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appropriation are provided solely to increase the rate paid for area 1 agency on aging case management services by 23 percent. 2 (52) $68,000 of the general fund—state appropriation for fiscal 3 year 2023 and $67,000 of the general fund—federal appropriation are 4 provided solely for implementation of Senate Bill No. 5866 (medicaid 5 LTSS/tribes). If the bill is not enacted by June 30, 2022, the 6 amounts provided in this subsection shall lapse. 7 (53) $24,138,000 of the general fund—state appropriation for 8 fiscal year 2023 and $24,138,000 of the general fund—federal 9 appropriation are provided solely to increase skilled nursing 10 facility medicaid rates in order to increase low-wage direct and 11 indirect care worker wages by up to four dollars per hour effective 12 July 1, 2022. Funding provided in this subsection is provided for 13 purposes of wage equity. 14 (a) Of the amounts provided in this subsection, $21,910,000 of 15 the general fund—state appropriation for fiscal year 2023 and 16 $21,910,000 of the general fund—federal appropriation are provided 17 solely to increase the fixed rate paid for direct care to no less 18 than 111 percent of statewide case mix neutral median costs to 19 increase low-wage direct care worker wages by up to four dollars per 20 hour effective July 1, 2022. For the purpose of this subsection, 21 "low-wage direct care workers" means certified nursing assistants, 22 dietary workers, laundry workers, and other workers who provide 23 direct care to patients and who have no managerial roles. The 24 department shall determine each facility-specific wage equity funding 25 amount in the direct care rate component by comparing the rate at 105 26 percent of the direct care median to the rate at 111 percent of the 27 direct care median, and by multiplying the rate difference by the 28 actual paid medicaid days over the July 1, 2022, through June 30, 29 2023 period. 30 (b) Of the amounts provided in this subsection, $2,229,000 of the 31 general fund—state appropriation for fiscal year 2023 and $2,228,000 32 of the general fund—federal appropriation are provided solely to 33 increase the fixed rate paid for indirect care to no less than 92 34 percent of statewide median costs to increase low-wage indirect care 35 worker wages by up to four dollars per hour effective July 1, 2022. 36 For the purpose of this subsection, "low-wage indirect care workers" 37 means central supply workers and housekeeping workers. The department 38 shall determine each facility-specific wage equity funding amount for 39 p. 931 ESSB 5187.SL