reglab/statecodes huggingface dataset:
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 3 - Cost Studies › Section 56903 - Facility Cost Study

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall conduct a facility cost study every three years pursuant to
					 Welfare and Institutions Code Section
					 4681.1(b).
(b) In conducting the facility cost study,
					 the Department shall make every reasonable effort to:
(1) Design a facility sample to produce
					 estimates which are statistically valid at the 95% confidence
					 interval;
(2) Ensure the cost data
					 utilized is reliable; and
(3)
					 Analyze the cost data utilizing standard accepted statistical
					 methods.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 3 - Cost Studies › Section 56904 - Cost Study Records Maintenance Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The administrator shall make available to
					 the Department for the cost study, all financial and service records. Such
					 records shall include the California Revenue and Taxation Code (R&TC) and
					 Internal Revenue Codes (IRC) information statements or returns and all
					 pertinent documentation for a reporting period specified by the
					 Department.
(b) Facility financial
					 records shall be maintained in a manner consistent with:
(1) A single method of accounting, clearly
					 reflecting the nature and amounts of all cost (expenses) and all
					 income;
(2) The Internal Revenue
					 Code (IRC) and the California Revenue and Taxation Code (R&TC) information
					 statements; and
(3) Title 17, CCR,
					 Sections 50604 and
					 56908.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 3 - Cost Studies › Section 56905 - Depreciation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In conducting a
					 cost study pursuant to Section
					 56903, the Department shall
					 utilize depreciation costs of all assets which are:
(1) Directly related to the facility's
					 operations as a facility; and
(2)
					 Recognized as an allowable business expense in accordance with federal and
					 state income tax guidelines and actually reported as such on the residential
					 service provider's state and federal tax returns for the date year of the cost
					 study. In the event of inconsistencies between state and federal income tax
					 depreciation guidelines, the California State Franchise Tax Board requirements
					 shall prevail for the purpose of data collection for the cost
					 study.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 3 - Cost Studies › Section 56906 - Cost Allocation Methods

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) To
					 allocate cost items in a facility cost study, the Department shall review the
					 data presented to determine:
(1) That
					 allowable costs are directly identified with the cost study facility (CSF) or
					 specific cost element; or
(2) That
					 allowable costs are combined with the allowable costs of other facilities, cost
					 elements, or a management organization.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 3 - Cost Studies › Section 56908 - Allowable Costs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
					 order to propose rates of reimbursement, the Department shall include in the
					 facility cost study only those costs which are:
(1) Directly related to the operation of the
					 facility;
(2) Recognized as an
					 allowable business expense in accordance with federal and state income tax
					 guidelines and reported as such on the residential service provider's state and
					 federal tax returns for the data year of the cost study; and
(3) As otherwise specified in subsection (b)
					 below. In the event of inconsistencies between state and federal tax reporting
					 guidelines, the California State Franchise Tax Board requirements shall prevail
					 for the purpose of data collection for the cost study.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 3 - Cost Studies › Section 56909 - Costs Not to be Reported

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall exclude from the facility cost study those costs which are
					 not:
(1) Directly related to the operation of
					 the facility;
(2) Recognized as an
					 allowable business expense in accordance with federal and state income tax
					 guidelines.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 4 - Rates Development Methodology › Section 56910 - General Provisions for Rate Proposals

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department shall utilize a rate
					 development methodology to determine the amounts for the cost elements for the
					 proposed rates.
(b) The Department
					 shall develop proposed rates pursuant to Section
					 56902 which shall:
(1) Be based upon median cost per consumer
					 per month;
(2) Vary by Service
					 Levels 2, 3 and 4(A-I); and
(3)
					 Vary by geographic location.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 4 - Rates Development Methodology › Section 56911 - Basic Living Needs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 basic living needs (BLN) cost element represents the cost of meeting consumers'
					 basic living needs, allocated pursuant to Section
					 56906, and shall include the
					 following:
(1) Wages and fringe benefits of
					 staff performing housekeeping duties;
(2) Housing;
(3) Furniture and equipment;
(4) Insurance;
(5) Utilities;
(6) Food;
(7) Housekeeping supplies and
					 services;
(8) Clothing and personal
					 care items which are not purchased with a resident's personal and incidental
					 allowance; and
(9)
					 Transportation.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 4 - Rates Development Methodology › Section 56912 - Indirect Costs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 indirect costs cost element represents that portion of indirect, overhead, and
					 administrative costs allocated pursuant to Section
					 56906, and includes the following:
(1) Wages and fringe benefits to staff
					 performing facility administration and management, clerical,
					 bookkeeping/accounting, staff supervision, maintenance and repair
					 duties;
(2) Housing;
(3) Furniture and equipment;
(4) Insurance;
(5) Utilities;
(6) Housekeeping supplies and
					 services;
(7)
					 Transportation;
(8) Program
					 supplies;
(9) Other professional
					 consultant services;
(10) Repair
					 and maintenance; and
(11) General
					 and administrative costs.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 4 - Rates Development Methodology › Section 56913 - Direct Supervision and Special Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The direct supervision and special
					 services cost element represents the expenditures for personnel who provide
					 direct services to residents, allocated pursuant to Section
					 56906, and includes the following:
(1) Wages and fringe benefits for direct care
					 staff; and
(2) Consultant
					 expense.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 4 - Rates Development Methodology › Section 56914 - Proprietary Fee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 proprietary fee cost element shall be calculated for each CSF as follows:
(1) Identify the amount of the allowable,
					 unrecovered basis for depreciation of all fixed assets to determine the total
					 net fixed asset value;
(2) Divide
					 the total net fixed asset value by the average number of residents residing at
					 the facility during the reporting period to get total net fixed asset value per
					 resident.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 4 - Rates Development Methodology › Section 56915 - Cost Data Update Methodology

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 The Department shall update the amounts of the cost elements by the California
					 Consumer Price Index (CPI) as follows:
(1)
					 Identify the amount for the reporting period (ARP);
(2) Determine the mid-point of the reporting
					 period used for the cost study;
(3)
					 Determine the mid-point of the target fiscal year;
(4) Obtain the historical and projected
					 California CPI for subsections (2) and (3) above;
(5) Update each amount using the following
					 formula:
UPDATED COST
=
CPI for
								mid-point of target fiscal year x ARP in (1) above
CPI for mid-point of reporting
								period
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 5 - Rate Proposals › Section 56916 - Proposed Rates

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall update the cost elements resulting from its most recent cost
					 study as follows:
(1) The BLN amount
					 determined in Section
					 56911(b)(3) shall
					 be updated by the California CPI pursuant to Section
					 56915;
(2) The Indirect Costs amount determined in
					 Section 56912(b)(3) shall
					 be updated by the California CPI pursuant to Section
					 56915;
(3) The Direct Supervision and Special
					 Services shall be updated by:
(A) Updating the
					 median hourly wage amount determined in Section
					 56913(b)(3)(C)
					 by:
1. Any federal or state minimum wage
					 changes with an effective date between the cost study reporting period and the
					 target fiscal year; and
2. By the
					 California CPI pursuant to Section
					 56915.
(B) Updating the ratio determined in Section
					 56913(c)(4)(D)
					 for any mandated changes in employer's contributions for fringe benefits
					 between the cost study reporting period and the target fiscal year;
(C) Updating the amount determined in Section
					 56913(c)(3) by
					 the California CPI pursuant to section
					 56915.
(4) The Proprietary Fee amount determined in
					 Section 56914(d) shall be
					 updated to reflect the most recent Dun and Bradstreet data.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 6 - Reimbursement Policies › Section 56917 - Payment of Established Rates

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Regional centers shall pay residential
					 service providers monthly at the rate established by the Department pursuant to
					 Section 56902(b) and
					 (c).
(b) The source of funds for the monthly
					 payment of residential service providers shall consist of the Regional Center
					 Supplement and, where appropriate, any Supplemental Security Income (SSI) and
					 State Supplemental Program (SSP) funds for which the consumer is eligible minus
					 the consumer's Personal and Incidental Allowance as defined in Title 17,
					 California Code of Regulations, Section
					 56002(a)(26).
(c) When the regional center has been
					 appointed as the consumer's representative payee for the consumer's SSI/SSP
					 payment, the regional center shall:
(1)
					 Forward that portion of the consumer's Personal and Incidental Allowance which
					 is not conserved by the regional center on the consumer's behalf to the
					 consumer no later than the 10th day of the month in which the regional center
					 receives the consumer's SSI/SSP payment; and
(2) Forward the consumer's SSI/SSP payment to
					 the residential service provider no later than the 10th day of the month
					 following the month in which the regional center receives the consumer's
					 SSI/SSP payment.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 6 - Reimbursement Policies › Section 56918 - Reimbursement for Residential Respite Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A provider of residential respite services shall be
						reimbursed pursuant to Title 17, California Code of Regulations, Section
						57332(c)(6).
1. New
						section filed 1-14-91; operative 2-13-91 (Register 91, No. 14).
2.
						Amendment of section filed 9-20-93 as an emergency; operative 9-20-93.
						Submitted to OAL for printing only pursuant to Chapter 722, Statutes of 1992,
						Section 147 (Register 93, No. 39). These
						regulations shall not be repealed by the Office of Administrative Law and shall
						remain in effect until revised or repealed, as appropriate.
3.
						Amendment of section filed 11-23-94; operative 11-23-94 (Register 94, No.
						47).
4. Editorial correction of HISTORY 2 (Register 94, No.
						47).
5. Editorial correction (Register 95, No. 18).
6.
						Change without regulatory effect amending section filed 6-19-95 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 95, No. 25).
7. Change without regulatory
						effect amending section filed 11-10-2005 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2005, No. 45).
Note: Authority cited: Sections
						  4648
						  and
						  4681.1,
						  Welfare and Institutions Code; Chapter 722, Statutes of 1992, Section
						  147. Reference: Sections
						  4418.6,
						  4648,
						  4681.1
						  and
						  4791(i),
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 6 - Reimbursement Policies › Section 56919 - Usual and Customary Fees and Prevailing Rates

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The regional center shall request
					 approval by the Department for the payment of usual and customary fees or
					 prevailing rates.
(b) At the
					 Department's discretion, usual and customary fees or prevailing rates may be
					 approved for facilities which meet the criteria in Section
					 56004(a) and have
					 a rate established by another governmental agency.
1. New
						section filed 1-14-91; operative 2-13-91 (Register 91, No. 14).
2.
						Editorial correction of subsection (b) (Register 95, No.
						18).
Note: Authority cited: Section
						  4681.1,
						  Welfare and Institutions Code. Reference: Section
						  4681.1,
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 7 - Verification of Use of Rate Increase Funds › Section 56931 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) When used in
					 this article, the following words and phrases shall have the following
					 meanings:
(1) "Benefits" means health
					 insurance, dental insurance, vision insurance, life insurance, long-term
					 disability insurance, retirement plans, sick leave, bonus, paid vacation,
					 holidays, employee assistance programs, employment-related education and
					 training, social security, workers' compensation, unemployment insurance, and
					 any other mandatory state and federal employer taxes.
(2) "Compensation" means the total of:
(A) Benefits as defined in subsection
					 (a)(1);
(B) Salaries as defined in
					 subsection (a)(7);
(C) Wages as
					 defined in subsection (a)(8); and
(D) The fair market value of all payments in
					 kind, including, but not limited to, lodging and meals.
(3) "Competency-based Training and Testing"
					 means competency-based training and testing as defined in Title 17, California
					 Code of Regulations, Section
					 56031(a)(4).
(4) "Coverage" means employing qualified
					 substitute direct care staff to provide direct supervision and special services
					 to consumers while direct care staff are attending competency-based training
					 and competency testing or taking a challenge test.
(5) "Direct Care Staff" means direct care
					 facility staff in Service Level 2, 3 and 4 facilities who personally provide
					 direct supervision and special services to consumers and is synonymous with
					 "Direct Support Professionals". The term includes the licensee, the
					 administrator, management and supervisory staff during that time when they are
					 providing direct supervision and special services to consumers.
(6) "Licensee" means the adult, firm,
					 partnership, association or corporation, having the authority and
					 responsibility for the operation of a licensed community care
					 facility.
(7) "Salaries" means a
					 fixed dollar amount of pay per pay period paid to direct care staff on a
					 regular basis.
(8) "Wages" means an
					 hourly rate of pay which is paid to direct care staff.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 7 - Verification of Use of Rate Increase Funds › Section 56932 - Purposes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Rate increase
					 funds received pursuant to Welfare and Institutions Code Section
					 4681.4(a)
					 or
(b) shall be used only for the
					 following purposes:
(1) Increasing direct care
					 staff salaries, wages and benefits.
(2) Reducing turnover of direct care staff
					 and improving the overall quality of consumer care by increasing direct care
					 staff salaries, wages and benefits in a manner which fairly and equitably
					 allocates the rate increase funds derived from Welfare and Institutions Code
					 Section
					 4681.4(a) or
					 (b) among direct care staff employees with
					 consideration for job tenure, duties, and relative number of hours
					 worked.
(3) Providing coverage
					 while direct care staff are attending competency-based training and testing or
					 taking a challenge test.
(4) Other
					 purposes which have been approved by the Department.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 7 - Verification of Use of Rate Increase Funds › Section 56934 - Rate Increase Funds Verification Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each licensee who receives rate increase
					 funds authorized by Welfare and Institutions Code Section
					 4681.4(a)
					 during the 1999 calendar year shall report in writing the use of those rate
					 increase funds to the regional center.
(b) Each licensee who receives rate increase
					 funds authorized by Welfare and Institutions Code Section
					 4681.4(b)
					 during the 2000 calendar year shall report in writing the use of those rate
					 increase funds to the regional center.
(1)
					 Not less than 30 days prior to the date specified in subsection (c), the
					 regional center shall notify the licensee in writing of the necessity to report
					 the use of rate increase funds.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 7 - Verification of Use of Rate Increase Funds › Section 56935 - Failure to File. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 12-31-98 as an emergency; operative 12-31-98 (Register 99, No.
						1). A Certificate of Compliance must be transmitted to OAL by 4-30-99 or
						emergency language will be repealed by operation of law on the following
						day.
2. New section refiled 5-11-99 as an emergency; operative
						5-11-99 (Register 99, No. 20). A Certificate of Compliance must be transmitted
						to OAL by 9-8-99 or emergency language will be repealed by operation of law on
						the following day.
3. New section refiled 9-9-99 as an emergency;
						operative 9-9-99 (Register 99, No. 37). A Certificate of Compliance must be
						transmitted to OAL by 1-7-2000 or emergency language will be repealed by
						operation of law on the following day.
4. Repealed by operation of
						Government Code section
						11346.1(g)
						(Register 2000, No. 2).
5. New section filed 1-14-2000 as an
						emergency; operative 1-14-2000 (Register 2000, No. 2). A Certificate of
						Compliance must be transmitted to OAL by 5-15-2000 or emergency language will
						be repealed by operation of law on the following day.
6. Repealer
						filed 3-13-2000 as an emergency; operative 3-13-2000 (Register 2000, No. 11). A
						Certificate of Compliance must be transmitted to OAL by 7-11-2000 or emergency
						language will be repealed by operation of law on the following
						day.
7. Repealer of 1-14-2000 and 3-13-2000 emergency orders by
						operation of Government Code section
						11346.1,
						subsections (f) and (g) (Register 2000, No. 48).
Note: Authority cited: Section
						  11152,
						  Government Code; and Section
						  4405,
						  Welfare and Institutions Code. Reference: Sections
						  4681.4
						  and
						  4681.5,
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 6 - Ratesetting Procedures for Residential Services › Article 7 - Verification of Use of Rate Increase Funds › Section 56937 - Procedures for Approving the Use of Rate Increase Funds for Other Purposes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) To request the
					 Department's approval to use rate increase funds received during calendar year
					 2000 for purposes other than those specified in Section
					 56932(a)(1) through
					 (3), the licensee shall submit to the
					 Department all of the following:
(1) Payroll
					 records and other relevant documentation which establish the compensation paid
					 to every direct care staff member for the pay period including December 31,
					 1999, and which clearly demonstrate that on an hourly basis, the compensation
					 of each direct care staff member with a minimum of six months of experience,
					 for every hour worked that pay period, equaled or exceeded two hundred and ten
					 percent (210%) of California's minimum wage in effect on December 31, 1998
					 ($12.08 per hour).
(2) Work records
					 which employers are required to maintain by Title 22, California Code of
					 Regulations, Section
					 1085-2 for all employees;
					 and
(3) A description of the
					 proposed use of the rate increase funds and an explanation of how the proposed
					 use of rate increase funds is consistent with the criteria specified in Section
					 56936.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 1 - Definitions › Section 57200 - Terms Defined in Other Subchapters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) As used in Sections
					 57300 through
					 57948, the following words and
					 phrases have the meanings specified in Sections
					 54302 and
					 56704:
(1) Activity Center
(2) Adult Development Center
(3) Authorized Consumer
					 Representative
(4) Behavior
					 Management Program
(5)
					 Community-Based Day Programs
(6)
					 Consumer
(7) Days
(8) Department
(9) Direct Care Staff
(10) Direct Services
(11) Director
(12) Family Member
(13) Generic Agency
(14) Independent Living Program
(15) Infant Development Program
(16) Management Organization
(17) Non-mobile Consumers
(18) Nonresidential Services
(19) Regional Center
(20) Service Code
(21) Service Contract
(22) Social Recreation Program
(23) Staffing Ratio
(24) Subcode
(25) Units of Service
(26) User Regional Center or Utilizing
					 Regional Center
(27)
					 Vendor
(28) Vendor Identification
					 Number
(29) Vendoring Regional
					 Center
(30)
					 Voucher
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 2 - General Provisions › Section 57300 - Rate-Setting Requirements Applicable to All Nonresidential Service Vendors

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order for
					 the Department to establish a rate of reimbursement for nonresidential service
					 vendors, each vendor shall:
(1) Be approved
					 as a vendor by a regional center pursuant to Section
					 54322(d)(1);
(2) Submit complete and accurate information
					 and documentation; and
(3) Comply,
					 if applicable, with the submission requirements specified in:
(A) Sections
					 57422 through
					 57439 for community-based day
					 programs; or
(B) Sections
					 58020 through
					 58039 for in-home respite service
					 agencies.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 3 - Vouchers › Section 57310 - Method of Reimbursement for Voucher Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each regional center may offer vouchers
					 to family members or adult consumers to allow the families and consumers to
					 procure the following services:
(1) Nursing
					 Service - Family Member - Service Code 415; and/or
(2) Day Care - Family Member - Service Code -
					 405; and/or
(3) Respite Service -
					 Family Member - Service Code 420; and/or
(4) Transportation - Family Member - Service
					 Code 425; and/or
(5) Diapers and
					 Nutritional Supplements - Family Member - Service Code 410.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 5 - Rates of Reimbursement Based on the Schedule of Maximum Allowances or the Vendor's Usual and Customary Rate › Section 57330 - Generic Agencies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 maximum rate of reimbursement shall be the usual and customary rate charged by
					 the generic agency to all participants in the program.
1. New
						section filed as an emergency 6-17-93; operative 6-17-93. Submitted to OAL for
						printing only pursuant to SB485 (Chapter 722, Statutes of 1992) Section
						147(a) (Register
						93, No. 26).
2. Certificate of Compliance as to 6-17-93 order
						transmitted to OAL 6-20-94 and filed 8-2-94 (Register 94, No.
						31).
Note: Authority cited: Chapter 722, Statutes of 1992,
						  Section 147; and Sections
						  4690,
						  and
						  4791(i),
						  Welfare and Institutions Code. Reference: Sections
						  4648(a),
						  4690
						  and
						  4791,
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 5 - Rates of Reimbursement Based on the Schedule of Maximum Allowances or the Vendor's Usual and Customary Rate › Section 57331 - Group Practices

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 The rate of reimbursement for group practices shall be determined based on the
					 method of reimbursement established, pursuant to Sections
					 57332 through
					 57335, for an individual providing
					 the same service.
1. New
						section filed as an emergency 6-17-93; operative 6-17-93. Submitted to OAL for
						printing only pursuant to SB485 (Chapter 722, Statutes of 1992) Section
						147(a) (Register
						93, No. 26).
2. Certificate of Compliance as to 6-17-93 order
						transmitted to OAL 6-20-94 and filed 8-2-94 (Register 94, No.
						31).
Note: Authority cited: Chapter 722, Statutes of 1992,
						  Section 147; and Sections
						  4690,
						  and
						  4791(i),
						  Welfare and Institutions Code. Reference: Sections
						  4648(a),
						  4690
						  and
						  4791,
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 5 - Rates of Reimbursement Based on the Schedule of Maximum Allowances or the Vendor's Usual and Customary Rate › Section 57332 - Maximum Rates of Reimbursement for Non-Residential Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The maximum rate of reimbursement for the
					 following services shall be the vendor's usual and customary rate as defined in
					 Section 57210(a)(19) or,
					 if the vendor does not have an established usual and customary rate, a
					 negotiated rate pursuant to Section
					 57300(e):
(1) Adaptive Skills Trainer -- Service Code
					 605
(2) Adult Day Care -- Service
					 Code 855
(3) Art Therapist --
					 Service Code 691
(4) Associate
					 Behavior Analyst -- Service Code 613.
(5) Attorney -- Service Code 610
(6) Behavior Analyst -- Service Code
					 612
(7) Camping Services -- Service
					 Code 850 (Day Camp, Residential Camp, and Traveling Camp)
(8) Child Day Care -- Service Code
					 851
(9) Counseling Services --
					 Service Code 625 (Family Counselors and Social Workers)
(10) Dance Therapist -- Service Code
					 692
(11) Developmental Specialist
					 -- Service Code 670
(12) Diaper
					 Service -- Service Code 627
(13)
					 Dietary Services -- Service Code 720 (Dietician and Nutritionist)
(14) Driver Trainer -- Service Code
					 630
(15) Educational Psychologist
					 -- Service Code 672
(16) Homemaker
					 -- Service Code 858
(17) Homemaker
					 Service -- Service Code 860
(18)
					 Independent Living Specialist -- Service Code 635
(19) Interpreter -- Service Code
					 642
(20) Mobility Training Services
					 Agency -- Service Code 645
(21)
					 Mobility Training Services Specialist -- Service Code 650
(22) Music Therapist -- Service Code
					 693
(23) Psychiatric Technician --
					 Service Code 790
(24) Recreational
					 Therapist -- Service Code 694
(25)
					 Retail/Wholesale Stores -- Service Code 660
(26) Teacher -- Service Code 674
(27) Teacher of Special Education -- Service
					 Code 678
(28) Teacher's Aide --
					 Service Code 676
(29) Translator --
					 Service Code 643
(30) Tutor --
					 Service Code 680
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 5 - Rates of Reimbursement Based on the Schedule of Maximum Allowances or the Vendor's Usual and Customary Rate › Section 57333 - Other Services: Medical Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed as an emergency 6-17-93; operative 6-17-93. Submitted to OAL for
						printing only pursuant to SB485 (Chapter 722, Statutes of 1992) Section
						147(a) (Register
						93, No. 26).
2. Amendment filed 6-20-94 as an emergency; operative
						6-20-94. Submitted to OAL for printing only pursuant to Chapter 722, Statutes
						of 1992, Section
						147 (Register 94, No.
						25).
3. Certificate of Compliance as to 6-17-93 order transmitted to
						OAL 6-20-94 and filed 8-2-94 (Register 94, No. 31).
4. Certificate
						of Compliance as to 6-20-94 order transmitted to OAL 2-20-96 and filed 3-29-96
						(Register 96, No. 13).
5. Change without regulatory effect
						incorporating former section
						57333 into section
						57332, including amendments, and
						repealing former section
						57333, filed 1-17-97 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 97, No. 3).
Note: Authority cited: Chapter 722, Statutes of 1992,
						  Section 147; and Sections
						  4690
						  and
						  4791(i),
						  Welfare and Institutions Code. Reference: Sections
						  4648(a),
						  4690
						  and
						  4791,
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 5 - Rates of Reimbursement Based on the Schedule of Maximum Allowances or the Vendor's Usual and Customary Rate › Section 57334 - Prevention Services/Infant Development Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed as an emergency 6-17-93; operative 6-17-93. Submitted to OAL for
						printing only pursuant to SB485 (Chapter 722, Statutes of 1992) Section
						147(a) (Register
						93, No. 26).
2. Certificate of Compliance as to 6-17-93 order
						transmitted to OAL 6-20-94 and filed 8-2-94 (Register 94, No.
						31).
3. Change without regulatory effect repealing section filed
						1-17-97 pursuant to section
						100, title 1, California Code of
						Regulations (Register 97, No. 3).
Note: Authority cited: Chapter 722, Statutes of 1992,
						  Section 147; and Sections
						  4690
						  and
						  4791(i),
						  Welfare and Institutions Code. Reference: Sections
						  4648(a),
						  4690
						  and
						  4791,
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 5 - Rates of Reimbursement Based on the Schedule of Maximum Allowances or the Vendor's Usual and Customary Rate › Section 57335 - Supportive Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed as an emergency 6-17-93; operative 6-17-93. Submitted to OAL for
						printing only pursuant to SB485 (Chapter 722, Statutes of 1992) Section
						147(a) (Register
						93, No. 26).
2. Amendment of subsection (b)(2) and new subsections
						(b)(2)(A)-(B) filed 6-20-94 as an emergency; operative 6-20-94. Submitted to
						OAL for printing only pursuant to Chapter 722, Statutes of 1992, Section
						147 (Register 94, No.
						25).
3. Certificate of Compliance as to 6-17-93 order transmitted to
						OAL 6-20-94 and filed 8-2-94 (Register 94, No. 31).
4. Certificate
						of Compliance as to 6-20-94 order, including amendment of subsections
						(c)(3)(A)2. and (c)(3)(A)2.a., transmitted to OAL 2-20-96 and filed 3-29-96
						(Register 96, No. 13).
5. Change without regulatory effect repealing
						section filed 1-17-97 pursuant to section
						100, title 1, California Code of
						Regulations (Register 97, No. 3).
Note: Authority cited: Chapter 722, Statutes of 1992,
						  Section 147; and Sections
						  4690
						  and
						  4791(i),
						  Welfare and Institutions Code. Reference: Sections
						  4648(a),
						  4690
						  and
						  4791,
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 7 - Nonresidential Service Vendor Rate-Setting Provisions › Article 5 - Rates of Reimbursement Based on the Schedule of Maximum Allowances or the Vendor's Usual and Customary Rate › Section 57336 - Miscellaneous Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 maximum rates of reimbursement for Miscellaneous Services shall be established
					 in accordance with the following:
(1)
					 Schedule of Maximum Allowances (SMA); or
(2) The vendor's usual and customary rate, as
					 defined in Section
					 57210(a)(19), if
					 the SMA does not apply to the services provided; or
(3) A negotiated rate pursuant to Section
					 57300(e) if the
					 vendor does not have an established usual and customary rate, as defined in
					 Section 57210(a)(19), and
					 the SMA does not apply to the services provided.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 8 - Rate-Setting Procedures for Community-Based Day Programs › Article 2 - General Provisions › Section 57422 - General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 If a vendor serves both consumers and persons other than consumers, the vendor
					 shall:
(1) Report only the program, cost and
					 vendor income information related to services to consumers; and
(2) Allocate its costs and vendor income to
					 consumers and to other persons served by the vendor based upon:
(A) Actual days of attendance if the service
					 is an activity center, adult development center or behavior management program;
					 and
(B) Actual hours of attendance
					 if the service is a social recreation program, independent living program, or
					 infant development program.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 8 - Rate-Setting Procedures for Community-Based Day Programs › Article 3 - Submission of Required Information › Section 57430 - Submission of Information

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Each community-based day program vendor shall submit the program, cost and
					 vendor income information specified in Sections
					 57433 through
					 57438, and as applicable, the
					 regional center payment information specified in Section
					 57439, on Form DS1897, dated
					 12/92, entitled Community-Based Day Program: Program, Cost and Vendor Income
					 Statement, for each service for which the vendor is requesting that a rate be
					 established. The vendor shall sign and date Form DS1897 which includes a
					 certification that the information is true and correct and complies with
					 Sections 57422 through
					 57439. The vendor shall submit the
					 original document to the Department with a copy of this document submitted to
					 the vendoring regional center at the same time the original document is
					 submitted to the Department.
1. New
						section filed 6-26-90 as an emergency; operative 7-1-90 (Register 90, No. 36).
						A Certificate of Compliance must be transmitted to OAL by 10-29-90 or emergency
						language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 6-26-90 order transmitted to
						OAL 9-28-90 and filed 10-29-90 (Register 90, No. 46).
3. Amendment
						filed 11-5-91 as an emergency; operative 11-5-91 (Register 92, No. 21). A
						Certificate of Compliance must be transmitted to OAL 3-4-92 or emergency
						language will be repealed by operation of law on the following
						day.
4. Amendment refiled 3-4-92 as an emergency; operative 3-4-92
						(Register 92, No. 25). A Certificate of Compliance must be transmitted to OAL
						7-2-92 or emergency language will be repealed by operation of law on the
						following day.
5. Certificate of Compliance as to 3-4-92 order
						including amendment transmitted to OAL 6-25-92 and filed 8-6-92 (Register 92,
						No. 33).
6. Amendment of section filed as an emergency 6-17-93;
						operative 6-17-93. Submitted to OAL for printing only pursuant to SB485
						(Chapter 722, Statutes of 1992) Section
						147(a) (Register
						93, No. 26).
7. Certificate of Compliance as to 6-17-93 order
						transmitted to OAL 6-20-94 and filed 8-2-94 (Register 94, No.
						31).
Note: Authority cited: Chapter 722, Statutes of 1992,
						  Section 147; and Sections
						  4691,
						  4691.5
						  and
						  4791(i),
						  Welfare and Institutions Code. Reference: Sections
						  4691,
						  4691.5
						  and
						  4791,
						  Welfare and Institutions Code.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 8 - Rate-Setting Procedures for Community-Based Day Programs › Article 3 - Submission of Required Information › Section 57431 - Reporting Periods for Submission of Information

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Information submitted pursuant to
					 Sections 57433 through
					 57439 shall cover the following
					 reporting periods:
(1) For vendors receiving
					 a temporary payment rate and whose temporary payment rate will be converted to
					 a permanent payment rate, the reporting period shall be 12 consecutive months
					 of representative actual allowable cost information, incurred within 18 months
					 from the date the temporary payment rate became effective. The Department may
					 grant an extension of the temporary payment rate for a period of up to six
					 months if the vendor is unable to submit the required cost information due to
					 delayed consumer enrollment into the program; and
(2) For vendors receiving a permanent payment
					 rate and whose permanent payment rate will be established in Fiscal Year
					 1997-98, and each alternate fiscal year thereafter, the reporting period shall
					 be Fiscal Year 1995-96, and each alternate fiscal year
					 thereafter.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 8 - Rate-Setting Procedures for Community-Based Day Programs › Article 3 - Submission of Required Information › Section 57432 - Required Due Dates for Submission of Information

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The required dates for submission are as
					 follows:
(1) Within 18 months from the date
					 the temporary payment rate became effective, for vendors whose temporary
					 payment rate is being converted to a permanent payment rate, unless an
					 extension of the temporary payment rate has been granted pursuant to Section
					 57431(a)(1);
(2) Prior to expiration of the temporary
					 payment rate for those vendors who received an extension pursuant to Section
					 57431(a)(1);
(3) September 30, 1996, and each alternate
					 September 30 thereafter, for vendors whose permanent payment rate is being
					 established in Fiscal Year 1997-98, and each alternate fiscal year thereafter;
					 and
(4) At the time the vendor
					 requests establishment of a temporary payment rate, for vendors requesting a
					 temporary payment rate.
California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 8 - Rate-Setting Procedures for Community-Based Day Programs › Article 3 - Submission of Required Information › Section 57433 - Required Program Information

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 In order for the Department to establish a temporary payment rate or permanent
					 payment rate, the vendor shall submit the following program information:
(1) Vendor name, and name of the management
					 organization, if any, vendor identification number, service code and
					 subcode;
(2) Facility or office
					 telephone number, business and mailing addresses;
(3) Name of the service director;
(4) Name of the vendoring regional center and
					 utilizing regional center(s), if any; and
(5) A copy of the program design which was
					 submitted to the vendoring regional center pursuant to Section
					 54310(a)(10)(D).