reglab/housing_qa huggingface dataset:
WA Rev Code § 74.42.600 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.600 - Department inspections—Notice of noncompliance—Penalties—Coordination with department of health.

RCW 74.42.600 Department inspections—Notice of noncompliance—Penalties—Coordination with department of health.(1) In addition to the inspection required by chapter 18.51 RCW, the department shall inspect the facility for compliance with resident rights and direct care standards of this chapter. The department may inspect any and all other provisions randomly, by exception profiles, or during complaint investigations.(2) If the facility has not complied with all the requirements of this chapter, the department shall notify the facility in writing that the facility is in noncompliance and describe the reasons for the facility's noncompliance and the department may impose penalties in accordance with RCW 18.51.060.(3) To avoid unnecessary duplication in inspections, the department shall coordinate with the department of health when inspecting medicaid-certified or medicare-certified, or both, long-term care beds in hospitals for compliance with Title XVIII or XIX of the social security act.[ 1995 c 282 § 5; 1987 c 476 § 28; 1982 c 120 § 3; 1980 c 184 § 17; 1979 ex.s. c 211 § 60.]
WA Rev Code § 74.42.620 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.620 - Departmental rules.

RCW 74.42.620 Departmental rules.The department shall adopt rules pursuant to chapter 34.05 RCW necessary to carry out the policies and provisions of RCW 74.42.010 through 74.42.570. The department shall amend or repeal any rules that are in conflict with RCW 74.42.010 through 74.42.570.[ 1979 ex.s. c 211 § 62.]
WA Rev Code § 74.42.630 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.630 - Conflict with federal requirements.

RCW 74.42.630 Conflict with federal requirements.If any part of chapter 184, Laws of 1980 shall be found to be in conflict with federal requirements which are a prescribed condition to the allocation of federal funds to the state, such conflicting part of this act is hereby declared to be inoperative solely to the extent of such conflict, and such finding or determination shall not affect the operation of the remainder of this act; the rules and regulations under this act shall meet federal requirements which are a necessary condition to the receipt of federal funds by the state.[ 1980 c 184 § 21.]
WA Rev Code § 74.42.910 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.910 - Construction—Conflict with federal requirements.

RCW 74.42.910 Construction—Conflict with federal requirements.If any part of this act is found to be in conflict with federal requirements which are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this act is hereby declared to be inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and such finding or determination shall not affect the operation of the remainder of this act in its application to the agencies concerned. The rules under this act shall meet federal requirements which are a necessary condition to the receipt of federal funds by the state.[ 1979 ex.s. c 211 § 70.]
WA Rev Code § 74.42.920 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.920 - Chapter 74.42 RCW suspended—Effective date delayed until January 1, 1981.

RCW 74.42.920 Chapter 74.42 RCW suspended—Effective date delayed until January 1, 1981.Chapter 74.42 RCW shall be suspended immediately, and its effective date delayed so that it shall take effect on January 1, 1981.[ 1980 c 184 § 19; 1979 ex.s. c 211 § 72.]NOTES:Effective date—1980 c 184 § 19: "Section 19 of this 1980 act is necessary for the immediate preservation of the public peace, health, and safety, the support of the state government and its existing public institutions, and shall take effect immediately [April 4, 1980]." [ 1980 c 184 § 22.]
WA Rev Code § 74.46.010 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.010 - Short title—Purpose—Finding.

RCW 74.46.010 Short title—Purpose—Finding.(1) This chapter may be known and cited as the "nursing facility medicaid payment system."(2) The purposes of this chapter are to set forth principles to guide the nursing facility medicaid payment system and specify the manner by which legislative appropriations for medicaid nursing facility services are to be allocated as payment rates among nursing facilities.(3) The legislature finds that the medicaid nursing facility rates calculated under this chapter provide sufficient reimbursement to efficient and economically operating facilities and bear a reasonable relationship to costs.[ 2010 1st sp.s. c 34 § 1; 1998 c 322 § 1; 1980 c 177 § 1.]NOTES:Effective date—2010 1st sp.s. c 34: "This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect July 1, 2010." [ 2010 1st sp.s. c 34 § 23.]
WA Rev Code § 74.46.024 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.024 - Pay-for-performance supplemental payment structure—Establishing procedures, principles, and conditions.

RCW 74.46.024 Pay-for-performance supplemental payment structure—Establishing procedures, principles, and conditions.The department shall establish, by rule, the procedures, principles, and conditions for a pay-for-performance supplemental payment structure that provides payment add-ons for high performing facilities. To the extent that funds are appropriated for this purpose, the pay-for-performance structure will include a one percent reduction in payments to facilities with exceptionally high direct care staff turnover, and a method by which the funding that is not paid to these facilities is then used to provide a supplemental payment to facilities with lower direct care staff turnover.[ 2010 1st sp.s. c 34 § 20.]NOTES:Effective date—2010 1st sp.s. c 34: See note following RCW 74.46.010.
WA Rev Code § 74.46.441 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.441 - Public disclosure of rate-setting information.

RCW 74.46.441 Public disclosure of rate-setting information.The department shall disclose to any member of the public all rate-setting information consistent with requirements of state and federal laws.[ 1998 c 322 § 20.]
WA Rev Code § 74.46.475 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.475 - Submitted cost report—Analysis and adjustment by department.

RCW 74.46.475 Submitted cost report—Analysis and adjustment by department.The department shall analyze the submitted cost report or a portion thereof of each contractor for each report period to determine if the information is correct, complete, reported in conformance with department instructions and generally accepted accounting principles, the requirements of this chapter, and such rules as the department may adopt. If the analysis finds that the cost report is incorrect or incomplete, the department may make adjustments to the reported information for purposes of establishing payment rate allocations. A schedule of such adjustments shall be provided to contractors and shall include an explanation for the adjustment and the dollar amount of the adjustment. Adjustments shall be subject to review and appeal as provided in this chapter.[ 2010 1st sp.s. c 34 § 8; 1998 c 322 § 21; 1985 c 361 § 13; 1983 1st ex.s. c 67 § 23.]NOTES:Effective date—2010 1st sp.s. c 34: See note following RCW 74.46.010.Savings—1985 c 361: See note following RCW 74.46.020.Effective dates—1983 1st ex.s. c 67: "This act is necessary for the immediate preservation of the public peace, health, and safety, the support of the state government and its existing public institutions and shall take effect on July 1, 1983, with the exception of section 28 of this act, which shall take effect on January 1, 1985." [ 1983 1st ex.s. c 67 § 51.]
WA Rev Code § 74.46.531 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.531 - Department may adjust component rates—Contractor may request—Errors or omissions.

RCW 74.46.531 Department may adjust component rates—Contractor may request—Errors or omissions.(1) The department may adjust component rates for errors or omissions made in establishing component rates and determine amounts either overpaid to the contractor or underpaid by the department.(2) A contractor may request the department to adjust its component rates because of:(a) An error or omission the contractor made in completing a cost report; or(b) An alleged error or omission made by the department in determining one or more of the contractor's component rates.(3) A request for a rate adjustment made on incorrect cost reporting must be accompanied by the amended cost report pages prepared in accordance with the department's written instructions and by a written explanation of the error or omission and the necessity for the amended cost report pages and the rate adjustment.(4) The department shall review a contractor's request for a rate adjustment because of an alleged error or omission, even if the time period has expired in which the contractor must appeal the rate when initially issued, pursuant to rules adopted by the department under *RCW 74.46.780. If the request is received after this time period, the department has the authority to correct the rate if it agrees an error or omission was committed. However, if the request is denied, the contractor shall not be entitled to any appeals or exception review procedure that the department may adopt under *RCW 74.46.780.(5) The department shall notify the contractor of the amount of the overpayment to be recovered or additional payment to be made to the contractor reflecting a rate adjustment to correct an error or omission. The recovery from the contractor of the overpayment or the additional payment to the contractor shall be governed by the reconciliation, settlement, security, and recovery processes set forth in this chapter and by rules adopted by the department in accordance with this chapter.(6) Component rate adjustments approved in accordance with this section are subject to the provisions of RCW 74.46.421.[ 1998 c 322 § 31.]NOTES:*Reviser's note: RCW 74.46.780 was repealed by 2010 1st sp.s. c 34 § 21.
WA Rev Code § 74.46.541 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.541 - Skilled nursing facility safety net assessment—Reimbursement of medicaid share.

RCW 74.46.541 Skilled nursing facility safety net assessment—Reimbursement of medicaid share.(1) The department shall establish a skilled nursing facility safety net assessment medicaid share pass-through or rate add-on to reimburse the medicaid share of the skilled nursing facility safety net assessment as a medicaid allowable cost consistent with RCW 74.48.030. This add-on shall not be considered an allowable cost for future year cost rebasing.(2) As of July 1, 2011, supplemental payments to reimburse medicaid expenditures, including an amount to reimburse the medicaid share of the skilled nursing facility safety net assessment, not to exceed the annual medicare upper payment limit, must be provided for all years when the skilled nursing facility safety net assessment is levied, consistent with RCW 74.48.030. These supplemental payments, at a minimum, must be sufficient to reimburse the medicaid share of the assessment for those paying the assessment. The part of these supplemental payments that reimburses the medicaid share of the assessment are not subject to the reconciliation and settlement process provided in RCW 74.46.022(6).[ 2011 1st sp.s. c 7 § 10.]NOTES:Purpose—Findings—Intent—Severability—Effective date—2011 1st sp.s. c 7: See RCW 74.48.005, 74.48.900, and 74.48.901.
WA Rev Code § 74.46.551 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.551 - Facility-based payment rates—Comparative analysis—Rate add-ons.

RCW 74.46.551 Facility-based payment rates—Comparative analysis—Rate add-ons.(1) For fiscal year 2016 and subject to appropriation, the department shall do a comparative analysis of the facility-based payment rates calculated on July 1, 2015, using the payment methodology defined in this chapter, to the facility-based rates in effect June 30, 2010. If the facility-based payment rate calculated on July 1, 2015, is smaller than the facility-based payment rate on June 30, 2010, the difference must be provided to the individual nursing facilities as an add-on per medicaid resident day.(2) During the comparative analysis performed in subsection (1) of this section, for fiscal year 2016, if it is found that the direct care rate for any facility calculated under this chapter is greater than the direct care rate in effect on June 30, 2010, then the facility must receive a ten percent direct care rate add-on to compensate that facility for taking on more acute clients than it has in the past.(3) The rate add-ons provided in subsection (2) of this section are subject to the reconciliation and settlement process provided in RCW 74.46.022(6).[ 2015 2nd sp.s. c 2 § 3.]NOTES:Effective date—2015 2nd sp.s. c 2: See note following RCW 74.46.501.
WA Rev Code § 74.46.562 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.562 - Indian health service or tribal facilities—Payment rates.

RCW 74.46.562 Indian health service or tribal facilities—Payment rates.Services provided by or through facilities of the Indian health service or facilities operated by a tribe or tribal organization pursuant to 42 C.F.R. Part 136 may be paid at the applicable rates published in the federal register or at a cost-based rate applicable to such types of facilities as approved by the centers for medicare and medicaid services and may be exempted from the rate determination set forth in this chapter. The department may enact emergency rules to implement this section.[ 2019 c 301 § 2.]
WA Rev Code § 74.46.571 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.571 - Nursing home payment rates—Rules.

RCW 74.46.571 Nursing home payment rates—Rules.The department shall adopt rules as are necessary and reasonable to effectuate and maintain the new system for establishing nursing home payment rates described in RCW 74.46.561 and the minimum staffing standards described in RCW 74.42.360. The rules must be consistent with the principles described in RCW 74.46.561 and 74.42.360. In adopting such rules, the department shall solicit the opinions of nursing facility providers, nursing facility provider associations, nursing facility employees, and nursing facility consumer groups.[ 2015 2nd sp.s. c 2 § 5.]NOTES:Effective date—2015 2nd sp.s. c 2: See note following RCW 74.46.501.
WA Rev Code § 74.46.581 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.581 - Separate nursing facility quality enhancement account.

RCW 74.46.581 Separate nursing facility quality enhancement account.A separate nursing facility quality enhancement account is created in the custody of the state treasurer. Beginning July 1, 2015, all net receipts from the reconciliation and settlement process provided in RCW 74.46.022(6), as described within RCW 74.46.561, must be deposited into the account. Beginning July 1, 2016, all receipts from the system of financial penalties for facilities out of compliance with minimum staffing standards, as described within RCW 74.42.360, must be deposited into the account. Only the secretary, or the secretary's designee, may authorize expenditures from the account. The account is subject to allotment procedures under chapter 43.88 RCW, but an appropriation is not required for expenditures. The department shall use the special account only for technical assistance for nursing facilities, specialized training for nursing facilities, or an increase to the quality enhancement established in RCW 74.46.561, or as necessary for the reconciliation and settlement process, which requires deposits and withdrawals to complete both the preliminary and final settlement net receipt amounts for this account.[ 2016 c 131 § 7; 2015 2nd sp.s. c 2 § 8.]NOTES:Effective date—2015 2nd sp.s. c 2: See note following RCW 74.46.501.
WA Rev Code § 74.46.800 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.800 - Rule-making authority.

RCW 74.46.800 Rule-making authority.(1) The department shall have authority to adopt, amend, and rescind such administrative rules and definitions as it deems necessary to carry out the policies and purposes of this chapter and to resolve issues and develop procedures to implement, update, and improve the nursing facility medicaid payment system.(2) Nothing in this chapter shall be construed to require the department to adopt or employ any calculations, steps, tests, methodologies, alternate methodologies, indexes, formulas, mathematical or statistical models, concepts, or procedures for medicaid rate setting or payment that are not expressly called for in this chapter.[ 2010 1st sp.s. c 34 § 18; 1998 c 322 § 42; 1980 c 177 § 80.]NOTES:Effective date—2010 1st sp.s. c 34: See note following RCW 74.46.010.
WA Rev Code § 74.46.835 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.835 - AIDS pilot nursing facility—Payment for direct care.

RCW 74.46.835 AIDS pilot nursing facility—Payment for direct care.(1) Payment for direct care at the pilot nursing facility in King county designed to meet the service needs of residents living with AIDS, as defined in *RCW 70.24.017, and as specifically authorized for this purpose under chapter 9, Laws of 1989 1st ex. sess., shall be exempt from case mix methods of rate determination set forth in this chapter and shall be exempt from the direct care wage index adjustment set forth in this chapter.(2) Direct care component rates at the AIDS pilot facility shall be based on direct care reported costs at the pilot facility, utilizing the same rate-setting cycle prescribed for other nursing facilities, and as supported by a staffing benchmark based upon a department-approved acuity measurement system.(3) The provisions of RCW 74.46.421 and all other rate-setting principles, cost lids, and limits, including settlement as provided in rule shall apply to the AIDS pilot facility.(4) This section applies only to the AIDS pilot nursing facility.[ 2016 c 131 § 6; 2010 1st sp.s. c 34 § 17; 1998 c 322 § 46.]NOTES:*Reviser's note: RCW 70.24.017 was amended by 2020 c 76 § 2, deleting the definition of "AIDS."Effective date—2010 1st sp.s. c 34: See note following RCW 74.46.010.
WA Rev Code § 74.46.840 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.840 - Conflict with federal requirements.

RCW 74.46.840 Conflict with federal requirements.If any part of this chapter or RCW 18.51.145 or 74.09.120 is found by an agency of the federal government to be in conflict with federal requirements that are a prescribed condition to the receipts of federal funds to the state, the conflicting part of this chapter or RCW 18.51.145 or 74.09.120 is declared inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and such finding or determination shall not affect the operation of the remainder of this chapter or RCW 18.51.145 or 74.09.120 in its application to the agencies concerned. In the event that any portion of this chapter or RCW 18.51.145 or 74.09.120 is found to be in conflict with federal requirements that are a prescribed condition to the receipt of federal funds, the secretary, to the extent that the secretary finds it to be consistent with the general policies and intent of chapters 18.51, 74.09, and 74.46 RCW, may adopt such rules as to resolve a specific conflict and that do meet minimum federal requirements. In addition, the secretary shall submit to the next regular session of the legislature a summary of the specific rule changes made and recommendations for statutory resolution of the conflict.[ 1998 c 322 § 44; 1983 1st ex.s. c 67 § 42; 1980 c 177 § 92.]
WA Rev Code § 74.46.909 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.46 - Nursing Facility Medicaid Payment System.|74.46.909 - Retrospective application—Clarification of chapter 8, Laws of 2001 1st sp. sess.—2008 c 263.

RCW 74.46.909 Retrospective application—Clarification of chapter 8, Laws of 2001 1st sp. sess.—2008 c 263.The legislature clarifies the enactment of *chapter 8, Laws of 2001 1st sp. sess. and intends this act be curative, remedial, and retrospectively applicable to July 1, 1998.[ 2008 c 263 § 5.]NOTES:*Reviser's note: For codification of chapter 8, Laws of 2001 1st sp. sess., see Codification Tables.
WA Rev Code § 74.48.005 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.005 - Purpose—Findings—Intent.

RCW 74.48.005 Purpose—Findings—Intent.(1) It is the intent of the legislature to encourage maximization of financial resources eligible and available for medicaid services by establishing the skilled nursing facility safety net trust fund to receive skilled nursing facility safety net assessments to use in securing federal matching funds under federally prescribed programs available through the state medicaid plan.(2) The purpose of this chapter is to provide for a safety net assessment on certain Washington skilled nursing facilities, which will be used solely to support payments to skilled nursing facilities for medicaid services.(3) The legislature finds that:(a) Washington skilled nursing facilities have proposed a skilled nursing facility safety net assessment to generate additional state and federal funding for the medicaid program, which will be used in part to restore recent reductions in skilled nursing facility reimbursement rates and provide for an increase in medicaid reimbursement rates; and(b) The skilled nursing facility safety net assessment and skilled nursing facility safety net trust fund created in this chapter allows the state to generate additional federal financial participation for the medicaid program and provides for increased reimbursement to skilled nursing facilities.(4) In adopting this chapter, it is the intent of the legislature:(a) To impose a skilled nursing facility safety net assessment to be used solely for the purposes specified in this chapter;(b) That funds generated by the assessment, including matching federal financial participation, shall not be used for purposes other than as specified in this chapter;(c) That the total amount assessed not exceed the amount needed, in combination with all other available funds, to support the reimbursement rates and other payments authorized by this chapter, including payments under RCW 74.48.030; and(d) To condition the assessment and use of the resulting funds on receiving federal approval for receipt of additional federal financial participation.[ 2011 1st sp.s. c 7 § 12.]