Revised Code of Washington
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.

Structure Revised Code of Washington

Revised Code of Washington

Title 74 - Public Assistance

Chapter 74.46 - Nursing Facility Medicaid Payment System.

74.46.010 - Short title—Purpose—Finding.

74.46.020 - Definitions.

74.46.022 - Nursing facility medicaid payment system—Establishing procedures, principles, and conditions.

74.46.024 - Pay-for-performance supplemental payment structure—Establishing procedures, principles, and conditions.

74.46.421 - Purpose of part E—Nursing facility medicaid payment rates.

74.46.441 - Public disclosure of rate-setting information.

74.46.475 - Submitted cost report—Analysis and adjustment by department.

74.46.485 - Case mix classification methodology—Notice of implementation.

74.46.496 - Case mix weights—Determination—Revisions.

74.46.501 - Average case mix indexes determined quarterly—Facility average case mix index—Medicaid average case mix index.

74.46.531 - Department may adjust component rates—Contractor may request—Errors or omissions.

74.46.541 - Skilled nursing facility safety net assessment—Reimbursement of medicaid share.

74.46.551 - Facility-based payment rates—Comparative analysis—Rate add-ons.

74.46.561 - Nursing home payment rates—System components—Quality incentive—Reimbursement of safety net assessment—Rate reductions or increases limited.

74.46.562 - Indian health service or tribal facilities—Payment rates.

74.46.571 - Nursing home payment rates—Rules.

74.46.581 - Separate nursing facility quality enhancement account.

74.46.800 - Rule-making authority.

74.46.835 - AIDS pilot nursing facility—Payment for direct care.

74.46.840 - Conflict with federal requirements.

74.46.909 - Retrospective application—Clarification of chapter 8, Laws of 2001 1st sp. sess.—2008 c 263.