To calculate the rate or service limit increase, multiply the rate or service amount by one plus 0.2 percent.
No. Modifications and supplies/equipment are exempt from the rate increases. The rate increases applies to the remainder of the prorated CDCS budget amount.
Legislation effective July 1, 2016, provides a 0.2% rate increase for CDCS, Consumer Support Grants, and personal care assistance (PCA) services
To calculate the total increase to CDCS budget amounts, apply the 0.2%. 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 $17.12 /hour.
Prorated CDCS budget based on service agreement (SA) dates example:
The lead agency must send a copy of the addendum to the FSE. The FSE must bill according to the addendum.
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 automatically reflected in the Waiver Management System.
The rate increase is effective July 1, 2016:
This increase is for Consumer Directed Community Supports (CDCS), Consumer Support Grant (CSG) and personal care assistance services (PCA)
Counties and tribes must amend contracts for services specified in within 60 days of the effective date of the rate increase and must be retroactive to July 1, 2016.
No. Family Support Grants were not included in the legislated rate increase.
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.
Yes. The same requirements apply for both MCO and fee-for-service providers.
Capitation Rates paid to Health plans were adjusted in fall of 2015 to account for this rate increase. The adjustment to the capitation rates account for an increased payment rate for these services rendered on or after July 1, 2016.
MCO's must include the increase in their payments to providers for services rendered on or after July 1, 2016.