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for fiscal year 2025, and $34,722,000 of the general fund—federal 1 appropriation are provided solely to maintain rate add-ons funded in 2 the 2021-2023 fiscal biennium to address low-wage equity for low-wage 3 direct care workers. To the maximum extent possible, the facility- 4 specific wage rate add-on shall be equal to the wage payment received 5 on June 30, 2023. 6 (ii) $2,227,000 of the general fund—state appropriation for 7 fiscal year 2024, $2,227,000 of the general fund—state appropriation 8 for fiscal year 2025, and $4,456,000 of the general fund—federal 9 appropriation are provided solely to maintain rate add-ons funded in 10 the 2021-2023 fiscal biennium to address low-wage equity for low-wage 11 indirect care workers. To the maximum extent possible, the facility- 12 specific wage rate add-on shall be equal to the wage payment received 13 on June 30, 2023. 14 (b) The department shall provide a medicaid rate add-on to 15 reimburse the medicaid share of the skilled nursing facility safety 16 net assessment as a medicaid allowable cost. The nursing facility 17 safety net rate add-on may not be included in the calculation of the 18 annual statewide weighted average nursing facility payment rate. 19 (2) In accordance with RCW 18.51.050, 18.20.050, 70.128.060, and 20 43.135.055, the department is authorized to increase nursing 21 facility, assisted living facility, and adult family home fees as 22 necessary to fully support the actual costs of conducting the 23 licensure, inspection, and regulatory programs. The license fees may 24 not exceed the department's annual licensing and oversight activity 25 costs and shall include the department's cost of paying providers for 26 the amount of the license fee attributed to medicaid clients. 27 (a) The current annual renewal license fee for adult family homes 28 is $225 per bed beginning in fiscal year 2024 and $225 per bed 29 beginning in fiscal year 2025. A processing fee of $2,750 must be 30 charged to each adult family home when the home is initially 31 licensed. This fee is nonrefundable. A processing fee of $700 shall 32 be charged when adult family home providers file a change of 33 ownership application. 34 (b) The current annual renewal license fee for assisted living 35 facilities is $116 per bed beginning in fiscal year 2024 and $116 per 36 bed beginning in fiscal year 2025. 37 p. 180 ESSB 5187.SL