Base Daily Rates. A. Effective July 1, 2019, the, DSHS seventeen (17)-level tiered reimbursement payment rates (base daily rates) for adult family home providers shall be: A Low (1) $76.68 $74.28 $71.89 A Med (2) $79.81 $77.27 $74.72 A High (3) $87.10 $84.20 $81.30 B Low (4) $78.30 $75.83 $73.35 B Med (5) $85.48 $82.66 $79.84 B Med H (6) $93.09 $89.90 $86.71 B High (7) $95.90 $92.58 $89.25 C Low (8) $86.88 $84.00 $81.11 C Med (9) $100.70 $97.15 $93.59 C Med H (10) $103.08 $99.41 $95.74 C High (11) $105.56 $101.77 $97.98 D Low (12) $92.98 $89.80 $86.62 D Med (13) $102.86 $99.20 $95.54 D Med H (14) $118.06 $113.67 $109.27 D High (15) $130.57 $126.36 $119.54 E Med (16) $157.48 $151.99 $143.76 E High (17) $184.42 $177.61 $167.99
B. Effective January 1, 2020 the DSHS seventeen (17)-level tiered reimbursement payment rates (base daily rates) for adult family home providers shall be: A Low (1) $78.84 $76.38 $73.92 A Med (2) $82.06 $79.44 $76.83 A High (3) $89.55 $86.57 $83.59 B Low (4) $80.51 $77.96 $75.42 B Med (5) $87.89 $84.99 $82.09 B Med H (6) $95.71 $92.43 $89.16 B High (7) $98.60 $95.18 $91.77 C Low (8) $89.33 $86.36 $83.39 C Med (9) $103.54 $99.88 $96.22 C Med H (10) $105.98 $102.21 $98.43 C High (11) $108.54 $104.64 $100.74 D Low (12) $95.60 $92.33 $89.06 D Med (13) $105.76 $102.00 $98.23 D Med H (14) $121.39 $116.87 $112.35 D High (15) $130.57 $126.36 $119.54 E Med (16) $157.48 $151.99 $167.99 E High (17) $184.42 $177.61 $167.99
C. Effective July 1, 2020, the DSHS Base Daily Rates for adult family home providers. A Low (1) $80.75 $78.26 $75.76 A Med (2) $84.07 $81.42 $78.76 A High (3) $91.79 $88.77 $85.75 B Low (4) $82.47 $79.89 $77.31 B Med (5) $90.07 $87.13 $84.19 B Med H (6) $98.13 $94.81 $91.49 B High (7) $101.11 $97.64 $94.18 C Low (8) $91.56 $88.55 $85.54 C Med (9) $106.19 $102.49 $98.78 C Med H (10) $108.71 $104.88 $101.06 C High (11) $111.34 $107.39 $103.44 D Low (12) $98.02 $94.70 $91.38 D Med (13) $108.48 $104.67 $100.85 D Med H (14) $124.58 $120.00 $115.41 D High (15) $132.02 $127.08 $122.14 E Med (16) $160.63 $155.03 $146.63 E High (17) $188.10 $181.16 $171.35
Base Daily Rates. A. Effective July 1, 2017, the, DSHS seventeen (17)-level tiered reimbursement payment rates (base daily rates) for adult family home providers shall be as shown in Appendix A.
B. Effective July 1, 2018, the DSHS Base Daily Rates for adult family home providers shall be as shown in Appendix B.
X. XXXX Base Daily Rates
1. Effective July 1, 2017 – June 30, 2018, PACE Organizations shall pay all adult family home providers serving Medicaid enrollees through a contract at a base daily rate not less than Article 7.1A, above as determined by the DSHS CARE assessment. PACE may pay a base daily rate that is higher than Article 7.1 A, above, based on PACE’s own assessment of the enrollee in accordance with the federal regulation and state contractual obligations.
2. Effective July 1, 2018 – June 30, 2019, PACE Organizations shall pay all adult family home providers serving Medicaid enrollees through a contract at a base daily rate not less than Article 7.1B, above as determined by the DSHS CARE assessment. PACE may pay a base daily rate that is higher than Article 7.1B, above, based on PACE’s own assessment of the enrollee in accordance with the federal regulations and state contractual obligations.
Base Daily Rates. A. Effective July 1, 2015, the July 1, 2013 – June 30, 2015, DSHS seventeen (17)-level tiered reimbursement payment rates (base daily rates) for adult family home providers shall be increased by five percent (5.0%) as shown in Appendix A.
Base Daily Rates. 4 A. Effective July 1, 20253, the DSHS Base Daily Rates for adult family home 5 providers will be as follows: A Low (1) $116.50137.47 $106.10$125.67 A Med (2) $121.45$143.50 $130.95110.39 A High (3) $157.53132.97 $143.24120.37 B Low (4) $140.59119.06 $128.40108.32 B Med (5) $154.41130.41 $140.51118.15 B Med H (6) $142.43169.06 $128.58153.35 B High (7) $146.87174.47 $132.43158.08 C Low (8) $132.63157.11 $120.08142.88 C Med (9) $154.46183.71 $139.01166.18 C Med H (10) $158.22188.29 $142.26170.19 C High (11) $162.15193.07 $145.67174.38 D Low (12) $142.26168.85 $128.43153.16 D Med (13) $157.88187.87 $141.97169.83 D Med H (14) $181.90217.13 $162.79195.46 D High (15) $192.99230.65 $172.41207.30 E Med (16) $209.77251.08 $186.95225.20 E High (17) $225.55270.31 $200.64242.05 6 7 High-cost area includes King, Pierce, and Snohomish Counties. Standard 8 cost area includes all other WA state counties.
1 B. Effective July 1, 20242026, the DSHS Base Daily Rates for the adult family 2 home providers will be as follows. A Low (1) $119.32139.12 $108.71127.14 A Med (2) $124.37145.24 $113.09132.50 A High (3) $136.12159.48 $123.27144.98 B Low (4) $121.9142.284 $110.98129.91 B Med (5) $133.51156.31 $121.01142.20 B Med H (6) $145.78171.18 $131.64155.23 B High (7) $150.30176.67 $135.57160.04 C Low (8) $135.77159.06 $122.97144.61 C Med (9) $158.05186.06 $142.28168.26 C Med H (10) $161.88190.70 $145.60172.33 C High (11) $165.88195.56 $149.07176.58 D Low (12) $145.60170.97 $131.49155.05 D Med (13) $161.53190.28 $145.30171.96 D Med H (14) $186.03219.97 $166.54197.98 D High (15) $197.35233.70 $176.35210.00 E Med (16) $214.45254.43 $191.18228.17 E High (17) $230.55273.95 $205.14245.26 3 4 High area includes King, Pierce, and Snohomish Counties. Standard cost area 5 includes all other WA state counties.
6 X. XXXX Base Daily Rates
7 1. Effective July 1, 2023 2025 – June 30, 20252027, PACE 8 Organizations shall pay all adult family home providers serving
Base Daily Rates. XXXX Base Daily Rate Effective July 1, 2015 through June 30, 2017, PACE shall pay the AFR providers serving Medicaid enrollees through a contract:
Base Daily Rates.
A. Effective July 1, 2021, the DSHS Base Daily Rates for adult family home providers will be increased as follows: A Low (1) $86.22 $83.79 $81.36 A Med (2) $89.45 $86.87 $84.28 A High (3) $96.97 $94.03 $91.09 B Low (4) $87.89 $85.38 $82.87 B Med (5) $95.30 $92.44 $89.57 B Med H (6) $103.15 $99.92 $96.68 B High (7) $106.05 $102.68 $99.30 C Low (8) $96.75 $93.82 $90.88 C Med (9) $111.01 $107.40 $103.78 C Med H (10) $113.46 $109.73 $106.00 C High (11) $116.03 $112.17 $108.32 D Low (12) $103.04 $99.81 $96.58 D Med (13) $113.24 $109.52 $105.80 D Med H (14) $128.92 $124.46 $119.99 D High (15) $136.17 $131.36 $126.55 E Med (16) $160.63 $155.03 $146.63 E High (17) $188.10 $181.16 $171.35
B. Effective July 1, 2022, the DSHS Base Daily Rates for the E Med (16) and E High (17) will be as follows. Classification KING MSA NMSA E Med (16) $165.45 $159.68 $151.03 E High (17) $193.75 $186.60 $176.49