Common use of PACE Clause in Contracts

PACE. Article 13.1 above does not apply to adult family home providers serving Medicaid enrollees through a contract with PACE. Adult family home providers serving Medicaid enrollees through a contract with PACE may, however, pay dues to the AFHC through a mechanism established by the AFHC. The State is not a party to this transaction. APPENDIX A‌ JULY 1, 2017 ALTSA ADULT FAMILY HOME DAILY RATES FOR CLIENTS ASSESSED WITH CARE Classification AFHC Daily Rate AFHC Daily Rate AFHC Daily Rate A Low (1) $71.96 $70.78 $69.07 A Med (2) $74.74 $73.49 $71.67 A High (3) $81.23 $79.80 $77.73 B Low (4) $73.40 $72.18 $70.42 B Med (5) $79.78 $78.39 $76.38 B Med H (6) $86.56 $84.98 $82.71 B High (7) $89.05 $87.41 $85.04 C Low (8) $81.03 $79.61 $77.55 C Med (9) $93.33 $91.57 $89.04 C Med H (10) $98.41 $93.63 $91.01 C High (11) $99.76 $97.03 $93.08 D Low (12) $86.46 $84.89 $82.62 D Med (13) $95.25 $93.44 $90.83 D Med H (14) $112.59 $109.19 $104.36 D High (15) $128.01 $123.88 $117.20 E Med (16) $154.39 $149.01 $140.94 E High (17) $180.80 $174.13 $164.70 **Metropolitan Counties (Urban) Benton, Clark, Franklin, Island, Kitsap, ▇▇▇▇▇▇, Snohomish, Spokane, ▇▇▇▇▇▇▇▇, Whatcom, and Yakima Counties. ***Non-Metropolitan Counties: ▇▇▇▇▇, Asotin, Chelan, Clallam, Columbia, ▇▇▇▇▇▇▇, Douglas, Ferry, Kittitas, Garfield, ▇▇▇▇▇, Grays Harbor, Jefferson, Klickitat, ▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇▇▇▇▇, Pacific, Pend ▇▇▇▇▇▇▇, San ▇▇▇▇, ▇▇▇▇▇▇, Skamania, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇, Walla Walla, and ▇▇▇▇▇▇▇. APPENDIX B JULY 1, 2018 ALTSA ADULT FAMILY HOME DAILY RATES FOR CLIENTS ASSESSED WITH CARE A Low (1) $71.96 $70.78 $69.07 A Med (2) $74.74 $73.49 $71.67 A High (3) $81.23 $79.80 $77.73 B Low (4) $73.40 $72.18 $70.42 B Med (5) $79.78 $78.39 $76.38 B Med H (6) $86.56 $84.98 $82.71 B High (7) $89.05 $87.41 $85.04 C Low (8) $81.03 $79.61 $77.55 C Med (9) $93.33 $91.57 $89.04 C Med H (10) $100.38 $93.63 $91.01 C High (11) $101.76 $98.97 $93.08 D Low (12) $86.46 $84.89 $82.62 D Med (13) $95.25 $93.44 $90.83 D Med H (14) $114.84 $111.97 $104.36 D High (15) $130.57 $126.36 $119.54 E Med (16) $157.48 $151.99 $143.76 E High (17) $184.42 $177.61 $167.99 **Metropolitan Counties (Urban) Benton, Clark, Franklin, Island, Kitsap, ▇▇▇▇▇▇, Snohomish, Spokane, ▇▇▇▇▇▇▇▇, Whatcom, and Yakima Counties. ***Non-Metropolitan Counties: ▇▇▇▇▇, Asotin, Chelan, Clallam, Columbia, ▇▇▇▇▇▇▇, Douglas, Ferry, Kittitas, Garfield, ▇▇▇▇▇, Grays Harbor, Jefferson, Klickitat, ▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇▇▇▇▇, Pacific, Pend ▇▇▇▇▇▇▇, San ▇▇▇▇, ▇▇▇▇▇▇, Skamania, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇, Walla Walla, and ▇▇▇▇▇▇▇. APPENDIX C JULY 1, 2017 ADULT FAMILY HOME DAILY RATES ADJUSTED DAILY RATE WITH COMMUNITY INTEGRATION Service Area King County **Metropolitan Counties ***Non-Metropolitan Counties ** Metropolitan Counties (Urban) Benton, Clark, Franklin, Island, Kitsap, ▇▇▇▇▇▇, Snohomish, Spokane, ▇▇▇▇▇▇▇▇, Whatcom, and Yakima Counties. *** Non-Metropolitan Counties: ▇▇▇▇▇, Asotin, Chelan, Clallam, Columbia, ▇▇▇▇▇▇▇, Douglas, Ferry, Kittitas, Garfield, ▇▇▇▇▇, Grays Harbor, Jefferson, Klickitat, ▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇▇▇▇▇, Pacific, Pend Oreille, San ▇▇▇▇, ▇▇▇▇▇▇, Skamania, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇, Walla Walla, and ▇▇▇▇▇▇▇. APPENDIX D JULY 1, 2018 ADULT FAMILY HOME DAILY RATES ADJUSTED DAILY RATE WITH COMMUNITY INTEGRATION Service Area King County **Metropolitan Counties ***Non-Metropolitan Counties ** Metropolitan Counties (Urban) Benton, Clark, Franklin, Island, Kitsap, ▇▇▇▇▇▇, Snohomish, Spokane, ▇▇▇▇▇▇▇▇, Whatcom, and Yakima Counties. *** Non-Metropolitan Counties: ▇▇▇▇▇, Asotin, Chelan, Clallam, Columbia, ▇▇▇▇▇▇▇, Douglas, Ferry, Kittitas, Garfield, ▇▇▇▇▇, Grays Harbor, Jefferson, Klickitat, ▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇, Okanogan, Pacific, Pend Oreille, San ▇▇▇▇, ▇▇▇▇▇▇, Skamania, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇, Walla Walla, and ▇▇▇▇▇▇▇. MEMORANDUM OF UNDERSTANDING BETWEEN‌‌ THE STATE OF WASHINGTON THE ADULT FAMILY HOME COUNCIL (AFHC) ADULT FAMILY HOMES The parties agree to negotiate the amount to be reimbursed to the State for the additional costs of making a voluntary AFHC contribution deducted from the payments to bargaining unit Adult Family Home providers in accordance with RCW 41.56.113(1)(c)(i). Should the parties reach agreement on the reimbursement amount and the voluntary AFHC contribution deducted from the payments to bargaining unit Adult Family Home providers is implemented in ProviderOne the parties agree to add the following to Article 13:

PACE. Article 13.1 above does not apply to adult family home providers serving Medicaid enrollees through a contract with PACE. Adult family home providers serving Medicaid enrollees through a contract with PACE may, however, pay dues to the AFHC through a mechanism established by the AFHC. The State is not a party to this transaction. APPENDIX A‌ JULY 1, 2017 ALTSA ADULT FAMILY HOME DAILY RATES FOR CLIENTS ASSESSED WITH CARE Classification AFHC Daily Rate AFHC Daily Rate AFHC Daily Rate A Low (1) $71.96 $70.78 $69.07 A Med (2) $74.74 $73.49 $71.67 A High (3) $81.23 $79.80 $77.73 B Low (4) $73.40 $72.18 $70.42 B Med (5) $79.78 $78.39 $76.38 B Med H (6) $86.56 $84.98 $82.71 B High (7) $89.05 $87.41 $85.04 C Low (8) $81.03 $79.61 $77.55 C Med (9) $93.33 $91.57 $89.04 C Med H (10) $98.41 $93.63 $91.01 C High (11) $99.76 $97.03 $93.08 D Low (12) $86.46 $84.89 $82.62 D Med (13) $95.25 $93.44 $90.83 D Med H (14) $112.59 $109.19 $104.36 D High (15) $128.01 $123.88 $117.20 E Med (16) $154.39 $149.01 $140.94 E High (17) $180.80 $174.13 $164.70 **Metropolitan Counties (Urban) Benton, Clark, Franklin, Island, Kitsap, ▇▇▇▇▇▇, Snohomish, Spokane, ▇▇▇▇▇▇▇▇, Whatcom, and Yakima Counties. ***Non-Metropolitan Counties: ▇▇▇▇▇, Asotin, Chelan, Clallam, Columbia, ▇▇▇▇▇▇▇, Douglas, Ferry, Kittitas, Garfield, ▇▇▇▇▇, Grays Harbor, Jefferson, Klickitat, ▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇▇▇▇▇, Pacific, Pend ▇▇▇▇▇▇▇, San ▇▇▇▇, ▇▇▇▇▇▇, Skamania, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇, Walla Walla, and ▇▇▇▇▇▇▇. APPENDIX B JULY 1, 2018 ALTSA ADULT FAMILY HOME DAILY RATES FOR CLIENTS ASSESSED WITH CARE A Low (1) $71.96 $70.78 $69.07 A Med (2) $74.74 $73.49 $71.67 A High (3) $81.23 $79.80 $77.73 B Low (4) $73.40 $72.18 $70.42 B Med (5) $79.78 $78.39 $76.38 B Med H (6) $86.56 $84.98 $82.71 B High (7) $89.05 $87.41 $85.04 C Low (8) $81.03 $79.61 $77.55 C Med (9) $93.33 $91.57 $89.04 C Med H (10) $100.38 $93.63 $91.01 C High (11) $101.76 $98.97 $93.08 D Low (12) $86.46 $84.89 $82.62 D Med (13) $95.25 $93.44 $90.83 D Med H (14) $114.84 $111.97 $104.36 D High (15) $130.57 $126.36 $119.54 E Med (16) $157.48 $151.99 $143.76 E High (17) $184.42 $177.61 $167.99 **Metropolitan Counties (Urban) Benton, Clark, Franklin, Island, Kitsap, ▇▇▇▇▇▇, Snohomish, Spokane, ▇▇▇▇▇▇▇▇, Whatcom, and Yakima Counties. ***Non-Metropolitan Counties: ▇▇▇▇▇, Asotin, Chelan, Clallam, Columbia, ▇▇▇▇▇▇▇, Douglas, Ferry, Kittitas, Garfield, ▇▇▇▇▇, Grays Harbor, Jefferson, Klickitat, ▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇▇▇▇▇, Pacific, Pend ▇▇▇▇▇▇▇, San ▇▇▇▇, ▇▇▇▇▇▇, Skamania, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇, Walla Walla, and ▇▇▇▇▇▇▇. APPENDIX C JULY 1, 2017 ADULT FAMILY HOME DAILY RATES ADJUSTED DAILY RATE WITH COMMUNITY INTEGRATION Service Area King County **Metropolitan Counties ***Non-Metropolitan Counties ** Metropolitan Counties (Urban) Benton, Clark, Franklin, Island, Kitsap, ▇▇▇▇▇▇, Snohomish, Spokane, ▇▇▇▇▇▇▇▇, Whatcom, and Yakima Counties. *** Non-Metropolitan Counties: ▇▇▇▇▇, Asotin, Chelan, Clallam, Columbia, ▇▇▇▇▇▇▇, Douglas, Ferry, Kittitas, Garfield, ▇▇▇▇▇, Grays Harbor, Jefferson, Klickitat, ▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇▇▇▇▇, Pacific, Pend Oreille, San ▇▇▇▇, ▇▇▇▇▇▇, Skamania, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇, Walla Walla, and ▇▇▇▇▇▇▇. APPENDIX D JULY 1, 2018 ADULT FAMILY HOME DAILY RATES ADJUSTED DAILY RATE WITH COMMUNITY INTEGRATION Service Area King County **Metropolitan Counties ***Non-Metropolitan Counties ** Metropolitan Counties (Urban) Benton, Clark, Franklin, Island, Kitsap, ▇▇▇▇▇▇, Snohomish, Spokane, ▇▇▇▇▇▇▇▇, Whatcom, and Yakima Counties. *** Non-Metropolitan Counties: ▇▇▇▇▇, Asotin, Chelan, Clallam, Columbia, ▇▇▇▇▇▇▇, Douglas, Ferry, Kittitas, Garfield, ▇▇▇▇▇, Grays Harbor, Jefferson, Klickitat, ▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇, Okanogan, Pacific, Pend Oreille, San ▇▇▇▇, ▇▇▇▇▇▇, Skamania, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇, Walla Walla, and ▇▇▇▇▇▇▇. MEMORANDUM OF UNDERSTANDING BETWEEN‌‌ THE STATE OF WASHINGTON WASHINGTON‌‌ THE ADULT FAMILY HOME COUNCIL (AFHC) ADULT FAMILY HOMES The parties agree to negotiate the amount to be reimbursed to the State for the additional costs of making a voluntary AFHC contribution deducted from the payments to bargaining unit Adult Family Home providers in accordance with RCW 41.56.113(1)(c)(i). Should the parties reach agreement on the reimbursement amount and the voluntary AFHC contribution deducted from the payments to bargaining unit Adult Family Home providers is implemented in ProviderOne the parties agree to add the following to Article 13: