Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.12-010 - Living Choices Assisted Living 1915(c) HCBS Waiver Slot Increase

Current through Register Vol. 49, No. 6, June, 2024
Summary for Living Choices Assisted Living
				(LCAL) 1915(c) HCBS Waiver Slot Increase
The Living Choices Assisted Living (LCAL) 1915(c) Home and
				Community Based Services waiver is administered by the Department of Human
				Services, Division of Medical Services. A.C.A. §
								20-10-1704
				requires the Living Choices Assisted Living waiver to serve a minimum of one
				thousand (1,000) persons. To comply with A.C.A §
								20-10-1704,
				the number of unduplicated participants served in the Living Choices Assisted
				Living waiver will be increased from eight hundred (800) to one thousand
				(1,000) effective June 15, 2012.
Appendix J: Cost Neutrality Demonstration
J-1: Composite Overview and Demonstration of
				Cost-Neutrality Formula
Composite Overview.
Complete the fields in Cols.
				3, 5 and 6 in the following table for each waiver year. The fields in Cols. 4,
				7 and 8 are auto-calculated based on entries in Cols 3, 5, and 6. The fields in
				Col. 2 are auto-calculated using the Factor D data from the J-2d Estimate of
				Factor D tables. Col. 2 fields will be populated ONLY when the Estimate of
				Factor D tables in J-2d have been completed.
Leve l(s) of Care: Nursing Facility
Col. 1
Col. 2
Col. 3
Col. 4
Col. 5
Col. 6
Col. 7
Col. 8
Year
Factor D
Factor D'
Total: D+D'
Factor G
Factor G'
Total: G+G'
Difference (Col 7 less Column4)
1
16115.99
1775,41
17891.40
.i4399,0S
3113,82
37512.90
19621.50
2
16571.21
1847,49
18418.70
35795,6X
3240,24
39035.92
20617.22
3
17068.65
1922,50
18991.15
.17248,99
3371,79
40620.78
21629.63
4
17580.00
2()(K),55
19580.55
.18761..30
3508.69
42269.99
22689.44
5
18107.92
2081.77
20189.69
40.335.00
3651.14
43986.14
23796.45
J-2: Derivation of Estimates (1 of 9)
a.
Number Of Unduplicated Participants
			 Served.
Enter the total number of unduplicated participants from Item
			 B-3-a who will be served each year that the waiver is in operation. When the
			 waiver serves individuals under more than one level of care, specify the number
			 of unduplicated participants for each level of care:
Table: J-2-a: Unduplicated Participants
Wai v e r Ye ar
Total Number Unduplicated Number of Participants
						  (from Item B-3-a)
Distribution of Unduplicated Participants by
						  Level of Care (if applicable)
Level of Care:
Nursing Facility
Ye a r 1
800
800
Ye a r 2
1000
1000
Ye a r 3
1000
looo
Ye a r 4
1000
1000
Ye a r 5
1000
1000
b.
Average
			 Length of Stay.
Describe the basis of the estimate of the average length
			 of stay on the waiver by participants in item J-2-a.
The average length of stay on the waiver is estimated to be 240
				days. This average was calculated as days of eligibility from the MMIS
				segments, using the! Medicaid DSS (BusinessObjects). These numbers were
				determined by reporting the total days of waiver service (based on service
				eiigibilit
y days within |
c.
Derivation of Estimates for Each
			 Factor.
Provide a narrative description for the derivation of the
			 estimates of the following factors.
i.
Factor D Derivation.
The estimates of Factor D for each waiver year are
			 located in Item J-2-d. The basis for these estimates is as follows:
Factor D is derived from current reporting of expenditures from
				the Medicaid DSS (BusinessObjects) and consideration of previous waiver
				estimates of utilization and growth rates.
ii. Factor D' Derivation.
The estimates of Factor
				D' for each waiver year are included in Item J-1. The basis of these estimates
				is as follows:
Factor D' was computed based on what was done in prior years.
				Using the market basket forecasts and the related DDS report of all waiver
				eligible recipients annual expenditures were extracted from the decision
				support system (DSS) component of the MMIS. Note; Costs indicated for State
iii. Factor G Derivation.
The estimates of Factor G for each
				waiver year are included in Item J-1. The basis of these estimates is as
				follows:
Factor G is computed based on the average annual expenditures
				for nursing home recipients that were extracted from the decision support
				system (DSS) component of the MMIS. Using the average annual expenditures for
				nursing home recipients and the market basket forecasts for the next 5
iv. Factor G' Derivation.
The estimates of Factor G' for each
				waiver year are included in Item J-1. The basis of these estimates is as
				follows:
Factor G' was derived using the same methodology as in prior
				years It was computed based on the average annual expenditures for nursing home
				recipients that were extracted from the decision support system (DSS) component
				of the MMIS. Using the average annual expenditures for nursing