Embed Size (px)
Citation preview
1
TEXAS HEALTH AND HUMAN SERVICES
COMMISSION RATE ANALYSIS DEPARTMENT
July 09, 2019
Proposed Payment Rates for the following
programs:
Residential Care Primary Home Care
Community Attendant Services Family Care
Day Activity & Health Services – Title XIX Medicaid & Title XX Community Living Assistance and Support Services In-Home
Respite STAR Kids Waiver Proxy Rates
STAR+PLUS Home Community Based Services Waiver Proxy Rates
Payment rates are proposed to be effective September 1, 2019
2
SUMMARY OF PROPOSED PAYMENT RATES
Effective September 1, 2019
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing at 9:30 a.m. on July 9, 2019, in the Brown-Heatly Building Public
Hearing Room, located at 4900 N. Lamar Blvd., Austin, Texas, 78751. Public
comments will be received on proposed rate increases for the following programs and services operated by HHSC:
• Residential Care (RC)
• Primary Home Care (PHC) Non-Priority
• Primary Home Care (PHC) Priority
• Community Attendant Services (CAS) Non-Priority
• Community Attendant Services (CAS) Priority
• Family Care (FC) Non-Priority
• Family Care (FC) Priority
• Day Activity & Health Services (DAHS) – Title XIX Medicaid & Title XX
• Community Living Assistance & Support Services (CLASS) In-Home
Respite
HHSC will also be receiving public comments on the proposed increases to the
STAR Kids Waiver (STAR Kids) Proxy Rates and STAR+PLUS Home and
Community-Based Services Waiver (STAR+PLUS HCBS) Proxy Rates for the
following attendant services:
• STAR Kids Attendant with Registered Nurse (RN)
• STAR Kids Attendant Delegation
• STAR Kids Community First Choice Habilitation (CFC HAB)
• STAR+PLUS HCBS Personal Assistance Services (PAS)
• STAR+PLUS HCBS Respite Care
• STAR+PLUS HCBS Habilitation (HAB)
HHSC will consider concerns expressed at the hearing prior to final rate
approval. This public hearing is held in compliance with the provisions Human Resources Code §32.0282, and the Texas Administrative Code (TAC) Title 1,
§355.105(g), which require a public hearing on proposed payment rates.
PROPOSAL. HHSC proposes to increase the attendant base wage to $8.11 for the attendant cost component for: RC, PHC, CAS, FC, DAHS, and CLASS In-
Home Respite; STAR+PLUS HCBS PAS, Respite Care, and HAB Proxy Rates; and STAR Kids Attendant; Attendant with RN Delegation, and CFC HAB Proxy
Rates, in accordance with the 2020-21 General Appropriations Act, H.B. 1, 86th Legislature, Regular Session, 2019 (Article II, Rider 45). These payment
rates are proposed to be effective September 1, 2019.
3
METHODOLGY AND JUSTIFICATION. The proposed rates were calculated in
accordance with Title 1 of the Texas Administrative Code:
§355.112, concerning Attendant Compensation Rate Enhancement;
§355.502, concerning the Reimbursement Methodology for Common Services in Home and Community-Based Services Waivers; and
§355.505, concerning the Reimbursement Methodology for the Community
Living Assistance and Support Services Waiver Program;
§355.507, concerning the Reimbursement Methodology for the Medically Dependent Children Program.
§355.509, concerning the Reimbursement Methodology for Residential Care;
§355.5902, concerning the Reimbursement Methodology for Primary Home
Care;
§355.6907, concerning the Reimbursement Methodology for Day Activity and
Health; Please contact the Rate Analysis Department’s Customer Information Center at (512)
424-6637 or by email at [email protected] should you have any questions regarding the information in this document.
4
RESIDENTIAL CARE APARTMENT
PROPOSED PAYMENT RATES EFFECTIVE SEPTEMBER 1, 2019
Payment Rate
Apartment – PROPOSED
RATES EFFECTIVE SEPTEMBER
1, 2019
Attendant
Cost Area
Service
Support*
Total
Percent
Increase
Nonparticipant $10.89 $27.48 $38.37 0.29%
Participant – Level 1 $10.94 $27.48 $38.42 0.29%
Participant – Level 2 $10.99 $27.48 $38.47 0.29%
Participant – Level 3 $11.04 $27.48 $38.52 0.29%
Participant – Level 4 $11.09 $27.48 $38.57 0.29%
Participant – Level 5 $11.14 $27.48 $38.62 0.29%
Participant – Level 6 $11.19 $27.48 $38.67 0.29%
Participant – Level 7 $11.24 $27.48 $38.72 0.28%
Participant – Level 8 $11.29 $27.48 $38.77 0.28%
Participant – Level 9 $11.34 $27.48 $38.82 0.28%
Participant – Level 10 $11.39 $27.48 $38.87 0.28%
Participant – Level 11 $11.44 $27.48 $38.92 0.28%
Participant – Level 12 $11.49 $27.48 $38.97 0.28%
Participant – Level 13 $11.54 $27.48 $39.02 0.28%
Participant – Level 14 $11.59 $27.48 $39.07 0.28%
Participant – Level 15 $11.64 $27.48 $39.12 0.28%
Participant – Level 16 $11.69 $27.48 $39.17 0.28%
Participant – Level 17 $11.74 $27.48 $39.22 0.28%
Participant – Level 18 $11.79 $27.48 $39.27 0.28%
Participant – Level 19 $11.84 $27.48 $39.32 0.28%
Participant – Level 20 $11.89 $27.48 $39.37 0.28%
Participant – Level 21 $11.94 $27.48 $39.42 0.28%
Participant – Level 22 $11.99 $27.48 $39.47 0.28%
Participant – Level 23 $12.04 $27.48 $39.52 0.28%
Participant – Level 24 $12.09 $27.48 $39.57 0.28%
Participant – Level 25 $12.14 $27.48 $39.62 0.28%
Participant – Level 26 $12.19 $27.48 $39.67 0.28%
Participant – Level 27 $12.24 $27.48 $39.72 0.28%
Participant – Level 28 $12.29 $27.48 $39.77 0.28%
Participant – Level 29 $12.34 $27.48 $39.82 0.28%
Participant – Level 30 $12.39 $27.48 $39.87 0.28%
Participant – Level 31 $12.44 $27.48 $39.92 0.28%
Participant – Level 32 $12.49 $27.48 $39.97 0.28%
Participant – Level 33 $12.54 $27.48 $40.02 0.28%
Participant – Level 34 $12.59 $27.48 $40.07 0.28%
Participant – Level 35 $12.64 $27.48 $40.12 0.27%
* Equals the total of Other Direct Care, Administration/Transportation and Facility costs less
Room and Board paid by the client.
5
RESIDENTIAL CARE NON-APARTMENT
PROPOSED PAYMENT RATES EFFECTIVE SEPTEMBER 1, 2019
Payment Rate
Non-Apartment – PROPOSED
RATES EFFECTIVE SEPTEMBER
1, 2019
Attendant
Cost Area
Service
Support*
Total
Percent
Increase
Nonparticipant $10.89 $18.82 $29.71 0.37%
Participant – Level 1 $10.94 $18.82 $29.76 0.37%
Participant – Level 2 $10.99 $18.82 $29.81 0.37%
Participant – Level 3 $11.04 $18.82 $29.86 0.37%
Participant – Level 4 $11.09 $18.82 $29.91 0.37%
Participant – Level 5 $11.14 $18.82 $29.96 0.37%
Participant – Level 6 $11.19 $18.82 $30.01 0.37%
Participant – Level 7 $11.24 $18.82 $30.06 0.37%
Participant – Level 8 $11.29 $18.82 $30.11 0.37%
Participant – Level 9 $11.34 $18.82 $30.16 0.37%
Participant – Level 10 $11.39 $18.82 $30.21 0.37%
Participant – Level 11 $11.44 $18.82 $30.26 0.36%
Participant – Level 12 $11.49 $18.82 $30.31 0.36%
Participant – Level 13 $11.54 $18.82 $30.36 0.36%
Participant – Level 14 $11.59 $18.82 $30.41 0.36%
Participant – Level 15 $11.64 $18.82 $30.46 0.36%
Participant – Level 16 $11.69 $18.82 $30.51 0.36%
Participant – Level 17 $11.74 $18.82 $30.56 0.36%
Participant – Level 18 $11.79 $18.82 $30.61 0.36%
Participant – Level 19 $11.84 $18.82 $30.66 0.36%
Participant – Level 20 $11.89 $18.82 $30.71 0.36%
Participant – Level 21 $11.94 $18.82 $30.76 0.36%
Participant – Level 22 $11.99 $18.82 $30.81 0.36%
Participant – Level 23 $12.04 $18.82 $30.86 0.36%
Participant – Level 24 $12.09 $18.82 $30.91 0.36%
Participant – Level 25 $12.14 $18.82 $30.96 0.36%
Participant – Level 26 $12.19 $18.82 $31.01 0.36%
Participant – Level 27 $12.24 $18.82 $31.06 0.36%
Participant – Level 28 $12.29 $18.82 $31.11 0.35%
Participant – Level 29 $12.34 $18.82 $31.16 0.35%
Participant – Level 30 $12.39 $18.82 $31.21 0.35%
Participant – Level 31 $12.44 $18.82 $31.26 0.35%
Participant – Level 32 $12.49 $18.82 $31.31 0.35%
Participant – Level 33 $12.54 $18.82 $31.36 0.35%
Participant – Level 34 $12.59 $18.82 $31.41 0.35%
Participant – Level 35 $12.64 $18.82 $31.46 0.35%
* Equals the total of Other Direct Care, Administration/Transportation and Facility costs less
Room and Board paid by the client.
6
PRIMARY HOME CARE (PHC), COMMUNITY ATTENDANT SERVICES
(CAS), FAMILY CARE (FC)
NON-PRIORITY
PROPOSED PAYMENT RATES EFFECTIVE SEPTEMBER 1, 2019
Payment Rate
Non-Priority Payment Rates –
PROPOSED RATES EFFECTIVE
SEPTEMBER 1, 2019
Attendant
Cost Area
Service
Support
Total Percent
Increase
Nonparticipant $9.27 $2.07 $11.34 0.98%
Participant – Level 1 $9.32 $2.07 $11.39 0.98%
Participant – Level 2 $9.37 $2.07 $11.44 0.97%
Participant – Level 3 $9.42 $2.07 $11.49 0.97%
Participant – Level 4 $9.47 $2.07 $11.54 0.96%
Participant – Level 5 $9.52 $2.07 $11.59 0.96%
Participant – Level 6 $9.57 $2.07 $11.64 0.95%
Participant – Level 7 $9.62 $2.07 $11.69 0.95%
Participant – Level 8 $9.67 $2.07 $11.74 0.95%
Participant – Level 9 $9.72 $2.07 $11.79 0.94%
Participant – Level 10 $9.77 $2.07 $11.84 0.94%
Participant – Level 11 $9.82 $2.07 $11.89 0.93%
Participant – Level 12 $9.87 $2.07 $11.94 0.93%
Participant – Level 13 $9.92 $2.07 $11.99 0.93%
Participant – Level 14 $9.97 $2.07 $12.04 0.92%
Participant – Level 15 $10.02 $2.07 $12.09 0.92%
Participant – Level 16 $10.07 $2.07 $12.14 0.91%
Participant – Level 17 $10.12 $2.07 $12.19 0.91%
Participant – Level 18 $10.17 $2.07 $12.24 0.91%
Participant – Level 19 $10.22 $2.07 $12.29 0.90%
Participant – Level 20 $10.27 $2.07 $12.34 0.90%
Participant – Level 21 $10.32 $2.07 $12.39 0.90%
Participant – Level 22 $10.37 $2.07 $12.44 0.89%
Participant – Level 23 $10.42 $2.07 $12.49 0.89%
Participant – Level 24 $10.47 $2.07 $12.54 0.88%
Participant – Level 25 $10.52 $2.07 $12.59 0.88%
Participant – Level 26 $10.57 $2.07 $12.64 0.88%
Participant – Level 27 $10.62 $2.07 $12.69 0.87%
Participant – Level 28 $10.67 $2.07 $12.74 0.87%
Participant – Level 29 $10.72 $2.07 $12.79 0.87%
Participant – Level 30 $10.77 $2.07 $12.84 0.86%
Participant – Level 31 $10.82 $2.07 $12.89 0.86%
Participant – Level 32 $10.87 $2.07 $12.94 0.86%
Participant – Level 33 $10.92 $2.07 $12.99 0.85%
Participant – Level 34 $10.97 $2.07 $13.04 0.85%
Participant – Level 35 $11.02 $2.07 $13.09 0.85%
Consumer Directed Services - Non-Priority Payment Rate Percent
Increase
Client Non-Priority Payment Rates for Determining the
Client's Budget - per hour * - PROPOSED RATE
EFFECTIVE SEPTEMBER 1, 2019
$10.54 1.05%
* The client's budget and service plan are calculated using the Client Payment Rate times the number of units
authorized during the budget and service plan period.
7
PRIMARY HOME CARE (PHC), COMMUNITY ATTENDANT SERVICES
(CAS), FAMILY CARE (FC)
PRIORITY
PROPOSED PAYMENT RATES EFFECTIVE SEPTEMBER 1, 2019 Payment Rate
Priority Payment Rates -
PROPOSED RATES EFFECTIVE
SEPTEMBER 1, 2019
Attendant
Cost Area
Service
Support
Priority
Admin
Total Percent
Increase
Nonparticipant $9.31 $2.07 $0.18 $11.56 0.78%
Participant – Level 1 $9.36 $2.07 $0.18 $11.61 0.78%
Participant – Level 2 $9.41 $2.07 $0.18 $11.66 0.78%
Participant – Level 3 $9.46 $2.07 $0.18 $11.71 0.77%
Participant – Level 4 $9.51 $2.07 $0.18 $11.76 0.77%
Participant – Level 5 $9.56 $2.07 $0.18 $11.81 0.77%
Participant – Level 6 $9.61 $2.07 $0.18 $11.86 0.76%
Participant – Level 7 $9.66 $2.07 $0.18 $11.91 0.76%
Participant – Level 8 $9.71 $2.07 $0.18 $11.96 0.76%
Participant – Level 9 $9.76 $2.07 $0.18 $12.01 0.76%
Participant – Level 10 $9.81 $2.07 $0.18 $12.06 0.75%
Participant – Level 11 $9.86 $2.07 $0.18 $12.11 0.75%
Participant – Level 12 $9.91 $2.07 $0.18 $12.16 0.75%
Participant – Level 13 $9.96 $2.07 $0.18 $12.21 0.74%
Participant – Level 14 $10.01 $2.07 $0.18 $12.26 0.74%
Participant – Level 15 $10.06 $2.07 $0.18 $12.31 0.74%
Participant – Level 16 $10.11 $2.07 $0.18 $12.36 0.73%
Participant – Level 17 $10.16 $2.07 $0.18 $12.41 0.73%
Participant – Level 18 $10.21 $2.07 $0.18 $12.46 0.73%
Participant – Level 19 $10.26 $2.07 $0.18 $12.51 0.72%
Participant – Level 20 $10.31 $2.07 $0.18 $12.56 0.72%
Participant – Level 21 $10.36 $2.07 $0.18 $12.61 0.72%
Participant – Level 22 $10.41 $2.07 $0.18 $12.66 0.72%
Participant – Level 23 $10.46 $2.07 $0.18 $12.71 0.71%
Participant – Level 24 $10.51 $2.07 $0.18 $12.76 0.71%
Participant – Level 25 $10.56 $2.07 $0.18 $12.81 0.71%
Participant – Level 26 $10.61 $2.07 $0.18 $12.86 0.70%
Participant – Level 27 $10.66 $2.07 $0.18 $12.91 0.70%
Participant – Level 28 $10.71 $2.07 $0.18 $12.96 0.70%
Participant – Level 29 $10.76 $2.07 $0.18 $13.01 0.70%
Participant – Level 30 $10.81 $2.07 $0.18 $13.06 0.69%
Participant – Level 31 $10.86 $2.07 $0.18 $13.11 0.69%
Participant – Level 32 $10.91 $2.07 $0.18 $13.16 0.69%
Participant – Level 33 $10.96 $2.07 $0.18 $13.21 0.69%
Participant – Level 34 $11.01 $2.07 $0.18 $13.26 0.68%
Participant – Level 35 $11.06 $2.07 $0.18 $13.31 0.68%
Consumer Directed Services - Priority Payment Rate Percent
Increase
Client Priority Payment Rates for Determining the
Client's Budget - per hour * - PROPOSED RATE
EFFECTIVE SEPTEMBER 1, 2019
$10.76 0.84%
* The client's budget and service plan are calculated using the Client Payment Rate times the number of units
authorized during the budget and service plan period
8
DAY ACTIVITY AND HEALTH SERVICES (DAHS)
PROPOSED PAYMENT RATES PER UNIT OF SERVICE
EFFECTIVE SEPTEMBER 1, 2019 Per Unit of Service
One unit equals 3-5 hours; 6 or more equals two units. Payment Rate
PROPOSED RATES
EFFECTIVE
SEPTEMBER 1, 2019
Attendant
Cost Area
Other
Direct
Care Cost
Area
Facility
Cost
Area
Admin/
Transport
ation
Cost Area
Total Percent
Increase
Nonparticipant $3.56 $3.55 $2.36 $4.94 $14.41 0.77%
Participant – Level 1 $3.61 $3.55 $2.36 $4.94 $14.46 0.77%
Participant – Level 2 $3.66 $3.55 $2.36 $4.94 $14.51 0.76%
Participant – Level 3 $3.71 $3.55 $2.36 $4.94 $14.56 0.76%
Participant – Level 4 $3.76 $3.55 $2.36 $4.94 $14.61 0.76%
Participant – Level 5 $3.81 $3.55 $2.36 $4.94 $14.66 0.76%
Participant – Level 6 $3.86 $3.55 $2.36 $4.94 $14.71 0.75%
Participant – Level 7 $3.91 $3.55 $2.36 $4.94 $14.76 0.75%
Participant – Level 8 $3.96 $3.55 $2.36 $4.94 $14.81 0.75%
Participant – Level 9 $4.01 $3.55 $2.36 $4.94 $14.86 0.75%
Participant – Level 10 $4.06 $3.55 $2.36 $4.94 $14.91 0.74%
Participant – Level 11 $4.11 $3.55 $2.36 $4.94 $14.96 0.74%
Participant – Level 12 $4.16 $3.55 $2.36 $4.94 $15.01 0.74%
Participant – Level 13 $4.21 $3.55 $2.36 $4.94 $15.06 0.74%
Participant – Level 14 $4.26 $3.55 $2.36 $4.94 $15.11 0.73%
Participant – Level 15 $4.31 $3.55 $2.36 $4.94 $15.16 0.73%
Participant – Level 16 $4.36 $3.55 $2.36 $4.94 $15.21 0.73%
Participant – Level 17 $4.41 $3.55 $2.36 $4.94 $15.26 0.73%
Participant – Level 18 $4.46 $3.55 $2.36 $4.94 $15.31 0.72%
Participant – Level 19 $4.51 $3.55 $2.36 $4.94 $15.36 0.72%
Participant – Level 20 $4.56 $3.55 $2.36 $4.94 $15.41 0.72%
Participant – Level 21 $4.61 $3.55 $2.36 $4.94 $15.46 0.72%
Participant – Level 22 $4.66 $3.55 $2.36 $4.94 $15.51 0.71%
Participant – Level 23 $4.71 $3.55 $2.36 $4.94 $15.56 0.71%
Participant – Level 24 $4.76 $3.55 $2.36 $4.94 $15.61 0.71%
Participant – Level 25 $4.81 $3.55 $2.36 $4.94 $15.66 0.71%
Participant – Level 26 $4.86 $3.55 $2.36 $4.94 $15.71 0.71%
Participant – Level 27 $4.91 $3.55 $2.36 $4.94 $15.76 0.70%
Participant – Level 28 $4.96 $3.55 $2.36 $4.94 $15.81 0.70%
Participant – Level 29 $5.01 $3.55 $2.36 $4.94 $15.86 0.70%
Participant – Level 30 $5.06 $3.55 $2.36 $4.94 $15.91 0.70%
Participant – Level 31 $5.11 $3.55 $2.36 $4.94 $15.96 0.69%
Participant – Level 32 $5.16 $3.55 $2.36 $4.94 $16.01 0.69%
Participant – Level 33 $5.21 $3.55 $2.36 $4.94 $16.06 0.69%
Participant – Level 34 $5.26 $3.55 $2.36 $4.94 $16.11 0.69%
Participant – Level 35 $5.31 $3.55 $2.36 $4.94 $16.16 0.69%
9
COMMUNITY LIVING ASSISTANCE AND SUPPORT SERVICES (CLASS)
PROPOSED PAYMENT RATES EFFECTIVE SEPTEMBER 1, 2019 Service Payment
Rate
Percent
Increase
Respite – In-Home – per day – PROPOSED RATE
EFFECTIVE SEPTEMBER 1, 2019
$241.24 1.11%
COMMUNITY LIVING ASSISTANCE AND SUPPORT SERVICES (CLASS)
PROPOSED PAYMENT RATES EFFECTIVE SEPTEMBER 1, 2019
Consumer Directed Services Service Payment
Rate
Percent
Increase
In-Home Respite (IHR)– per day – PROPOSED RATE
EFFECTIVE SEPTEMBER 1, 2019
$217.24 1.23%
10
STAR KIDS
PROPOSED PROXY RATES EFFECTIVE SEPTEMBER 1, 2019 Service Payment
Rate
Percent
Increase
Respite and Flexible Family Support Services Provided by
attendant without delegation by an RN – per hour –
PROPOSED RATE EFFECTIVE SEPTEMBER 1, 2019
$12.06 0.92%
Respite and Flexible Family Support Services Provided by
attendant with delegation by an RN – per hour –
PROPOSED RATE EFFECTIVE SEPTEMBER 1, 2019
$13.06 0.85%
STAR KIDS
PROPOSED PROXY RATES EFFECTIVE SEPTEMBER 1, 2019
Consumer Directed Services Service Payment
Rate
Percent
Increase
Respite and Flexible Family Support Services Provided by an
Attendant Consumer Payment Rate – per hour –
PROPOSED RATE EFFECTIVE SEPTEMBER 1, 2019
$11.26 0.99%
11
STAR+PLUS HCBS
PROPOSED PROXY RATES EFFECTIVE SEPTEMBER 1, 2019 Payment Rate
STAR+PLUS HCBS Proxy Rates
Personal Assistance Services
(PAS)
- PROPOSED RATES EFFECTIVE
SEPTEMBER 1, 2019
Attendant
Cost Area
Service
Support
Total
Percent
Increase
Nonparticipant $9.30 $2.30 $11.60 0.96%
Participant – Level 1 $9.35 $2.30 $11.65 0.95%
Participant – Level 2 $9.40 $2.30 $11.70 0.95%
Participant – Level 3 $9.45 $2.30 $11.75 0.95%
Participant – Level 4 $9.50 $2.30 $11.80 0.94%
Participant – Level 5 $9.55 $2.30 $11.85 0.94%
Participant – Level 6 $9.60 $2.30 $11.90 0.93%
Participant – Level 7 $9.65 $2.30 $11.95 0.93%
Participant – Level 8 $9.70 $2.30 $12.00 0.93%
Participant – Level 9 $9.75 $2.30 $12.05 0.92%
Participant – Level 10 $9.80 $2.30 $12.10 0.92%
Participant – Level 11 $9.85 $2.30 $12.15 0.91%
Participant – Level 12 $9.90 $2.30 $12.20 0.91%
Participant – Level 13 $9.95 $2.30 $12.25 0.91%
Participant – Level 14 $10.00 $2.30 $12.30 0.90%
Participant – Level 15 $10.05 $2.30 $12.35 0.90%
Participant – Level 16 $10.10 $2.30 $12.40 0.90%
Participant – Level 17 $10.15 $2.30 $12.45 0.89%
Participant – Level 18 $10.20 $2.30 $12.50 0.89%
Participant – Level 19 $10.25 $2.30 $12.55 0.88%
Participant – Level 20 $10.30 $2.30 $12.60 0.88%
Participant – Level 21 $10.35 $2.30 $12.65 0.88%
Participant – Level 22 $10.40 $2.30 $12.70 0.87%
Participant – Level 23 $10.45 $2.30 $12.75 0.87%
Participant – Level 24 $10.50 $2.30 $12.80 0.87%
Participant – Level 25 $10.55 $2.30 $12.85 0.86%
Participant – Level 26 $10.60 $2.30 $12.90 0.86%
Participant – Level 27 $10.65 $2.30 $12.95 0.86%
Participant – Level 28 $10.70 $2.30 $13.00 0.85%
Participant – Level 29 $10.75 $2.30 $13.05 0.85%
Participant – Level 30 $10.80 $2.30 $13.10 0.85%
Participant – Level 31 $10.85 $2.30 $13.15 0.84%
Participant – Level 32 $10.90 $2.30 $13.20 0.84%
Participant – Level 33 $10.95 $2.30 $13.25 0.84%
Participant – Level 34 $11.00 $2.30 $13.30 0.83%
Participant – Level 35 $11.05 $2.30 $13.35 0.83%
12
STAR+PLUS HCBS
PROPOSED PROXY RATES EFFECTIVE SEPTEMBER 1, 2019 Service Payment
Rate
Percent
Increase
In-Home Respite – per day – PROPOSED RATE
EFFECTIVE SEPTEMBER 1, 2019
$241.24 1.11%
STAR+PLUS HCBS
PROPOSED PROXY RATES EFFECTIVE SEPTEMBER 1, 2019
Consumer Directed Services Service Payment Rate
In-Home Respite Client Payment Rate – per day –
PROPOSED RATE EFFECTIVE SEPTEMBER 1, 2019
$217.24
