AGING AND DISABILITY SERVICES ADMINISTRATION

2007 NH "Dear Administrator" Letters

June 29, 2007

ADSA: NH #2007-011
July 2007 Medicaid Rates for Nursing Homes

Dear Nursing Facility/Home Administrator:

The July 1, 2007 Medicaid payment rate for your facility is enclosed. A copy of the "Description of July 2007 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, 2007 Medicaid payment rate is subject to administrative review in accordance with RCW 74.46.770 and WAC 388-96-901 and 388-96-904. To appeal this rate, you must submit a 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 of 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 the 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 5, 2007 in accordance with WAC 388-96-904 (1).

Also enclosed are an “Addendum for July 2007 Rate Setting”, “Reason Codes for Examination Adjustments”, a list of department personnel involved with nursing facility Medicaid payment, listings depicting the 2005 median cost limits by peer group, Case Mix Weights Calculations, the 2006 Home Office lid calculation, 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,

Kenneth Callaghan, Chief
Office of Rates Management

Enclosures

cc: Interested Parties