AGING AND DISABILITY SERVICES ADMINISTRATION
August 23, 2004
ADSA: NH #2004-018
2005 Joint Cost Allocation Disclosure
Dear Nursing Facility/Home Administrator:
By September 30 of each year, Revised Code of Washington Section 74.46.270 requires all central servicing organizations to submit a Joint Cost Allocation Disclosure (JCAD). Central servicing organizations include related organizations which provide services to more than one nursing facility, or one nursing facility and any other entity. Examples of organizations that must submit a disclosure if joint costs are incurred are:
- chain operations;
- organizations operating more than one type of facility at a location (for example, a nursing facility and a hospital or a nursing facility and a boarding home);
- organizations operating more than one type of business (for example, a nursing facility and an apartment complex); and
- facilities providing services to another facility (for example, a facility providing laundry services to another facility).
One disclosure form for each servicing organization is required. For example, if a central office provides services to five facilities, the central office is the servicing organization and should submit one disclosure. All servicing organizations allocating joint facility costs in 2005 must complete the form in its entirety and sign the certification on page 4. All signatures must be original signatures in ink.
The disclosure must identify the nature and purpose of all costs, which represent an allocation of joint facility costs, describe the allocation methodology utilized, and list the entities to which the costs are to be allocated. Please note that an organization chart for the servicing organization is to be submitted. The organization chart must define all positions and define services provided. Please disclose all management positions with the names of the current staff holding such positions. Also note that changes from the prior year’s organizational chart must be disclosed in Section 2.
To have joint facility costs for calendar year 2005 considered in the determination of allowable costs under Washington Administrative Code (WAC) 388-96-585 and other related sections of WAC 388-96, the allocation disclosure must be postmarked by September 30, 2004 per WAC 388-96-534 (3). The department will review the methodology and notify the contractor of approval or denial by December 31, 2004 for all timely received JCADs in accordance with WAC 388-96-534 (4).
PLEASE NOTE: In accordance with WAC 388-96-534 (5), an amendment or revision to a JCAD must be submitted at least thirty days prior to the effective date of the amendment or revision. Also, contractors who will begin to incur joint costs at some time other than the beginning of the calendar year must submit a new JCAD ninety days prior to the time the costs will be incurred per WAC 388-96-534 (6).
For guidelines on the disclosure of joint facility cost allocation, please review RCW 74.46.270; WACs 388-96-534, 388-96-535, and 388-96-542; and the State of Washington Nursing Home Accounting and Reporting Manual pages III-23 through III-26, and pages V-3 through V-4.
If your JCAD for calendar year 2004 was not approved, please also complete the 2004 form and return the form to the address below. The department will review your 2004 JCAD and then compare its findings to your 2005 JCAD. JCADs for 2004 that were conditionally approved last year will be automatically disapproved if the department has not received the requested information.
Enclosed are:
- A 2005 disclosure form (Word Format)
- Copies of relevant sections of state law (RCW) and regulations (WAC) and excerpt pages of the Nursing Home Accounting and Reporting Manual (Word Format)
- Joint Facility Organization Types (Word Format)
- Criteria for Approval of Provider Statements (Word Format)
Disclosures for calendar year 2005 must be postmarked by September 30, 2004 and submitted to:
Department of Social and Health Services
Aging and Disability Services Administration
Nursing Home Rates Section
Post Office Box 45600
Olympia, Washington 98504-5600
If you have any questions, please call the analyst responsible for your facility. If you do not know your assigned analyst, please call Linda Herrera (360) 725-2498.
Sincerely,
Tom Kearns, Chief
Office of Rates Management
Enclosures
