Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 410.00 - Rates for Competitive Integrated Employment Services
Section 410.03 - Rate Provisions
Universal Citation: 101 MA Code of Regs 101.410
Current through Register 1531, September 27, 2024
(1) Payment Methods.
(a)
General. Purchasing governmental units will pay
providers a total payment per completed service component as defined in
101
CMR 410.03(2).
1.
Standard Progress
Documentation. Providers must use a standard form to document
initiation and completion of a service component for each client. Providers
must submit all progress documentation, billing, and performance reporting
through the Enterprise Invoice Management Service.
2.
Initial Payment.
The purchasing governmental unit pays the provider an initial payment based on
a specified percentage of the total payment at the initiation of a service
component for a client. For intake, evaluation, and assessment, the purchasing
governmental unit makes an initial payment equal to 20% of the service
component payment in
101
CMR 410.03(3). For all other
service components, except ongoing and interim supports, the purchasing agency
makes an initial payment equal to 40% of the service component payment in
101
CMR 410.03(3). EOHHS may
revise these percentages by administrative bulletin.
3.
Final Payment.
The purchasing governmental unit pays the difference between the initial
payment and the total service component payment upon completion of the service
component and submission of required documentation.
4.
Administrative Adjustment for
Extraordinary Circumstances. A provider may petition the
purchasing governmental unit for an administrative adjustment to reflect
increases in operating costs due to unusual and unforeseen circumstances or
extraordinary client service requirements not considered in the development of
the current rates. Unusual and unforeseen circumstances are events of
catastrophic nature (e.g., fire, flood, or earthquake) that
are not covered by insurance that the prudent provider would carry. The
provider must demonstrate that such cost increases gravely threaten the
stability of service provision such that client or consumer access to necessary
services is at risk. The purchasing governmental unit will evaluate the need
for the administrative adjustment, determine whether funding is available, and
convey that information to EOHHS for review to determine the amount of any
adjustment.
(b)
Services Provided in Dukes or Nantucket County. In
accordance with the provisions of St. 2015, c. 46, payment for services
provided in programs located in Dukes or Nantucket County will be the rate for
the service contained in
101
CMR 410.03(3) times a factor
of 1.07.
(2) Service Components. Payment is based on the following five separate service components.
(a)
Intake, Evaluation, and Assessment. This service
component requires the client to articulate initial goals, commit to a service
plan, and engage in services. Provider activities included in this service
component include, but are not limited to, solicitation of client referrals;
review of applications; initial client screening; interview of applicants;
assessment of client interests and skills; performance of a situational
assessment; identification of recommended support services; and completion of a
comprehensive service plan.
(b)
Job-targeted Educational and Skills Training
Activities. This service component is designed to ensure that the
client has sufficient training and/or education to enter job search and
placement for initial employment in a competitive environment in accordance
with his or her job goals or to reach stabilization in a competitive work
environment with additional supports, if necessary. Specific provider
activities include, but are not limited to, depending on client skills and
learning style, vocational English language training; "fast-track" HiSET
testing; short-term "soft" or "technical" job skills training; and work
adjustment, job search, and interviewing skills.
(c)
Job Development and
Placement. This service component is designed to assist the client
to sustain initial employment for at least 30 days. Provider activities in this
service component include, but are not limited to: employment exploration;
career plan development; development of collaborative employer relationships;
job try-outs; job matching; and job placement.
(d)
Initial Employment
Supports. This service component is designed to assist the client
to sustain employment for at least 90 days and to demonstrate progress toward
stability and confidence in job duties and workplace relationships. Provider
activities in this service component include, but are not limited to,
counseling, life, and community skills development; continued development of
employer education; and collaboration, training, and conflict
resolution.
(e)
Ongoing
and Interim Supports. This service component is designed to assist
the client to maintain stable employment with additional supports if necessary.
Provider activities in this service component include, but are not limited to,
counseling, life, and community skills development; continued development of
employer education; and collaboration, training, and conflict resolution,
provided on an as-needed basis. This service component is paid on an hourly
basis. Interim supports are used to assist a client who does not require full
participation in another service component to achieve re-employment or a job
upgrade.
(3) Approved Rates. Within each service component, there are two service levels that reflect the staff-to-client ratios necessary to meet client needs. The appropriate level is determined by the purchasing governmental unit.
|
Description |
Completed Component Rates |
Hourly Rates |
||
|
Level A |
Level B |
Level A |
Level B |
|
|
Intake, Evaluation, and Assessment |
$578 |
$1,240 |
$24.79 |
$55.09 |
|
Job-targeted Educational and Skills Training Activities |
$1,236 |
$3,386 |
$24.79 |
$55.09 |
|
Job Development and Placement |
$2,108 |
$6,825 |
$24.79 |
$55.09 |
|
Initial Employment Supports |
$764 |
$2,473 |
$24.79 |
$55.09 |
|
Ongoing and Interim Supports |
N/A |
N/A |
N/A |
$55.09 |
|
Extraordinary Circumstances/Flex Funding Add-on |
IC |
IC |
IC |
IC |
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