New Rate Models Available for Comment
The Department of Human Services put out their first draft of the new rate models for a number of intellectual/developmental disability services including: Small Group Employment; Employment Path; Day Support Activity; 24-Hour Residential; Attendant Care; Transportation and Professional Behavior Services.
The new rate models can be accessed via the following link: http://www.burnshealthpolicy.com/ODDSRates
There was also an Oct. 31st recorded webinar available that gives an overview of the new rate models that will be posted soon. The content of this webinar is the same as the in person meetings held on Oct. 18th and 19th.
There are several important factors to keep in mind when reviewing the draft models:
1. The rates are intended to fully cover the services provided, although it is important to remember that this does not mean that the rates will be funded at this level. The plan is to have rates that reflect what it actually costs to provide services. Then DHS and providers will have a good platform and accurate information to use in our advocacy efforts. Any additional funding would have to be approved through the legislature.
For example, if when the rates models are completed we find that they actually only cover 60% of the cost of providing a defined service, then DHS can develop Policy Option Packages to request additional funding, stating something like “Currently residential providers are only funded at 60% of what it actually costs to provide these services, we are thus asking for a 10% increase in rates, which means they will then have 70% of the funding required to provide the services”.
This will eliminate a lot of the confusion that currently exists with ReBAR rates and will give us a firm platform from which to advocate. The goal is to create rates that are transparent and actually reflect what we do, even if they are not fully funded.
2. The rates are in draft form and DHS is seeking feedback through November 22, 2017. They want to know about anything that is not covered by the new rate models, any concerns we have about the models, as well as things that they have under or overvalued. Feedback can be provided directly to Burns and Associates at the following link: ODDSRates@burnshealthpolicy.com .
ORA is scheduling a meeting to discuss the new rate models and to consolidate our feedback. We will send out an invitation very soon and we encourage you and your key staff to attend this meeting. PLEASE WATCH FOR THIS INVITE! It is important that we get broad representation of members to ensure we do not miss anything. We will then summarize the feedback and send it to Burns and Associates.
Please use the information contained in the Burns and Associate link to analyze the impact of these rate changes on your agency’s services and come to the meeting prepared with details of where adjustments are needed. We want to ensure that we are helping DHS end up with accurate representations of the full cost of our services. We look forward to discussing this as a group.
3. Please keep in mind that the rates will be affected by a number of converging factors, so it is very difficult to predict the actual impact. First, the rate models need to be completed and tested. Next, the Oregon Needs Assessment will need to be completed (currently in pilot) and everyone will have to be assessed using this new tool. Finally, DHS will have to develop policy option packages to increase funding to support the new rate models and any additional funding will have to be approved by the legislature.
DHS is planning for the new models to go into effect in July of 2019. As you can see, there is still much work to do before that happens.