AGING AND DISABILITY SERVICES ADMINISTRATION

ADSA > Professionals & Providers > Rates Management

Office of Rates Management

The mission of the Office of Rates Management is to design and administer payment systems that support the provision of cost-effective long-term care. The Office of Rates Management includes: Home and Community Rates/Payments and Research, Nursing Home Rates, and Developmental Disabilities Rates.

• Updated SNA Report Blank
• 2009 Settlements Notice
• 2012 JCAD
• Board of Appeals Address
• CaseMIX
  • 2 Semiannual 2010 Final Report with Rug Codes PA to PE at 87% (July 1, 2011 – June 30, 2013)
  • Excel | PDF
  • “Dear Administrator" letter (NH 2004-037) regarding Casemix
  • Case Mix for Washington State Medicaid Nursing Home Payment
• Cost Reports
• Cost Report Workload Reductions (01/07/11)
• Cost Report Workload Reductions (12/8/10)
• Credit Balance Report
  • Credit Balance Report Dear Admin Letter
  • Instructions For Credit Balance Report (Word)
  • Credit Balance Reports (Excel)
• "Dear Administrator" Letters
  • 2012 Dear Administrator Letters
  • 2011 Dear Administrator Letters
  • 2010 Dear Administrator Letters
  • 2009 Dear Administrator Letters
  • 2008 Dear Administrator Letters
  • 2007 Dear Administrator Letters
• Dental Services Restored - Information (Word)
  1. Verification for Dental Services (Word)
• Disclosure
  • Public Disclosure Request Form (Word)
• Division of Developmental Disability Rates
  • Rates and Reimbursement Documents
• Facilties exempted under Waiver
  • Excel | PDF
• Emergency Rules Amending Chapter 388-96 WAC
• Home & Community Rates (Excel)
• Low Wage Worker Add-on
  • LWW Notice
  • LWW Election
• Manuals
  • Nursing Home Accounting and Reporting Manual
• Medicaid Days Explanation
• NAC Reimbursement Forms
• Notices
  • Notice of IMPORTANT INFORMATION for 2012 (12/28/11)
    • General Definition of Supply (Word)
    • Examples of Supply (Word)
  • Notice of Adjustment of Medicaid Rates (2/23/11) (PDF)
  • Notice of Pending and Potential Legislation (1/18/11)
  • Notice of Adjustment of Medicaid Rates
  • Notice of Adjustment of Nursing Home Rates
  • Notice Concerning September 1, 2010 Rates
  • Notice of Pending Legislation
  • Notice Regarding Banked Beds
• Nursing Home Rate Additional Documentation
  • ESSB 5581 2007 Median Lid Summary Page and Detail by Component – (Effective 7/1/11) (Excel)
  • 2007 Facility Average Case Mix Index without Defaults and per Industry Average
  • Addendum for July 2010 Rate Setting
  • Case Mix Weights with 2007 Cost Report Wage Data
  • Description of July 2010 Nursing Facility Medicaid Payment Rate Setting
  • Nursing Facility Analyst List
  • Reason Codes for Examination Adjustment
• Rates & Reports
• Safety Net Assessment
  • SNA Change Notice
  • SNA Report Instructions (Word)
  • SNA Report Blank (02/09/2012)
    • Excel | PDF
  • SNA Report Sample (Excel) (8/18/2011)
  • Facilites Exempted Under Waiver for B1_B2 Model
    • Excel | PDF
• TRO Rates Emailed Notice (PDF)– (4/14/11)
• Vendor Rate Increase and `Budget Dial’ notification
• Washington Administrative Code (WAC)
  • CR 101 To Clarify the Nursing Facility Medicaid Payment Regulations (PDF)

Office of Rates Management Contact Information (PDF)