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Chapter 388-96 WAC

 Last Update: 1/23/12

NURSING FACILITY MEDICAID PAYMENT SYSTEM

WAC Sections

388-96-010 Definitions.
388-96-011 Conditions of participation.
388-96-012 Public disclosure.
388-96-020 Prospective cost-related payment.
388-96-022 Due dates for cost reports.
388-96-026 New contractors.
388-96-099 Completing cost reports and maintaining records.
388-96-102 Requirements for retention of records by the contractor.
388-96-105 Retention of cost reports and resident assessment information by the department.
388-96-107 Requests for extensions.
388-96-108 Failure to submit final reports.
388-96-117 Certification requirement.
388-96-119 Reports -- False information.
388-96-122 Amendments to reports.
388-96-205 Purposes of department audits--Examination--Incomplete or incorrect reports--Contractor's duties--Access to facility--Fines--Adverse rate actions.
388-96-208 Reconciliation of medicaid resident days to billed days and medicaid payments--Payments due--Accrued interest--Withholding funds.
388-96-211 Proposed settlement report--Payment refunds--Overpayments--Determination of unused rate funds--Total and component payment rates.
388-96-217 Civil fines.
388-96-218 Proposed, preliminary, and final settlements.
388-96-310 Interest on other excess payments.
388-96-366 Facility records and handling of resident moneys.
388-96-369 The nursing facility shall maintain a subsidiary ledger with an account for each resident for whom the facility holds money.
388-96-372 The nursing facility may maintain a petty cash fund originating from resident personal funds of an amount reasonable and necessary for the size of the facility and the needs of the residents.
388-96-375 Resident personal funds control/disbursement.
388-96-378 Resident personal funds availability.
388-96-381 Procedure for refunding resident personal funds.
388-96-384 Liquidation or transfer of resident personal funds.
388-96-499 Principles of allowable costs.
388-96-502 Indirect and overhead costs.
388-96-505 Offset of miscellaneous revenues.
388-96-525 Education and training.
388-96-528 Payments to related organizations -- Limits -- Documentation.
388-96-530 What will be allowable compensation for owners, relatives, licensed administrator, assistant administrator, and/or administrator-in-training?
388-96-532 Does the contractor have to maintain time records?
388-96-534 Joint cost allocation disclosure (JCAD).
388-96-535 Management agreements, management fees, and central office services.
388-96-536 Does the department limit the allowable compensation for an owner or relative of an owner?
388-96-540 Will the department allow the cost of an administrator-in-training?
388-96-542 Home office or central office.
388-96-552 Depreciable assets.
388-96-553 Capitalization.
388-96-554 Expensing.
388-96-556 Initial cost of operation.
388-96-558 Depreciation expense.
388-96-559 Cost basis of land and depreciation base.
388-96-560 Land, improvements--Depreciation.
388-96-561 Cost basis of land and depreciation base -- Donated or inherited assets.
388-96-562 Depreciable assets--Disposed--Retired.
388-96-564 Methods of depreciation.
388-96-565 Lives.
388-96-572 Handling of gains and losses upon retirement of depreciable assets -- Other periods.
388-96-574 New or replacement construction--Property tax increases.
388-96-580 Operating leases of office equipment.
388-96-585 Unallowable costs.
388-96-704 Prospective payment rates.
388-96-705 Payment for services after settlement.
388-96-708 Beds removed from service under chapter 70.38 RCW, new beds approved under chapter 70.38 RCW, and beds permanently relinquished -- Effect on prospective payment rate.
388-96-709 Prospective rate revisions--Reduction in licensed beds by means other than "banking" pursuant to chapter 70.38 RCW.
388-96-710 Prospective payment rate for new contractors.
388-96-713 Rate determination.
388-96-718 Public process for determination of rates.
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.
388-96-724 Advance notice -- Nursing facility component rate reduction taken under RCW 74.46.421.
388-96-725 RCW 74.46.421 rate reduction -- A nursing facility's rates.
388-96-726 RCW 74.46.421 nursing facility component rates below the statewide weighted average payment rate identified in the Biennial Appropriations Act.
388-96-730 Methodology for reducing a nursing facility's medicaid payment rate in order to reduce the statewide weighted average nursing facility medicaid payment rate to equal or be less than the weighted average payment rate identified in the Biennial Appropriations Act.
388-96-731 Nursing facilities' rate reductions pursuant to RCW 74.46.421.
388-96-738 What default case mix group and weight must the department use for case mix grouping when there is no minimum data set resident assessment for a nursing facility resident?
388-96-739 How will the department determine which resident assessments are medicaid resident assessments?
388-96-744 How will the department set the therapy care rate and determine the median cost limit per unit of therapy?
388-96-746 How much therapy consultant expense for each therapy type will the department allow to be added to the total allowable one-on-one therapy expense?
388-96-747 Constructed, remodeled or expanded facilities.
388-96-748 Financing allowance component rate allocation.
388-96-757 Payment for veterans' homes.
388-96-758 Add-on for low-wage workers.
388-96-759 Standards for low-wage workers add-on.
388-96-760 Upper limits to the payment rate.
388-96-762 Allowable land.
388-96-766 Notification.
388-96-767 Appraisal values.
388-96-771 Receivership.
388-96-776 Add-ons to the property and financing allowance payment rate--Capital improvements.
388-96-777 Add-ons to the prospective rate--Initiated by the department.
388-96-781 Exceptional care rate add-on -- Covered medicaid residents.
388-96-782 Exceptional therapy care and exceptional direct care -- Payment.
388-96-783 Certificate of capital authorization (CCA).
388-96-784 Expense for construction interest.
388-96-785 Supplemental payments.
388-96-786 Pay for performance add-on.
388-96-802 Billing/payment.
388-96-803 Notification of participation--Responsibility to collect--Reporting medicaid recipient's changes in income/resources--Rate payment in full for services.
388-96-805 Suspension of payments.
388-96-808 Change of ownership--Assignment of department's contract.
388-96-809 Change of ownership--Final reports--Settlement securities.
388-96-901 Disputes.
388-96-904 Administrative review -- Adjudicative proceeding.
388-96-905 Case mix accuracy review of MDS nursing facility resident assessments.
388-96-906 Section captions.
388-96-910 Safety net assessment.