In Spring 2022, SEIU 775 caregivers and our Union will participate in the newly established Rate Setting Board.

The Rate Setting Board, which is made up of 14 people including caregivers, SEIU 775, and advocates for seniors and people with disabilities, will set the hourly Medicaid reimbursement rate for the Consumer Direct Employer (CDE), effectively determining how much money will be allocated to caregivers for negotiating wages and benefits in our next union contract.

The CDE rate includes two parts:

  • The labor rate which can only be spent on wages and benefits for home care workers, and which also sets the parity rate for home care agencies
  • And the administrative rate, which is the payment to Consumer Direct (CDWA) for their administrative duties.

Just like with our current Union contract, the rate and funding increase still has to be approved by the legislature.

Learn more about the Rate Setting Board, who’s on the Board, and meeting information on DSHS’s website.

Why was the Rate Setting Board created?

In 2018 DSHS established a Consumer Directed Employer Program, making the CDE the legal employer for all IPs in WA with Consumer Direct (CDWA) taking on this program. Part of the implementation of the CDE program was the move to a Rate Setting Board, which was supported by caregivers.

The adoption of the Rate Setting Board means:

  1. Home care workers have a direct say over how much funding is provided to the Consumer Directed Employer for wages and benefits.
  2. The Board not only includes caregivers and our Union but also advocates for seniors and people with disabilities, giving our clients a voice as well.
  3. As part of the parity law, the Board will decide how much funding goes to agencies for bargaining as well.

When is this in effect?

The Rate Setting Board will meet in the Spring of 2022 to determine the first CDE rate. Once the rate is agreed upon, our Union will start to negotiate a contract with CDWA over how to use that funding to improve wages and benefits. And then we’ll go to the legislature to approve the new funding.

This process will repeat itself with the Board meeting every even year to vote on the CDE rate, which should align with our bargaining years.

You can always reach us by contacting the Member Resource Center


1 (866) 371-3200

Available Monday-Friday, 8 a.m. to 4:30 p.m. Our representatives speak 8 languages, and interpretation services are always available.

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