Assisted Living Enhanced FMAP Rate Adjustments Expected May 1st

Assisted Living Enhanced FMAP Rate Adjustments Expected May 1st

Bea Rector, Director, Home & Community Services, has received CMS approval to distribute a portion of the enhanced FMAP using the client daily rate as the funding mechanism.  However, HCS is still awaiting CMS approval to use a portion of the total FMAP funds to cover lost census as a result of COVID hospitalizations; this is known as a retainer payment.  Based on the enhanced FMAP, the department is planning to distribute a total nearly $8.7 million to assisted living.  Of that total, they would spend 88% of those fund to increase the client daily rate by $9.30 ppd.  This increased rate amount allows payment retroactive to March 1, 2020.  The retainer funding amount to cover lost census due to hospitalizations equals 12% of the total FMAP funds available or $1 million.  The retainer payment is intended to cover between 60-70% of the resident’s daily rate.  We expect the department will finalize this proposal sometime next week so payment adjustments can occur no later than May 1st.   




David Carter
Director Health Care Finance & Policy

LeadingAge Washington

c: 360.888.5702