Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.20-005 - SPA-2020-0001-Self-Direction Budget Calculation Methodology and IC Provider Manual
Current through Register Vol. 49, No. 9, September, 2024
ATTACHMENT 4.19-B
METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES -OTHER TYPES OF CARE
Revised: July 1, 2020
28. For self-directed personal assistance services under 1915(j) (see Supplement 4 to Attachment 3.1-A for a full description) the rate will be determined as follows:
Arkansas's methodology for determining the participant's budget is based on the assessment of needs for the participant and the development of the service plan. The cost of providing the services included in the service plan is calculated based on the expected reimbursement for personal care under the state plan referenced in Supplement 4 to Attachment 3.1-A, Page 1, and are adjusted to account for the self-directed service delivery model. Based on historical utilization patterns and differences in set-up and oversight, the State will use an adjustment factor of 73.0% of the expected waiver/state plan service reimbursement to calculate the participant's service budget for self- directed personal assistance services.
The Cash Allowance will be quoted as a Monthly Cash Allowance, using thirty (30) as the days in a typical month. However, the amount of the allowance awarded will be based on the actual number of days in each month. The Monthly Cash Allowance shall be calculated based on a maximum hourly rate of 73.00% of the personal care rate.
