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recent available three-quarter average centers for medicare and 1 medicaid services quality data. 2 (j) Beginning July 1, 2017, the percentage of short-stay 3 residents who newly received an antipsychotic medication must be 4 added as a quality measure. The department must determine the quality 5 incentive thresholds for this quality measure in a manner consistent 6 with those outlined in (b) through (h) of this subsection using the 7 centers for medicare and medicaid services quality data. 8 (k) Beginning July 1, 2017, the percentage of direct care staff 9 turnover must be added as a quality measure using the centers for 10 medicare and medicaid services' payroll-based journal and nursing 11 home facility payroll data. Turnover is defined as an employee 12 departure. The department must determine the quality incentive 13 thresholds for this quality measure using data from the centers for 14 medicare and medicaid services' payroll-based journal, unless such 15 data is not available, in which case the department shall use direct 16 care staffing turnover data from the most recent medicaid cost 17 report. 18 (7) Reimbursement of the safety net assessment imposed by chapter 19 74.48 RCW and paid in relation to medicaid residents must be 20 continued. 21 (8)(a) The direct care and indirect care components must be 22 rebased in even-numbered years, beginning with rates paid on July 1, 23 2016. Rates paid on July 1, 2016, must be based on the 2014 calendar 24 year cost report. On a percentage basis, after rebasing, the 25 department must confirm that the statewide average daily rate has 26 increased at least as much as the average rate of inflation, as 27 determined by the skilled nursing facility market basket index 28 published by the centers for medicare and medicaid services, or a 29 comparable index. If after rebasing, the percentage increase to the 30 statewide average daily rate is less than the average rate of 31 inflation for the same time period, the department is authorized to 32 increase rates by the difference between the percentage increase 33 after rebasing and the average rate of inflation. 34 (b) It is the intention of the legislature that direct and 35 indirect care rates paid in fiscal year 2022 will be rebased using 36 the calendar year 2019 cost reports. For fiscal year 2021, in 37 addition to the rates generated by (a) of this subsection, an 38 additional adjustment is provided as established in this subsection 39 (8)(b). Beginning May 1, 2020, and through June 30, 2021, the 40 p. 1395 ESSB 5187.SL