Current through Reg. 49, No. 38; September 20, 2024
(a) For all programs providing consumer
directed services (CDS) except the Home and Community-based Services (HCS)
program:
(1) The monthly payment to the
contracted CDS agency is determined by modeling the estimated cost to carry out
the responsibilities of the CDS agency.
(2) The rates for CDS that provide the funds
available to the consumers participating in CDS are modeled and are based on
the payment rates paid to contracted agencies for providing services to
consumers who do not participate in CDS, and then removing from those rates
amounts needed to fund CDS agencies responsibilities.
(3) The sum of the payments to the contracted
CDS agencies for a 12-month period and the funds available to the consumers
participating in CDS for the same 12-month period will not exceed, in the
aggregate, the amount that would have been paid to agencies for the same 12
month period if the consumers were not participating in CDS.
(b) For the HCS program:
(1) The monthly payment to the contracted CDS
agency is determined by modeling the estimated cost of carrying out the
responsibilities of the CDS agency.
(2) The rates for CDS that provide the funds
available to the consumer participating in CDS are modeled and are based on the
direct care costs plus a portion of the operating costs included in the HCS
rate.
(3) The monthly payment to
the contracted CDS agency for a 12-month period and the funds available to the
consumer participating in CDS for that same 12-month period will not exceed the
amount that would have been paid to an agency for the same 12 month period if
the consumer was not participating in CDS.
(c) Support Consultation services. The hourly
payment rate for Support Consultation services is determined by modeling the
cost of providing this service, as defined by the Department of Aging and
Disability Services, using staff costs and other statistics from the most
recently audited cost reports from providers for staff whose required
qualifications are similar to the qualifications required for individuals
delivering Support Consultation services. The requirements for a Support
Advisor are found at 40 TAC §
RSA
41.603(relating to Support Advisor
Qualifications).
