Chapter 388-96. Nursing facility medicaid payment system.  


Section 388-96-010. Definitions.
Section 388-96-011. Conditions of participation.
Section 388-96-012. Public disclosure.
Section 388-96-020. Prospective cost-related payment.
Section 388-96-022. Due dates for cost reports.
Section 388-96-026. New contractors.
Section 388-96-099. Completing cost reports and maintaining records.
Section 388-96-102. Requirements for retention of records by the contractor.
Section 388-96-105. Retention of cost reports and resident assessment information by the department.
Section 388-96-107. Requests for extensions.
Section 388-96-108. Failure to submit final reports.
Section 388-96-117. Certification requirement.
Section 388-96-119. Reports—False information.
Section 388-96-122. Amendments to reports.
Section 388-96-205. Purposes of department audits—Examination—Incomplete or incorrect reports—Contractor's duties—Access to facility—Fines—Adverse rate actions.
Section 388-96-208. Reconciliation of medicaid resident days to billed days and medicaid payments—Payments due—Accrued interest—Withholding funds.
Section 388-96-211. Proposed settlement report—Payment refunds—Overpayments—Determination of unused rate funds—Total and component payment rates.
Section 388-96-217. Civil fines.
Section 388-96-218. Proposed, preliminary, and final settlements.
Section 388-96-310. Interest on other excess payments.
Section 388-96-366. Facility records and handling of resident moneys.
Section 388-96-369. The nursing facility shall maintain a subsidiary ledger with an account for each resident for whom the facility holds money.
Section 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.
Section 388-96-375. Resident personal funds control/disbursement.
Section 388-96-378. Resident personal funds availability.
Section 388-96-381. Procedure for refunding resident personal funds.
Section 388-96-384. Liquidation or transfer of resident personal funds.
Section 388-96-499. Principles of allowable costs.
Section 388-96-502. Indirect and overhead costs.
Section 388-96-505. Offset of miscellaneous revenues.
Section 388-96-525. Education and training.
Section 388-96-528. Payments to related organizations—Limits—Documentation.
Section 388-96-530. What will be allowable compensation for owners, relatives, licensed administrator, assistant administrator, and/or administrator-in-training?
Section 388-96-532. Does the contractor have to maintain time records?
Section 388-96-534. Joint cost allocation disclosure (JCAD).
Section 388-96-535. Management agreements, management fees, and central office services.
Section 388-96-536. Does the department limit the allowable compensation for an owner or relative of an owner?
Section 388-96-540. Will the department allow the cost of an administrator-in-training?
Section 388-96-542. Home office or central office.
Section 388-96-552. Depreciable assets.
Section 388-96-553. Capitalization.
Section 388-96-554. Expensing.
Section 388-96-556. Initial cost of operation.
Section 388-96-558. Depreciation expense.
Section 388-96-559. Cost basis of land and depreciation base.
Section 388-96-560. Land, improvements—Depreciation.
Section 388-96-561. Cost basis of land and depreciation base—Donated or inherited assets.
Section 388-96-562. Depreciable assets—Disposed—Retired.
Section 388-96-564. Methods of depreciation.
Section 388-96-565. Lives.
Section 388-96-572. Handling of gains and losses upon retirement of depreciable assets—Other periods.
Section 388-96-574. New or replacement construction—Property tax increases.
Section 388-96-580. Operating leases of office equipment.
Section 388-96-585. Unallowable costs.
Section 388-96-704. Prospective payment rates.
Section 388-96-705. Payment for services after settlement.
Section 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.
Section 388-96-709. Prospective rate revisions—Reduction in licensed beds by means other than "banking" pursuant to chapter 70.38 RCW.
Section 388-96-710. Prospective payment rate for new contractors.
Section 388-96-713. Rate determination.
Section 388-96-718. Public process for determination of rates.
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.
Section 388-96-724. Advance notice—Nursing facility component rate reduction taken under RCW 74.46.421.
Section 388-96-725. RCW 74.46.421 rate reduction—A nursing facility's rates.
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.
Section 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.
Section 388-96-731. Nursing facilities' rate reductions pursuant to RCW 74.46.421.
Section 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?
Section 388-96-739. How will the department determine which resident assessments are medicaid resident assessments?
Section 388-96-744. How will the department set the therapy care rate and determine the median cost limit per unit of therapy?
Section 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?
Section 388-96-747. Constructed, remodeled or expanded facilities.
Section 388-96-748. Financing allowance component rate allocation.
Section 388-96-757. Payment for veterans' homes.
Section 388-96-758. Add-on for low-wage workers.
Section 388-96-759. Standards for low-wage workers add-on.
Section 388-96-760. Upper limits to the payment rate.
Section 388-96-762. Allowable land.
Section 388-96-766. Notification.
Section 388-96-767. Appraisal values.
Section 388-96-771. Receivership.
Section 388-96-776. Add-ons to the property and financing allowance payment rate—Capital improvements.
Section 388-96-777. Add-ons to the prospective rate—Initiated by the department.
Section 388-96-781. Exceptional care rate add-on—Covered medicaid residents.
Section 388-96-782. Exceptional therapy care and exceptional direct care—Payment.
Section 388-96-783. Certificate of capital authorization (CCA).
Section 388-96-784. Expense for construction interest.
Section 388-96-785. Supplemental payments.
Section 388-96-786. Pay for performance add-on.
Section 388-96-802. Billing/payment.
Section 388-96-803. Notification of participation—Responsibility to collect—Reporting medicaid recipient's changes in income/resources—Rate payment in full for services.
Section 388-96-805. Suspension of payments.
Section 388-96-808. Change of ownership—Assignment of department's contract.
Section 388-96-809. Change of ownership—Final reports—Settlement securities.
Section 388-96-901. Disputes.
Section 388-96-904. Administrative review—Adjudicative proceeding.
Section 388-96-905. Case mix accuracy review of MDS nursing facility resident assessments.
Section 388-96-906. Section captions.
Section 388-96-910. Safety net assessment.