AGING AND DISABILITY SERVICES ADMINISTRATION
2005 NH "Dear Administrator" Letters
June 30, 2005
ADSA: NH #2005-015
July 1, 2005 ADJUSTED Medicaid PAYMENT RATE
Dear Nursing Facility/Home Administrator:
The July 1, 2005 Medicaid payment rate for your facility is enclosed. A copy of the "Description of July 1, 2005 Nursing Facility Medicaid Payment Rate Setting" which explains how your rate was calculated is enclosed for your convenience. In creating the rate computation worksheet, the department used wording and calculation descriptions as similar as possible to that used in prior rate settings to facilitate your review.
The July 1, 2005 Medicaid payment rate is subject to administrative review in accordance with RCW 74.46.770 and WACs 388-96-901 and 388-96-904. To appeal this rate, you must submit a written request in writing within twenty-eight (28) calendar days after receiving this notice of the rate. The contractor, partner, officer, or authorized employee of the contractor must sign the request for administrative review. In the request, you must state the reasons for your appeal and include all necessary supporting documentation. Mail your appeal to the Office off Rates Management at the address above.
If proof of the date of receipt of the department's rate notification letter exists, then that date shall be used to determine timeliness of your request for an administrative review conference. If there is no proof of the date of receipt of the department's rate notification letter, then you will be deemed to have received notice by July 7, 2005 in accordance with WAC 388-96-904 (1).
Also enclosed are an “Addendum for July 2005 Rate Setting”, “Reason Codes for Examination Adjustments”, a list of department personnel involved with nursing facility Medicaid payment, and a list of the analysts responsible for specific facilities' Medicaid rates. I encourage you to contact your analyst if you have questions about your rate.
Sincerely,
Tom Kearns, Chief
Office of Rates Management
Enclosures
cc: Interested Parties
