STATE OF WASHINGTON



center31912900STATE OF WASHINGTONDEPARTMENT OF SOCIAL AND HEALTH SERVICESAging and Long-Term Support AdministrationHome and Community Services Divisioncenter1769800HCS MANAGEMENT BULLETIN00HCS MANAGEMENT BULLETINPO Box 45600, Olympia, WA 98504-5600H21-045 – ProcedureJune 17, 2021TO:Area Agency on Aging (AAA) DirectorsHome and Community Services (HCS) Division Regional AdministratorsDevelopmental Disabilities Administration (DDA) Regional AdministratorsFROM:Bea Rector, Director, Home and Community Services DivisionChanh Ly, Director, Management Services Division415099581280Beth Krehbiel, Interim Director, Division of Field Services, Developmental Disabilities AdministrationSUBJECT:Community Residential Capital Add-on Rates July 1, 2021 through June 30, 2022PURPOSE:To notify field staff that Licensed Assisted Living Facilities with Assisted Living (AL) contracts may qualify to receive a capital add-on to their Medicaid daily rate for the State Fiscal Year (SFY) 2022 beginning July 1, 2021 and ending June 30, 2022. To notify field staff that the disproportionate share (DSH) appropriated by the legislature for SFY2020 and SFY2021 expires and therefore the capital add-on will no longer apply to Adult Residential Care (ARC) and Enhanced Adult Residential Care (EARC) contracts beginning July 1, 2021.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 facility beds irrespective of use, times calendar days for the same six-month period; andInclude 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 expansion for disproportionate share (DSH), which enhanced the existing AL capital add-on rate and extended the add-on to providers with an ARC or EARC contract expires June 30, 2021. The Legislature did not extend DSH funding for the 2021-2023 biennium. Therefore, capital add-on will revert back to $5.42 for AL contracted providers that meet RCW and WAC requirements.The WAC and procedure remain the same. Not all facilities that qualified for the capital add-on rate for SFY 2021 (July 1, 2020 through June 30, 2021) qualified for the add-on for SFY 2022 (July 1, 2021 through June 30, 2022). Some facilities on the new list, linked below, were not on the SFY 2021 list.ACTION:Staff must begin authorizing new services for July 1, 2021 forward using the new rates. View all July 1, 2021 rates at: . The Home & Community Services Rates (Excel or PDF format) can be found under the Home and Community section.View the capital add-on provider list on the ALTSA internet here. RELATED REFERENCES:RCW 74.39A.320; WAC 388-105-0035ATTACHMENT(S):Capital add-on one-pager FAQsCONTACT(S):Courtney Potter / Office of Rates ManagementAging & Long-Term Support Administration(O) 360-725-3291 / (F) 360-480-2641Courtney.Potter@dshs. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download