Legislation effective Aug. 1, 2017, provides a 1.642 percent rate increase for CDCS, Consumer Support Grants and personal care assistance (PCA) services.
To calculate the total increase to CDCS budget amounts, apply the 1.642 percent. Increase the overall CDCS budget based on a prorated approach and adjust the current service agreement. Use the CDCS Support Plan Addendum to communicate and document the budget and plan change.
The maximum wage increases for paid parents of minors and spouses of CDCS participants including all taxes and benefits. The new hourly maximum rate is $17.40 per hour.
Prorated CDCS budget based on service agreement (SA) dates example:
Current SA period: Feb. 1, 2017-Jan. 31, 2018 = $60,000
Yes. The allowable budget is the state-set maximum based on the most recent assessment. The rate increases apply to the prorated CDCS budget amount. The rate increase to the prorated allowable budget amount is reflected automatically in the Waiver Management System.
No, service agreements are not adjusted automatically. Any changes to the person’s support plan, including changes in service authorizations, must be based on a person-centered support planning process. This planning process typically occurs at a time of a person’s annual reassessment, or if the person has had a change in condition. Case managers/care coordinators may choose to update a person’s support plan sooner if doing so will better support the person to remain in the community.
To increase the dollar amount for service agreements in MMIS for individuals when no changes to the assessment information is needed, a new screening document is needed with an effective date of Aug. 1, 2017, activity type 05, and assessment result 98. When approved, the service agreement is edited, which pulls over the higher case mix amount from the new screening document for those months beginning Aug. 1, 2017, through the last month of the valid waiver span in place. If needs have also changed, a reassessment (Activity Type 06) would be used to update assessment information as well as monthly case mix budget amounts.
People who have approved monthly conversion budget limits should be reviewed at reassessment to see if they still need the conversion rates. Compare the authorized service costs for the person to the new case-mix budget caps that are effective Aug. 1, 2017. If the implementation of the service plan costs equal to or less than the assigned case-mix budget cap, the person no longer requires the monthly conversion budget limit and the person’s service plan can be authorized with no further documentation required. If the implementation of the service plan continues to exceed the assigned case-mix budget cap, the case manager/care coordinator must request continuation of the conversion limit at reassessment.
No. The legislation only increases Medical Assistance rates and grant amounts for services listed in the law. The legislation does not require providers to change rates they charge for people who are not on Medical Assistance. Providers have the right to adjust the rates for private pay if they choose, but must give proper notice.