Gap Closing for Job Coaching Rates?
Accurate, thorough data holds the key…
The latest DRAFT job coaching rates proposed by Employment First are a far cry from where the agency was just a few weeks ago and reflect a good faith effort to collect data from providers and ensure that all costs are being considered. Under the latest model, rates will not be cut nearly as drastically as originally feared, and may even increase for some categories. This attached spreadsheet documents percentage and dollar changes for each service element.
Employment First continues to request accurate data from providers. All entity providing job coaching services should have received a spreadsheet that allows them to accurately capture their costs. If for some reason you haven’t received yours, please contact Acacia McGuire Anderson ASAP to request a copy.
As a backup strategy, Employment First is considering moving to a fee-for-service model. Unlike the current rate structure, which is based on the number of hours that a person works, fee-for-service would pay for time spent providing face-to-face job coaching. The agency is asking providers to evaluate whether a rate of $70 per hour would adequately cover their costs under this scenario.
Before the end of the month, Oregon will have to submit a new rate structure to CMS. CMS will have the authority to accept, deny, or request modifications to the state’s proposal. The more data the state can provide, the better its chances of success in getting CMS to approve changed assumptions underlying its rates. Depending on the service element, the new rates may include additional time for travel, progress notes, or on-behalf-of services to better reflect provider costs.