Chapter 74.46 RCW
NURSING FACILITY MEDICAID PAYMENT SYSTEM

(Formerly Nursing home auditing and cost reimbursement act of 1980)

RCW SECTIONS

74.46.010Short title -- Purpose.
74.46.020Definitions.
PART A

REPORTING
74.46.030Principles of reporting requirements.
74.46.040Due dates for cost reports.
74.46.050Improperly completed or late cost report -- Fines -- Adverse rate actions -- Rules.
74.46.060Completing cost reports and maintaining records.
74.46.080Requirements for retention of records by the contractor.
74.46.090Retention of cost reports and resident assessment information by the department.
PART B

AUDIT
74.46.100Purposes of department audits -- Examination -- Incomplete or incorrect reports -- Contractor's duties -- Access to facility -- Fines -- Adverse rate actions.
PART C

SETTLEMENT
74.46.155Reconciliation of medicaid resident days to billed days and medicaid payments -- Payments due -- Accrued interest -- Withholding funds.
74.46.165Proposed settlement report -- Payment refunds -- Overpayments -- Determination of unused rate funds -- Total and component payment rates.
PART D

ALLOWABLE COSTS
74.46.190Principles of allowable costs.
74.46.200Offset of miscellaneous revenues.
74.46.220Payments to related organizations -- Limits -- Documentation.
74.46.230Initial cost of operation.
74.46.240Education and training.
74.46.250Owner or relative -- Compensation.
74.46.270Disclosure and approval or rejection of cost allocation.
74.46.280Management fees, agreements -- Limitation on scope of services.
74.46.290Expense for construction interest.
74.46.300Operating leases of office equipment -- Rules.
74.46.310Capitalization.
74.46.320Depreciation expense.
74.46.330Depreciable assets.
74.46.340Land, improvements -- Depreciation.
74.46.350Methods of depreciation.
74.46.360Cost basis of land and depreciation base of depreciable assets.
74.46.370Lives of assets.
74.46.380Depreciable assets.
74.46.390Gains and losses upon replacement of depreciable assets.
74.46.410Unallowable costs.
PART E

RATE SETTING
74.46.421Purpose of part E -- Nursing facility medicaid payment rates.
74.46.431Nursing facility medicaid payment rate allocations -- Components -- Minimum wage -- Rules.
74.46.433Variable return component rate allocation.
74.46.435Property component rate allocation.
74.46.437Financing allowance component rate allocation.
74.46.439Facilities leased in arm's-length agreements -- Recomputation of financing allowance -- Reimbursement for annualized lease payments -- Rate adjustment.
74.46.441Public disclosure of rate-setting information.
74.46.445Contractors -- Rate adjustments.
74.46.475Submitted cost report -- Analysis and adjustment by department.
74.46.485Case mix classification methodology.
74.46.496Case mix weights -- Determination--Revisions.
74.46.501Average case mix indexes determined quarterly -- Facility average case mix index -- Medicaid average case mix index.
74.46.506Direct care component rate allocations -- Determination -- Quarterly updates -- Fines.
74.46.508Direct care component rate allocation -- Increases -- Rules.
74.46.511Therapy care component rate allocation -- Determination.
74.46.515Support services component rate allocation -- Determination.
74.46.521Operations component rate allocation -- Determination.
74.46.531Department may adjust component rates -- Contractor may request -- Errors or omissions.
74.46.533Combined and estimated rebased rates -- Determination -- Hold harmless provision.
PART F

BILLING/PAYMENT
74.46.600Billing period.
74.46.610Billing procedure -- Rules.
74.46.620Payment.
74.46.625Supplemental payments.
74.46.630Charges to patients.
74.46.640Suspension of payments.
74.46.650Termination of payments.
PART G

ADMINISTRATION
74.46.660Conditions of participation.
74.46.680Change of ownership -- Assignment of department's contract.
74.46.690Change of ownership -- Final reports -- Settlement.
PART H

PATIENT TRUST FUNDS
74.46.700Resident personal funds -- Records -- Rules.
74.46.711Resident personal funds -- Conveyance upon death of resident.
PART I

MISCELLANEOUS
74.46.770Contractor appeals -- Challenges of laws, rules, or contract provisions -- Challenge based on federal law.
74.46.780Appeals or exception procedure.
74.46.790Denial, suspension, or revocation of license or provisional license -- Penalties.
74.46.800Rule-making authority.
74.46.803Certificate of capital authorization -- Rules.
74.46.807Capital authorization -- Determination.
74.46.820Public disclosure.
74.46.835AIDS pilot nursing facility--Payment for direct care.
74.46.840Conflict with federal requirements.
74.46.900Severability -- 1980 c 177.
74.46.901Effective dates -- 1983 1st ex.s. c 67; 1980 c 177.
74.46.902Section captions -- 1980 c 177.
74.46.905Severability -- 1983 1st ex.s. c 67.
74.46.906Effective date -- 1998 c 322 §§ 1-37, 40-49, and 52-54.
74.46.907Severability -- 1998 c 322.