WAC 182-20-200   Allocation of state funds.  The authority shall allocate available funds to medical, dental and migrant contractors providing primary health care based on the following criteria:

     (1) Medical.

     (a) The authority may withhold appropriated funds as follows:

     (i) As specified under law or up to ten percent to provide funding for new contractors, special projects, and emergency needs:

     (A) With distribution of any remaining portion of this ten percent among contractors by the end of each funding year;

     (B) Prorated according to the percentage of total medical contract funds distributed to each contractor;

     (ii) Up to ten percent for administration.

     (b) The remainder of the appropriated funds is referred to as the "medical base." The medical base means the total amount of money appropriated by the legislature for the medical program minus the amounts specified in (a)(i) and (ii) of this subsection. The medical base is distributed to medical contractors based upon the following formulas:

     (i) Starting July 1, 1996, the medical base is distributed to medical contractors based upon the following formula:

     (A) Forty percent of the medical base is distributed equally among all medical contractors;

     (B) Thirty percent of the medical base is distributed by the ratio of the contractor's primary health care (PHC) medical sliding fee users divided by the total medical sliding fee users of all contractors as reported in the prior calendar year annual reports.

individual contractor's medical sliding fee users
	X 30% medical base
total of all contractors' medical sliding fee users

     (C) Thirty percent of the medical base is distributed by the ratio of the contractor's primary health care (PHC) medical sliding fee encounters by the total number of medical sliding fee encounters reported by all contractors as reported in the prior calendar year annual reports.

individual contractor's medical sliding fee encounters
	X 30% medical base
total of all contractors' medical sliding fee encounters

     (2) Dental.

     (a) The authority may withhold appropriated funds as follows:

     (i) As specified under law or up to ten percent of appropriated funds to provide funding for new contractors, special projects, and emergency needs:

     (A) With distribution of any remaining portion of this ten percent among contractors by the end of each funding year;

     (B) Prorated according to the percentage of total dental contract funds distributed to each contractor.

     (ii) Up to ten percent for administration.

     (b) The remainder of the funds is referred to as the dental base. The dental base means the total amounts appropriated by the legislature for dental programs minus the amounts specified in (a)(i) and (ii) of this subsection and as follows:

     (i) Starting July 1, 1996, the dental base is distributed to dental contractors based upon the following formula:

     (A) Forty percent of the dental base is distributed equally among all dental contractors;

     (B) Thirty percent of the dental base is distributed by the ratio of the contractor's primary health care (PHC) dental sliding fee users divided by the total dental sliding fee users of all contractors as reported in the prior calendar year annual reports.

individual contractor's dental sliding fee users
	X 30% dental base
total of all contractors' dental sliding fee users

     (C) Thirty percent of the dental base is distributed by the ratio of the contractor's primary health care (PHC) dental sliding fee relative value units (RVU) divided by the total number of dental sliding fee relative value units (RVU) reported by all contractors as reported in the prior calendar year annual reports.

individual contractor's dental sliding fee RVUs
	X 30% dental base
total of all contractors' dental sliding fee RVUs

     (3) Migrant.

     (a) The authority may withhold appropriated funds as follows:

     (i) As specified under law or up to ten percent to provide funding for new contractors, special projects, and emergency needs:

     (A) With distribution of any remaining portion of this ten percent among contractors by the end of each funding year;

     (B) Prorated according to the percentage of total migrant contract funds distributed to each contractor.

     (ii) Up to ten percent for administration.

     (b) The remainder of the appropriated funds is referred to as the "migrant base." The migrant base means the total amount of money appropriated by the legislature for the migrant program minus the amounts specified in (a)(i) and (ii) of this subsection. The migrant base is distributed to migrant contractors based upon the following formula:

     The migrant base is distributed to migrant contractors based upon the following formula starting July 1, 1995: One hundred percent of the migrant base is distributed by the ratio of the contractor's primary health care (PHC) migrant users divided by the total migrant users of all contractors as reported in the prior calendar year annual reports.

individual contractor's migrant users
	X 100% migrant base
total of all contractors' migrant users

[Statutory Authority: RCW 41.05.160. 01-04-080 (Order 00-06), § 182-20-200, filed 2/7/01, effective 3/10/01. Statutory Authority: RCW 43.70.040. 95-12-010, § 182-20-200, filed 5/26/95, effective 6/26/95.]