View revised rates on ALTSA Intranet website beginning July 1st at: (S):Appendix A – AFH July 1, 2017 Rates\sAppendix B – AFH July 1, 2017 AFH Rates with Community Integration and IP Rates \sAppendix C – IP July 1, 2017 Rates\sDuplicate Rates ExceptionCONTACT(S): Damien Valadez, Management Services Division(360) 725-3274ValadDA@dshs. ................
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