reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-375 - Resident personal funds control/disbursement

Current through Register Vol. 24-14, July 15, 2024
Personal funds shall be held and used for the benefit of the
				  resident and are not to be turned over to anyone other than the resident or the
				  resident's guardian without the written consent of the resident, the resident's
				  designated agent as appointed by power of attorney, or appropriate department
				  of social and health services personnel as designated by the CSO
				  administrator.
(1) When money is
				received, a receipt shall be filled out in duplicate:
(a) One copy shall be given to the person
				making payment or deposit; and
(b)
				The other copy shall be retained in the receipt book for easy
				reference.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-378 - Resident personal funds availability

Current through Register Vol. 24-14, July 15, 2024
Funds held for any resident shall be available for the
				  resident's personal and incidental needs when requested by the resident or one
				  of the individuals designated in WAC
				  388-96-375.
Statutory Authority:
					 RCW
					 74.46.800,
					 74.42.620 and
					 74.09.120. 90-20-075 (Order 3070),
					 § 388-96-378, filed 9/28/90, effective 10/1/90; Order 1114, §
					 388-96-378, filed 4/21/76.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-381 - Procedure for refunding resident personal funds

Current through Register Vol. 24-14, July 15, 2024
(1) When a resident is discharged or
				transferred, the balance of the resident's personal funds shall be returned to
				the individual designated in WAC
				388-96-375 within thirty days and
				a receipt obtained. In some cases it may be advisable to mail the refund to the
				resident's new residence.
Statutory Authority:
					 RCW
					 74.46.800,
					 74.42.620 and
					 74.09.120. 90-20-075 (Order 3070),
					 § 388-96-381, filed 9/28/90, effective 10/1/90; Order 1114, §
					 388-96-381, filed 4/21/76.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-384 - Liquidation or transfer of resident personal funds

Current through Register Vol. 24-14, July 15, 2024
(1) Upon the death of a resident, the
				facility shall convey within thirty days the resident's personal funds held by
				the facility with a final accounting of such funds to the department of social
				and health services office of financial recovery (or successor office) or to
				the individual or probate jurisdiction administering the resident's estate.
(a) When the deceased resident was a
				recipient of long-term care services paid for in whole or in part by the
				department, then the personal funds held by the facility and the final
				accounting shall be sent to department of social and health services office of
				financial recovery (or successor office).
(b) When the personal funds of the deceased
				resident are to be paid to the department, the facility shall:
(i) Pay with a check, money order, certified
				check or cashiers check made payable to the secretary, department of social and
				health services;
(ii) Complete a
				transmittal of resident personal funds form (DSHS form 18-544) for each
				deceased resident;
(iii) Place the
				name and social security number of the deceased individual from whose personal
				funds account the moneys are being paid on the check, money order, certified
				check or cashier's check and the transmittal of resident personal funds form
				(DSHS form 18-544); and
(iv) Mail
				the check or money order and the DSHS 18-544 to the office of financial
				recovery, estate recovery unit, P.O. Box 9501, Olympia, Washington 98507-9501,
				or such address as may be directed by the department in the future.
(c) The department of social and
				health services, office of financial recovery, estate recovery unit shall
				establish a release procedure for use of funds necessary for burial
				expenses.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-499 - Principles of allowable costs

Current through Register Vol. 24-14, July 15, 2024
(1)
				The substance of a transaction will prevail over its form.
(2) All documented costs which are ordinary,
				necessary, related to care of medical care recipients, and not expressly
				unallowable under this chapter and/or chapter 74.46 RCW are to be
				allowable.
(3) Costs of providing
				therapy care are allowable, subject to any applicable limit contained in this
				chapter and/or chapter 74.46 RCW, provided documentation establishes the costs
				were incurred for medical care recipients and other sources of payment to which
				recipients may be legally entitled, such as private insurance or medicare, were
				first fully utilized.
(4) The
				payment for property usage is to be independent of ownership structure and
				financing arrangements.
(5)
				Allowable costs shall not include costs reported by a contractor for a prior
				period to the extent such costs, due to statutory exemption, will not be
				incurred by the nursing facility in the period to be covered by the
				rate.
(6) Any costs deemed
				allowable under this chapter are subject to the provisions of
				RCW
				74.46.421. The allowability of a cost shall
				not be construed as creating a legal right or entitlement to reimbursement of
				the cost.
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-499, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-502 - Secondary and overhead costs

Current through Register Vol. 24-14, July 15, 2024
Subject to the provisions of this chapter and chapter 74.46
				  RCW, when a contractor provides goods or services that are not reimbursable,
				  any secondary or overhead costs associated with their provision must be
				  allocated to such goods or services on a reasonable basis approved by the
				  department and must not be reported as allowable costs.
Statutory Authority:
					 RCW
					 74.46.800. 98-20-023, § 388-96-502,
					 filed 9/25/98, effective 10/1/98. Statutory Authority: 1987 c 476. 88-01-126
					 (Order 2573), § 388-96-502, filed 12/23/87. Statutory Authority:
					 RCW
					 74.46.800. 86-10-055 (Order 2372), §
					 388-96-502, filed 5/7/86, effective 7/1/86; 84-12-039 (Order 2105), §
					 388-96-502, filed 5/30/84.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-505 - Offset of miscellaneous revenues

Current through Register Vol. 24-14, July 15, 2024
(1)
				 The methodology in (a) through (d) of this subsection is
				effective for services provided on or before June 30, 2016.
(a)  The contractor must reduce allowable
				costs whenever the item, service, or activity covered by such costs generates
				revenue or financial benefits such as purchase discounts, refunds of allowable
				costs or rebates) other than through the contractor's normal billing for care
				services. However, the department must not deduct from the allowable costs of a
				nonprofit facility unrestricted grants, gifts, and endowments, and interest
				therefrom.
(b)  The contractor must
				reduce allowable costs for hold-bed revenue in the support services,
				operations, and property rate components only. In the support services rate
				component, the amount of reduction must be determined by dividing a facility's
				allowable housekeeping costs by total adjusted patient days and multiplying the
				result by total hold-room days. In the operations rate component, the amount of
				the reduction must be determined by dividing a facility's allowable operation
				costs by total adjusted patient days and multiplying the result by total
				hold-room days. In the property rate component, the amount of reduction must be
				determined by dividing allowable property costs by the total adjusted patient
				days and multiplying the result by total hold-room days.
(c)  Where goods or services are sold, the
				amount of the reduction is the actual cost relating to the item, service, or
				activity. In the absence of adequate documentation of cost, the amount of the
				reduction is the full amount of the revenue received. Where financial benefits
				such as purchase discounts, refunds of allowable costs, or rebates are
				received, the amount of the reduction is the amount of the discount or rebate.
				Financial benefits such as purchase discounts, refunds of allowable costs and
				rebates, including industrial insurance rebates, must be offset against
				allowable costs in the year the contractor actually receives the
				benefits.
(d)  Only allowable costs
				may be recovered under this subsection. Costs allocable to activities or
				services not included in nursing facility services (such as costs of vending
				machines and services specified in chapter 388-86 WAC not included in nursing
				facility services) are nonallowable costs.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-525 - Education and training

Current through Register Vol. 24-14, July 15, 2024
(1) 
				Necessary and ordinary expenses of on-the-job training and in-service training
				required for employee orientation and certification training directly related
				to the performance of duties assigned will be allowable costs. Cost of training
				for which the nursing facility is reimbursed outside the payment rate is an
				unallowable cost.
(2)  Necessary
				and ordinary expenses of recreational and social activity training conducted by
				the contractor for volunteers will be allowable costs. Expenses of training
				programs for other nonemployees will not be allowable costs.
(3)  Expenses for travel, lodging, and meals
				associated with education and training are allowable if the expenses meet the
				requirements of this chapter.
(4) 
				Costs designated by this section as allowable are subject to any applicable
				cost center limit established by this chapter.
Statutory Authority:
					 RCW
					 74.46.800. 98-20-023, § 388-96-525,
					 filed 9/25/98, effective 10/1/98; 94-12-043 (Order 3737), § 388-96-525,
					 filed 5/26/94, effective 6/26/94. Statutory Authority:
					 RCW
					 74.46.800 and
					 74.09.120. 93-19-074 (Order 3634),
					 § 388-96-525, filed 9/14/93, effective 10/15/93. Statutory Authority:
					 RCW
					 74.46.800. 84-12-039 (Order 2105), §
					 388-96-525, filed 5/30/84. Statutory Authority:
					 RCW
					 74.09.120. 81-22-081 (Order 1712), §
					 388-96-525, filed 11/4/81. Statutory Authority:
					 RCW
					 74.09.120 and
					 74.46.800. 81-06-024 (Order 1613),
					 § 388-96-525, filed 2/25/81. Statutory Authority:
					 RCW
					 74.09.120. 80-06-122 (Order 1510), §
					 388-96-525, filed 5/30/80, effective 7/1/80; Order 1262, § 388-96-525,
					 filed 12/30/77.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-528 - Payments to related organizations - Limits - Documentation

Current through Register Vol. 24-14, July 15, 2024
(1) Costs
				applicable to services, facilities, and supplies furnished by a related
				organization to the contractor shall be allowable only to the extent they do
				not exceed the lower of the cost to the related organization or the price of
				comparable services, facilities, or supplies purchased elsewhere.
(2) Documentation of costs to the related
				organization shall be made available to the department. Payments to or for the
				benefit of the related organization will be disallowed where the cost to the
				related organization cannot be documented.
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-528, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-530 - What will be allowable compensation for owners, relatives, licensed administrator, assistant administrator, and/or administrator-in-training?

Current through Register Vol. 24-14, July 15, 2024
Subject to any applicable cost center limit established by
				  chapter 74.46 RCW, total allowable compensation shall be:
(1) As provided in the employment contract,
				including benefits, whether such contract is written, verbal, or inferred from
				the acts of the parties; or
(2) In
				the absence of a contract, gross salary or wages excluding payroll taxes and
				benefits made available to all employees, e.g., health insurance.
Statutory Authority:
					 RCW
					 74.46.800. 98-20-023, § 388-96-530,
					 filed 9/25/98, effective 10/1/98.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-532 - Does the contractor have to maintain time records?

Current through Register Vol. 24-14, July 15, 2024
(1) The contractor shall maintain time
				records that are adequate for audit for owners, relatives, the licensed
				administrator, assistant administrator, and/or administrator-in-training. The
				contractor shall include in such records verification of the actual hours of
				service performed for the nursing home and shall document compensated time was
				spent in provision of necessary services actually performed.
(2) If the contractor has no or inadequate
				time records, the undocumented cost of compensation shall be
				unallowable.
Statutory Authority:
					 RCW
					 74.46.800. 98-20-023, § 388-96-532,
					 filed 9/25/98, effective 10/1/98.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-534 - Joint cost allocation disclosure (JCAD) (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-534, filed
					 2/14/11, effective 2/26/11. Statutory Authority: RCW 74.46.270. 97-17-040,
					 § 388-96-534, filed 8/14/97, effective 9/14/97. Statutory Authority:
					 RCW
					 74.46.800. 96-15-056, § 388-96-534,
					 filed 7/16/96, effective 8/16/96. Statutory Authority:
					 RCW
					 74.46.800. 94-12-043 (Order 3737), §
					 388-96-534, filed 5/26/94, effective 6/26/94. Statutory Authority: 1987 c 476.
					 88-01-126 (Order 2573), § 388-96-534, filed 12/23/87. Statutory Authority:
					 RCW
					 74.09.120. 83-19-047 (Order 2025), §
					 388-96-534, filed 9/16/83; 80-09-083 (Order 1527), § 388-96-534, filed
					 7/22/80.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-535 - Management agreements, management fees, and central office services

Current through Register Vol. 24-14, July 15, 2024
(1) The contractor
				shall disclose to the department the nature and purpose of all management
				agreements, including an organizational chart showing the relationship among
				the contractor, management company and all related organizations. The
				department may request additional information or clarification.
(2) A copy of the agreement must be received
				by the department at least sixty days before it is to become effective. A copy
				of any amendment to a management agreement must be received by the department
				at least thirty days in advance of the date it is to become effective. Failure
				to meet these deadlines will result in the unallowability of cost incurred more
				than sixty days prior to submitting a management agreement and more than thirty
				days prior to submitting an amendment.
(3) Management fees will be allowed only
				when:
(a) A written management agreement both
				creates a principal/agent relationship between the contractor and the manager,
				and sets forth the items, services, and activities to be provided by the
				manager; and
(b) Documentation
				demonstrates that the service contracted for were actually delivered;
				and
(c) The scope of services
				performed under a management agreement are not so extensive that the manager or
				managing entity is substituted for the contractor in fact, substantially
				relieving the contractor/licensee of responsibility for operating the
				facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-536 - Does the department limit the allowable compensation for an owner or relative of an owner?

Current through Register Vol. 24-14, July 15, 2024
(1) Total
				compensation including compensation received from a related or unrelated
				organization or company paid to an owner or relative of an owner shall be
				limited to ordinary compensation for necessary services actually performed.
(a) Compensation is ordinary if it is the
				amount usually paid for comparable services in a comparable facility to an
				unrelated employee, and does not exceed any applicable limits set out in
				chapter 74.46 RCW and this chapter.
(b) A service is necessary if it is related
				to patient care and would have had to be performed by another person if the
				owner or relative had not done it.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-540 - Will the department allow the cost of an administrator-in-training? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 74.46.800. 98-20-023, § 388-96-540,
					 filed 9/25/98, effective 10/1/98.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-542 - Home office or central office

Current through Register Vol. 24-14, July 15, 2024
(1)  The
				department will include all allowable reported home or central office costs
				including all costs that are documented, ordinary, necessary, and related to
				the provision of medical and personal care services to authorized patients.
				Allocated costs may be included in the cost of services in such cost centers
				where such services and related costs are appropriately reported.
(2)  Home office or central office costs must
				be allocated and reported.
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-542, filed
					 2/14/11, effective 2/26/11. Statutory Authority: Chapter 74.46 RCW as amended
					 by 1998 c 322 § 19(11), RCW 74.46.270 and
					 74.46.800. 98-20-023, §
					 388-96-542, filed 9/25/98, effective
					 10/1/98.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-552 - Depreciable assets (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-552, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-553 - Capitalization (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 74.46.310, [74.46.]320 and
					 [74.46.]330. 97-17-040, § 388-96-553, filed 8/14/97, effective 9/14/97.
					 Statutory Authority:
					 RCW
					 74.09.120. 83-19-047 (Order 2025), §
					 388-96-553, filed 9/16/83; 83-05-007 (Order 1944), § 388-96-553, filed
					 2/4/83; 82-11-065 (Order 1808), § 388-96-553, filed 5/14/82. Statutory
					 Authority:
					 RCW
					 74.09.120 and
					 74.46.800. 81-06-024 (Order 1613),
					 § 388-96-553, filed 2/25/81; Order 1262, § 388-96-553, filed
					 12/30/77.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-554 - Equipment

Current through Register Vol. 24-14, July 15, 2024
(1)  The contractor
				must expense the following equipment costs to indirect care:
(a)  Expenditures for equipment with a
				historical cost of seven hundred fifty dollars or less per unit and a useful
				life of one year or less from the date of purchase; and
(b)  Expenditures for and costs of repairs
				necessary to maintain the useful life of equipment including furniture and
				furnishings and real property items, components, or improvements that cost less
				than seven hundred fifty dollars.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-556 - Initial cost of operation

Current through Register Vol. 24-14, July 15, 2024
(1)  The
				necessary and ordinary one-time expenses directly incident to the preparation
				of a newly constructed or purchased building by a contractor for operation as a
				licensed facility are allowable costs. These expenses are limited to start-up
				and organizational costs incurred prior to the admission of the first
				patient.
(2)  Start-up costs
				include, but are not limited to, administrative and nursing salaries, utility
				costs, taxes, insurance, repairs and maintenance, and training. Start-up costs
				do not include expenditures for capital assets. Start-up costs are allowable in
				the indirect care cost center if they are amortized over a period of not less
				than sixty months beginning with the month in which the first patient is
				admitted for care.
(3) 
				Organizational costs are those necessary, ordinary, and directly incident to
				the creation of a corporation or other form of business of the contractor
				including, but not limited to, legal fees incurred in establishing the
				corporation or other organization and fees paid to states for incorporation.
				However, organizational costs do not include costs relating to the issuance and
				sale of shares of capital stock or other securities. Such organizational costs
				will be allowable in the indirect care cost center if they are amortized over a
				period of not less than sixty months beginning with the month in which the
				first patient is admitted for care.
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-556, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-558 - Depreciation expense (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-558, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-559 - Cost basis of land and depreciation base (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-559, filed
					 2/14/11, effective 2/26/11. Statutory Authority:
					 RCW
					 74.46.800. 01-12-037, § 388-96-559,
					 filed 5/29/01, effective 6/29/01. Statutory Authority: Chapter 74.46 RCW, 1999
					 c 376 § 3 amending c 309 § 207. 99-24-084, § 388-96-559, filed
					 11/30/99, effective 12/31/99. Statutory Authority: RCW 74.46.360. 97-17-040,
					 § 388-96-559, filed 8/14/97, effective 9/14/97. Statutory Authority:
					 RCW
					 74.46.800. 94-12-043 (Order 3737), §
					 388-96-559, filed 5/26/94, effective 6/26/94. Statutory Authority:
					 RCW
					 74.09.120. 91-22-025 (Order 3270), §
					 388-96-559, filed 10/29/91, effective 11/29/91. Statutory Authority: RCW
					 79.09.120 [74.09.120] and 74.46.800. 90-09-061 (Order 2970), § 388-96-559,
					 filed 4/17/90, effective 5/18/90. Statutory Authority:
					 RCW
					 74.46.800. 88-16-079 (Order 2660), §
					 388-96-559, filed 8/2/88; 86-10-055 (Order 2372), § 388-96-559, filed
					 5/7/86, effective 7/1/86. Statutory Authority:
					 RCW
					 74.09.120,
					 74.46.840 and
					 74.46.800. 85-17-052 (Order 2270),
					 § 388-96-559, filed 8/19/85. Statutory Authority:
					 RCW
					 74.09.120. 84-24-050 (Order 2172), §
					 388-96-559, filed 12/4/84; 81-22-081 (Order 1712), § 388-96-559, filed
					 11/4/81. Statutory Authority:
					 RCW
					 74.09.120 and
					 74.46.800. 81-06-024 (Order 1613),
					 § 388-96-559, filed 2/25/81; Order 1262, § 388-96-559, filed
					 12/30/77.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-560 - Land

Current through Register Vol. 24-14, July 15, 2024
Land includes but is not limited to, off-site sewer and
				  water lines, public utility charges necessary to service the land, governmental
				  assessments for street paving and sewers, the cost of permanent roadways and
				  grading, and the cost of curbs and sidewalks, replacement of which is not the
				  responsibility of the contractor.
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-560, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-561 - Cost basis of land and depreciation base - Donated or inherited assets (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-561, filed
					 2/14/11, effective 2/26/11. Statutory Authority: RCW 79.09.120 [74.09.120] and
					 74.46.800. 90-09-061 (Order 2970), § 388-96-561, filed 4/17/90, effective
					 5/18/90. Statutory Authority:
					 RCW
					 74.09.120. 84-24-050 (Order 2172), §
					 388-96-561, filed 12/4/84; 83-19-047 (Order 2025), § 388-96-561, filed
					 9/16/83. Statutory Authority:
					 RCW
					 74.09.120 and
					 74.46.800. 81-06-024 (Order 1613),
					 § 388-96-561, filed 2/25/81; Order 1262, § 388-96-561, filed
					 12/30/77.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-562 - Depreciable assets - Disposed Retired (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-562, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-564 - Methods of depreciation (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-564, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-565 - Lives (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-565, filed
					 2/14/11, effective 2/26/11. Statutory Authority: Chapter 74.46 RCW, 1999 c 376
					 § 3 amending c 309 § 207. 99-24-084, § 388-96-565, filed
					 11/30/99, effective 12/31/99. Statutory Authority: RCW 74.46.310, [74.46.]320
					 and [74.46.]330. 97-17-040, § 388-96-565, filed 8/14/97, effective
					 9/14/97. Statutory Authority:
					 RCW
					 74.46.800. 94-12-043 (Order 3737), §
					 388-96-565, filed 5/26/94, effective 6/26/94. Statutory Authority:
					 RCW
					 74.09.180 and
					 74.46.800. 89-01-095 (Order 2742),
					 § 388-96-565, filed 12/21/88. Statutory Authority:
					 RCW
					 74.46.800. 87-09-058 (Order 2485), §
					 388-96-565, filed 4/20/87; 86-10-055 (Order 2372), § 388-96-565, filed
					 5/7/86, effective 7/1/86. Statutory Authority:
					 RCW
					 74.09.120. 83-19-047 (Order 2025), §
					 388-96-565, filed 9/16/83; 81-22-081 (Order 1712), § 388-96-565, filed
					 11/4/81. Statutory Authority:
					 RCW
					 74.09.120 and
					 74.46.800. 81-06-024 (Order 1613),
					 § 388-96-565, filed 2/25/81; Order 1262, § 388-96-565, filed
					 12/30/77.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-572 - Handling of gains and losses upon retirement of depreciable assets - Other periods (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 1999 c 376 § 3
					 amending c 309 § 207. 99-24-084, § 388-96-572, filed 11/30/99,
					 effective 12/31/99. Statutory Authority:
					 RCW
					 74.46.800, 74.46.450 and
					 74.09.120. 93-12-051 (Order 3555),
					 § 388-96-572, filed 5/26/93, effective 6/26/93. Statutory Authority:
					 RCW
					 74.09.120. 83-19-047 (Order 2025), §
					 388-96-572, filed 9/16/83. Statutory Authority:
					 RCW
					 74.09.120 and
					 74.46.800. 81-06-024 (Order 1613),
					 § 388-96-572, filed 2/25/81.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-574 - New or replacement construction Property tax increases (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-574, filed
					 2/14/11, effective 2/26/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-580 - Operating leases of office equipment

Current through Register Vol. 24-14, July 15, 2024
(1)
				 Rental costs of office equipment under arm's-length operating
				leases are allowable to the extent such costs are necessary, ordinary, and
				related to patient care.
(2)  The
				department must pay office equipment rental costs in the indirect component
				rate allocation. Office equipment may include items typically used in
				administrative or clerical functions such as telephones, copy machines, desks
				and chairs, calculators and adding machines, file cabinets, typewriters, and
				computers.
Statutory Authority:
					 RCW
					 74.46.800. 98-20-023, § 388-96-580,
					 filed 9/25/98, effective 10/1/98. Statutory Authority:
					 RCW
					 74.46.800 and
					 74.09.120. 93-19-074 (Order 3634),
					 § 388-96-580, filed 9/14/93, effective 10/15/93. Statutory Authority:
					 RCW
					 74.09.120,
					 74.46.840 and
					 74.46.800. 85-17-052 (Order 2270),
					 § 388-96-580, filed 8/19/85. Statutory Authority:
					 RCW
					 74.09.120. 84-24-050 (Order 2172), §
					 388-96-580, filed 12/4/84. Statutory Authority:
					 RCW
					 74.46.800. 84-12-039 (Order 2105), §
					 388-96-580, filed 5/30/84.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-704 - Prospective payment rates

Current through Register Vol. 24-14, July 15, 2024
The department, as provided in chapter 74.46 RCW and this
				  chapter, shall determine, adjust, or update prospective medicaid payment rates
				  for nursing facility services provided to medical care recipients. Each rate,
				  subject to the principles of this chapter and chapter 74.46 RCW, represents a
				  nursing facility's maximum compensation for one resident day of care provided a
				  medical care recipient determined by the department to both require and be
				  eligible to receive nursing facility care.
Statutory Authority: Chapter 74.46 RCW as amended by 1998 c
					 322. 98-20-023, § 388-96-704, filed 9/25/98, effective 10/1/98. Statutory
					 Authority:
					 RCW
					 74.46.800 and 1995 1st sp.s. c 18. 95-19-037
					 (Order 3896), § 388-96-704, filed 9/12/95, effective 10/13/95. Statutory
					 Authority:
					 RCW
					 74.46.800. 94-12-043 (Order 3737), §
					 388-96-704, filed 5/26/94, effective 6/26/94. Statutory Authority:
					 RCW
					 74.09.120. 82-21-025 (Order 1892), §
					 388-96-704, filed 10/13/82. Statutory Authority:
					 RCW
					 74.08.090 and
					 74.09.120. 78-06-080 (Order 1300),
					 § 388-96-704, filed 6/1/78. Statutory Authority:
					 RCW
					 74.09.120. 78-02-013 (Order 1264), §
					 388-96-704, filed 1/9/78.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-705 - Payment for services after settlement

Current through Register Vol. 24-14, July 15, 2024
When payment for services is first made following preliminary
				  or final settlement for the period during which the services were provided,
				  payment will be at the most recent available settlement rate.
Statutory Authority:
					 RCW
					 74.09.120. 81-22-081 (Order 1712), §
					 388-96-705, filed 11/4/81.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-708 - Beds removed from service under chapter 7038 RCW, new beds approved under chapter 7038 RCW, and beds permanently relinquished - Effect on prospective payment rate (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-708, filed
					 2/14/11, effective 2/26/11. Statutory Authority:
					 RCW
					 74.46.431(11) and (12),
					 74.46.800, chapter 74.46 RCW, 2004
					 c 276 § 913, 2001 1st sp.s. c 8. 04-21-027, § 388-96-708, filed
					 10/13/04, effective 11/13/04. Statutory Authority:
					 RCW
					 74.46.800. 01-12-037, § 388-96-708,
					 filed 5/29/01, effective 6/29/01. Statutory Authority: Chapter 74.46 RCW, 1999
					 c 376 § 3 amending c 309 § 207. 99-24-084, § 388-96-708, filed
					 11/30/99, effective 12/31/99. Statutory Authority: 1998 c 322 § 19(11).
					 98-20-023, § 388-96-708, filed 9/25/98, effective 10/1/98. Statutory
					 Authority:
					 RCW
					 74.46.800. 96-15-056, § 388-96-708,
					 filed 7/16/96, effective 8/16/96.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-709 - Prospective rate revisions - Reduction in licensed beds by means other than "banking" pursuant to chapter 7038 RCW (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 74.46 RCW, 2010 1st sp.s. c
					 34, and 2010 1st sp.s. c 37 § 958. 11-05-068, § 388-96-709, filed
					 2/14/11, effective 2/26/11. Statutory Authority:
					 RCW
					 74.46.431(11) and (12),
					 74.46.800, chapter 74.46 RCW, 2004
					 c 276 § 913, 2001 1st sp.s. c 8. 04-21-027, § 388-96-709, filed
					 10/13/04, effective 11/13/04. Statutory Authority:
					 RCW
					 74.46.800. 01-12-037, § 388-96-709,
					 filed 5/29/01, effective 6/29/01. Statutory Authority: Chapter 74.46 RCW, 1999
					 c 376 § 3 amending c 309 § 207. 99-24-084, § 388-96-709, filed
					 11/30/99, effective 12/31/99. Statutory Authority: Chapter 74.46 RCW as amended
					 by 1998 c 322 § 19(11) and
					 RCW
					 74.46.800. 98-20-023, § 388-96-709,
					 filed 9/25/98, effective 10/1/98. Statutory Authority: RCW 74.46.510.
					 97-17-040, § 388-96-709, filed 8/14/97, effective 9/14/97. Statutory
					 Authority:
					 RCW
					 74.46.800 and 1995 1st sp.s. c 18. 95-19-037
					 (Order 3896), § 388-96-709, filed 9/12/95, effective 10/13/95. Statutory
					 Authority:
					 RCW
					 74.46.800. 94-12-043 (Order 3737), §
					 388-96-709, filed 5/26/94, effective 6/26/94. Statutory Authority:
					 RCW
					 74.46.800, 74.46.450 and
					 74.09.120. 93-12-051 (Order 3555),
					 § 388-96-709, filed 5/26/93, effective
					 6/26/93.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-710 - Prospective payment rate for new contractors

Current through Register Vol. 24-14, July 15, 2024
(1)  The department will establish an initial
				prospective medicaid payment rate for a new contractor as defined under WAC
				388-96-026 within sixty days
				following the new contractor's application and approval for a license to
				operate the facility under chapter 18.51 RCW. The rate will take effect as of
				the effective date of the contract, except as provided in this section, and
				will comply with all the provisions of rate setting contained in chapter 74.46
				RCW and in this chapter, including all lids and maximums set forth.
(2)  To set the initial prospective medicaid
				payment rate for a new contractor as defined in WAC
				388-96-026(1) (a) and
				(b), the department will:
(a)  Determine the direct care rate by
				multiplying the current direct care industry median per
				RCW
				74.46.561(8) by the
				appropriate county wage index by the appropriate industry medicaid average case
				mix index (MACMI) ;
(b)  Assign the
				new provider the indirect price based rate per
				RCW
				74.46.561(8);
(c)  Determine a capital rate once the
				facility has submitted square footage and facility age information per
				RCW
				74.46.561(5) and the
				department accepts it; and
(d)  Use
				the facility's available centers for medicare and medicaid date for at least
				the three quarter period currently being measured by the department to
				calculate a quality enhancement rate and if no data is available, the
				department will not pay a quality enhancement.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-713 - Rate determination

Current through Register Vol. 24-14, July 15, 2024
(1)  Each
				nursing facility's medicaid payment rate for services provided to medical care
				recipients will be determined, adjusted, and updated prospectively as provided
				in this chapter and in chapter 74.46 RCW. The department will calculate any
				limit, median, or both only when it rebases each nursing facility's July 1st
				medicaid payment rate in accordance with chapter 74.46 RCW and this
				chapter.
(2)  If the contractor
				participated in the program for less than six months of the prior calendar
				year, its rates will be determined by procedures set forth in WAC
				388-96-710.
(3)  Contractors that submit correct and
				complete cost reports by March 31st, must be notified of their rates by July
				1st, unless circumstances beyond the control of the department
				interfere.
(4)  In setting rates,
				the department will use the greater of actual days from the cost report period
				on which the rate is based or days calculated at minimum occupancy pursuant to
				chapter 74.46 RCW.
Statutory Authority:
					 RCW
					 74.46.431, chapter 74.46 RCW, 2004 c 276
					 § 913, 2001 1st sp.s. c 8. 04-21-027, § 388-96-713, filed 10/13/04,
					 effective 11/13/04. Statutory Authority:
					 RCW
					 74.46.800. 01-12-037, § 388-96-713,
					 filed 5/29/01, effective 6/29/01; 98-20-023, § 388-96-713, filed 9/25/98,
					 effective 10/1/98. Statutory Authority:
					 RCW
					 74.46.800 and 1995 1st sp.s. c 18. 95-19-037
					 (Order 3896), § 388-96-713, filed 9/12/95, effective 10/13/95. Statutory
					 Authority:
					 RCW
					 74.46.800 and
					 74.09.120. 93-19-074 (Order 3634),
					 § 388-96-713, filed 9/14/93, effective 10/15/93; 90-09-061 (Order 2970),
					 § 388-96-713, filed 4/17/90, effective 5/18/90. Statutory Authority:
					 RCW
					 74.09.120. 83-19-047 (Order 2025), §
					 388-96-713, filed 9/16/83; 81-15-049 (Order 1669), § 388-96-713, filed
					 7/15/81; 80-06-122 (Order 1510), § 388-96-713, filed 5/30/80, effective
					 7/1/80; 78-02-013 (Order 1264), § 388-96-713, filed
					 1/9/78.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-718 - Public process for determination of rates

Current through Register Vol. 24-14, July 15, 2024
(1) The purpose of this section is to
				describe the manner in which the department will comply with the federal
				Balanced Budget Act of 1997, Section 4711(a)(1), codified at 42 U.S.C. 1396
				a(a)(13)(A).
(2) For all material
				changes to the methodology for determining nursing facility medicaid payment
				rates occurring after October 1, 1997, and requiring a Title XIX state plan
				amendment to be submitted to and approved by the Health Care Financing
				Administration under applicable federal laws, the department shall follow the
				following public process:
(a) The proposed
				estimated initial payment rates, the proposed new methodologies for determining
				the payment rates, and the underlying justifications shall be published.
				Publication shall be:
(i) In the Washington
				State Register; or
(ii) In the
				Seattle Times and Spokane Spokesman Review newspapers.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-723 - Comparison of the statewide weighted average payment rate for all nursing facilities with the weighted average payment rate identified in the Biennial Appropriations Act

Current through Register Vol. 24-14, July 15, 2024
(1) On a quarterly
				basis, the department will compare the statewide weighted average payment rate
				for all nursing facilities with the weighted average payment rate identified in
				the Biennial Appropriations Act.
(2) To determine the statewide weighted
				average payment rate, the department will use total billed medicaid days
				incurred in the calendar year immediately preceding the current fiscal year for
				the purpose of weighting the July 1 nursing facilities' rates that have been
				adjusted, or updated pursuant to chapter 74.46 RCW and this chapter.
Statutory Authority:
					 RCW
					 74.46.431(11) and (12),
					 74.46.800, chapter 74.46 RCW, 2004
					 c 276 § 913, 2001 1st sp.s. c 8. 04-21-027, § 388-96-723, filed
					 10/13/04, effective 11/13/04. Statutory Authority:
					 RCW
					 74.46.800. 01-12-037, § 388-96-723,
					 filed 5/29/01, effective 6/29/01. Statutory Authority: Chapter 74.46 RCW, 1999
					 c 376 § 3 amending c 309 § 207. 99-24-084, § 388-96-723, filed
					 11/30/99, effective 12/31/99. Statutory Authority:
					 RCW
					 74.46.421 and
					 74.46.800. 98-20-023, §
					 388-96-723, filed 9/25/98, effective
					 10/1/98.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-724 - Advance notice - Nursing facility component rate reduction taken under RCW 74.46.421

Current through Register Vol. 24-14, July 15, 2024
(1) The
				department will notify the nursing facility at least twenty-eight calendar days
				in advance of the effective date of a reduction taken under
				RCW
				74.46.421.
(2) A rate reduction taken under
				RCW
				74.46.421 will be effective the first day of
				the month following the twenty-eight calendar day advance notice.
Statutory Authority:
					 RCW
					 74.46.431(11) and (12),
					 74.46.800, chapter 74.46 RCW, 2004
					 c 276 § 913, 2001 1st sp.s. c 8. 04-21-027, § 388-96-724, filed
					 10/13/04, effective 11/13/04. Statutory Authority: Chapter 74.46 RCW, 1999 c
					 376 § 3 amending c 309 § 207. 99-24-084, § 388-96-724, filed
					 11/30/99, effective 12/31/99. Statutory Authority:
					 RCW
					 74.46.421 and
					 74.46.800. 98-20-023, §
					 388-96-724, filed 9/25/98, effective
					 10/1/98.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-725 - RCW 74.46.421 rate reduction - A nursing facility's rates

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				will not reverse any rate reductions taken in accordance with
				RCW
				74.46.421.
(2) If after a reduction a nursing facility
				is eligible to receive an increase in a component rate for some unrelated
				change (e.g., a change in the medicaid case mix index causes the direct care
				rate to increase), the department will apply the increase to the rate reduced
				by application of
				RCW
				74.46.421.
(3) Reductions made under
				RCW
				74.46.421 are cumulative. The department will
				reduce the component rates for all nursing facilities without reversing any
				previous reductions.
Statutory Authority:
					 RCW
					 74.46.431(11) and (12),
					 74.46.800, chapter 74.46 RCW, 2004
					 c 276 § 913, 2001 1st sp.s. c 8. 04-21-027, § 388-96-725, filed
					 10/13/04, effective 11/13/04. Statutory Authority: Chapter 74.46 RCW, 1999 c
					 376 § 3 amending c 309 § 207. 99-24-084, § 388-96-725, filed
					 11/30/99, effective 12/31/99. Statutory Authority:
					 RCW
					 74.46.421 and
					 74.46.800. 98-20-023, §
					 388-96-725, filed 9/25/98, effective
					 10/1/98.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-96 - Wage equity funding › Section 388-96-726 - RCW 74.46.421 nursing facility component rates below the statewide weighted average payment rate identified in the Biennial Appropriations Act

Current through Register Vol. 24-14, July 15, 2024
(1) Even if an
				individual nursing facility's component rates are below the statewide weighted
				average payment rate identified in the Biennial Appropriations Act, the
				department will reduce the nursing facility's rates as required under
				RCW
				74.46.421.
(2) The department will not exempt any
				nursing facility from a component rates reduction required by
				RCW
				74.46.421 for any circumstance, e.g., billed
				medicaid days, under-spending of the biennial appropriation for nursing
				facility rates, etc.
Statutory Authority:
					 RCW
					 74.46.431(11) and (12),
					 74.46.800, chapter 74.46 RCW, 2004
					 c 276 § 913, 2001 1st sp.s. c 8. 04-21-027, § 388-96-726, filed
					 10/13/04, effective 11/13/04. Statutory Authority: Chapter 74.46 RCW, 1999 c
					 376 § 3 amending c 309 § 207. 99-24-084, § 388-96-726, filed
					 11/30/99, effective 12/31/99. Statutory Authority:
					 RCW
					 74.46.421 and
					 74.46.800. 98-20-023, §
					 388-96-726, filed 9/25/98, effective
					 10/1/98.