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Chapter 388-96 WAC

Last Update: 3/30/09

Nursing facility medicaid payment system

WAC Sections

388-96-010 Definitions.
388-96-020 Prospective cost-related payment.
388-96-026 New contractors.
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.
388-96-202 Scope of audit or department audit.
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.
388-96-502 Indirect and overhead costs.
388-96-505 Offset of miscellaneous revenues.
388-96-525 Education and training.
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.
388-96-553 Capitalization.
388-96-554 Expensing.
388-96-559 Cost basis of land and depreciation base.
388-96-561 Cost basis of land and depreciation base -- Donated or inherited assets.
388-96-565 Lives.
388-96-572 Handling of gains and losses upon retirement of depreciable assets -- Other periods.
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 Reinstatement of beds previously removed from service under chapter 70.38 RCW--Effect on prospective payment rate.
388-96-709 Prospective rate revisions--Reduction in licensed beds.
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?
388-96-740 Medicaid case mix index -- When a facility does not meet the ninety percent minimum data set (MDS) threshold as identified in RCW 74.46.501.
388-96-741 When the nursing facility does not have facility average case mix indexes for the four quarters specified in RCW 74.46.501 (7)(b) for determining the cost per case mix unit, what will the department use to determine the nursing facility's cost per case mix unit?
388-96-742 Licensed beds to compute the ninety percent minimum data set (MDS) threshold rather than a nursing facility's quarterly average census.
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.
388-96-749 Variable return -- Quartiles and percentages.
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 direct care component rate allocation -- Covered medicaid residents.
388-96-782 Exceptional therapy care and exceptional direct care -- Payment.
388-96-783 Certificate of capital authorization (CCA).
388-96-802 May the nursing facility (NF) contractor bill the department for a medicaid resident's day of death, discharge, or transfer from the NF?
388-96-803 When a nursing facility (NF) contractor becomes aware of a change in the medicaid resident's income and/or resources, must he or she report it?
388-96-901 Disputes.
388-96-904 Administrative review -- Adjudicative proceeding.
388-96-905 Case mix accuracy review of MDS nursing facility resident assessments.