Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 418.00 - Payments For Youth Short-Term Stabilization and Emergency Placement Services › Section 418.03 - Rate Provisions

Current through Register 1525, July 5, 2024
(1)
Services Included in the Rate
. The approved rate
			 includes payment for all care and services that are part of the program of
			 services of an eligible provider, as explicitly set forth by the purchasing
			 governmental unit(s).
(2)
Reimbursement as Full Payment
. Each eligible provider
			 must, as a condition of payment by any purchasing governmental unit, accept the
			 approved rate as full payment and discharge of all obligations for the services
			 rendered. Payment by the purchasing governmental unit for services rendered to
			 the client are reduced by the amount of any payment from any other
			 source.
(3)
Payment
			 Limitations
. Except as provided in 101 CMR 418.03(2), (4) and (5),
			 each purchasing governmental unit pays for services at the rates established in
			 101 CMR 418.03(4).
(4)
Approved Rates
. The rates set forth in 101 CMR
			 418.03(4) govern payments for services provided pursuant to contracts executed
			 under the FY 2013 or subsequent procurements of the governmental unit procuring
			 the service. The approved rate is the lower of the provider's charge or amount
			 accepted as payment from another payer or the rate listed below.
ADJUDICATED YOUTH SECURE DETENTION AND ASSESSMENT BASE
				RATES
Provider Owned/Leased Facilities
# Clients:
12-14
15-17
18-22
Utilization %
90%
$430.96
$393.45
$352.28
85%
$456.32
$416.59
$373.00
80%
$484.84
$442.63
$396.31
75%
$517.16
$472.14
$422.73
70%
$554.10
$505.86
$452.93
65%
$596.72
$544.78
$487.77
60%
$646.45
$590.17
$528.41
55%
$705.22
$643.83
$576.45
50%
$775.74
$708.21
$634.10
State Owned - Co-located
# Clients:
12-14
15-17
18-22
Utilization %
90%
$366.62
$334.44
$297.39
85%
$388.18
$354.11
$314.88
80%
$412.44
$376.25
$334.56
75%
$439.94
$401.33
$356.86
70%
$471.36
$429.99
$382.35
65%
$507.62
$463.07
$411.77
60%
$549.92
$501.66
$446.08
55%
$599.92
$547.27
$486.63
50%
$659.91
$601.99
$535.30
State Owned - Separate
# Clients:
12-14
15-17
18-22
Utilization %
90%
$390.26
$352.75
$311.57
85%
$413.22
$373.50
$329.90
80%
$439.05
$396.84
$350.52
75%
$468.32
$423.30
$373.89
70%
$501.77
$453.53
$400.60
# Clients:
12-14
15-17
18-22
Utilization %
65%
$540.36
$488.42
$431.41
60%
$585.40
$529.12
$467.36
55%
$638.61
$577.22
$509.85
50%
$702.47
$634.95
$560.83
RATES FOR HIGHER-NEED YOUTH
Provider Owned/Leased Facilities
# Clients:
12-14
15-17
18-22
Utilization %
90%
$459.71
$415.67
$369.53
85%
$486.76
$440.12
$391.27
80%
$517.18
$467.63
$415.72
75%
$551.66
$498.80
$443.44
70%
$591.06
$534.43
$475.11
65%
$636.53
$575.54
$511.66
60%
$689.57
$623.50
$554.30
55%
$752.26
$680.19
$604.69
50%
$827.49
$748.21
$665.16
State Owned - Co-located
# Clients:
12-14
15-17
18-22
Utilization %
90%
$407.19
$365.81
$321.74
85%
$431.14
$387.33
$340.66
80%
$458.09
$411.54
$361.95
75%
$488.63
$438.98
$386.08
70%
$523.53
$470.33
$413.66
65%
$563.80
$506.51
$445.48
60%
$610.78
$548.72
$482.60
55%
$666.31
$598.61
$526.48
50%
$732.94
$658.47
$579.12
State Owned - Separate
# Clients:
12-14
15-17
18-22
Utilization %
90%
$419.01
$374.97
$328.83
85%
$443.66
$397.03
$348.17
80%
$471.39
$421.84
$369.93
75%
$502.82
$449.96
$394.60
70%
$538.73
$482.10
$422.78
# Clients:
12-14
15-17
18-22
Utilization %
65%
$580.17
$519.19
$455.30
60%
$628.52
$562.45
$493.24
55%
$685.66
$613.58
$538.09
50%
$754.22
$674.94
$591.89
ADD-ON RATES
Clinician Add-on
Level A: 0.5 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$10.04
$7.77
$6.02
85%
$10.63
$8.23
$6.38
80%
$11.29
$8.74
$6.77
75%
$12.04
$9.32
$7.23
70%
$12.90
$9.99
$7.74
65%
$13.90
$10.76
$8.34
60%
$15.05
$11.65
$9.03
55%
$16.42
$12.71
$9.85
50%
$18.06
$13.99
$10.84
Level B: 1.0 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$10.87
$8.41
$6.52
85%
$11.50
$8.91
$6.90
80%
$12.22
$9.46
$7.33
75%
$13.04
$10.09
$7.82
70%
$13.97
$10.82
$8.38
65%
$15.04
$11.65
$9.03
60%
$16.30
$12.62
$9.78
55%
$17.78
$13.76
$10.67
50%
$19.56
$15.14
$11.73
Clinical Director Add-on
Level A: 0.5 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$11.59
$8.97
$6.95
85%
$12.27
$9.50
$7.36
80%
$13.04
$10.10
$7.82
75%
$13.91
$10.77
$8.35
70%
$14.90
$11.54
$8.94
65%
$16.05
$12.43
$9.63
60%
$17.39
$13.46
$10.43
55%
$18.97
$14.68
$11.38
50%
$20.86
$16.15
$12.52
Level B: 1.0 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$23.18
$17.95
$13.91
85%
$24.55
$19.00
$14.73
80%
$26.08
$20.19
$15.65
75%
$27.82
$21.54
$16.69
70%
$29.81
$23.08
$17.88
65%
$32.10
$24.85
$19.26
60%
$34.77
$26.92
$20.86
55%
$37.94
$29.37
$22.76
50%
$41.73
$32.31
$25.04
Direct Care Worker Add-on
Level A: 0.5 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$5.43
$4.21
$3.26
85%
$5.75
$4.45
$3.45
80%
$6.11
$4.73
$3.67
75%
$6.52
$5.05
$3.91
70%
$6.98
$5.41
$4.19
65%
$7.52
$5.82
$4.51
60%
$8.15
$6.31
$4.89
55%
$8.89
$6.88
$5.33
50%
$9.78
$7.57
$5.87
Level B: 1.0 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$10.87
$8.41
$6.52
85%
$11.50
$8.91
$6.90
80%
$12.22
$9.46
$7.33
75%
$13.04
$10.09
$7.82
70%
$13.97
$10.82
$8.38
65%
$15.04
$11.65
$9.03
60%
$16.30
$12.62
$9.78
55%
$17.78
$13.76
$10.67
50%
$19.56
$15.14
$11.73
Nursing Add-on
Level A: 0.25 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$6.25
$4.84
$3.75
85%
$6.61
$5.12
$3.97
80%
$7.03
$5.44
$4.22
75%
$7.50
$5.80
$4.50
70%
$8.03
$6.22
$4.82
65%
$8.65
$6.70
$5.19
60%
$9.37
$7.25
$5.62
55%
$10.22
$7.91
$6.13
50%
$11.25
$8.71
$6.75
Level B: 0.5 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$12.49
$9.67
$7.50
85%
$13.23
$10.24
$7.94
80%
$14.06
$10.88
$8.43
75%
$14.99
$11.61
$9.00
70%
$16.06
$12.44
$9.64
65%
$17.30
$13.39
$10.38
60%
$18.74
$14.51
$11.25
55%
$20.45
$15.83
$12.27
50%
$22.49
$17.41
$13.49
Level B: 1.0 FTE
# Clients:
12-14
15-17
18-22
Utilization %
90%
$24.99
$19.35
$14.99
85%
$26.46
$20.48
$15.88
80%
$28.11
$21.76
$16.87
75%
$29.99
$23.22
$17.99
70%
$32.13
$24.87
$19.28
65%
$34.60
$26.79
$20.76
60%
$37.48
$29.02
$22.49
55%
$40.89
$31.66
$24.53
50%
$44.98
$34.82
$26.99
RATES FOR THE ALTERNATIVE LOCK-UP PROGRAM
Capacity
Monthly Rate
Per Site
$45,477
RATES FOR STAFFING SUPPORT
Positions
Per Diem
Rate
Hourly
							 Rate
30-Minute
							 Rate
Clinical Director
$476.90
N/A
N/A
Clinical (LICSW)
$387.52
N/A
N/A
Clinical (MA Level)
$321.91
N/A
N/A
Direct Care III
$296.19
$33.12
$16.56
Direct Care Staff
$236.79
$26.48
$13.24
Maintenance I General
$232.49
$26.00
$13.00
Maintenance II Skilled
$291.84
$32.64
$16.32
Maintenance III Licensed
$328.48
$36.74
$18.37
Food Service I
$236.79
$26.48
$13.24
Food Service II
$266.49
$29.80
$14.90
Food Service III
$296.19
$33.12
$16.56
Transporter
$236.79
$26.48
$13.24
Security
$236.79
$26.48
$13.24
Trainer
$296.19
$33.12
$16.56
Clerical Support
$236.79
$26.48
$13.24
RATES FOR YOUTH AND TRANSITIONAL AGE YOUTH DETOXIFICATION
				AND STABILIZATION PROGRAMS
Capacity
Per Diem
Rate
12 Beds
$680.87
(5)
Administrative Adjustment for Extraordinary
			 Circumstances
. A purchasing governmental unit may request an
			 adjustment to the published rates to reflect increases in
per
			 diem
operating costs due to unusual and unforeseen circumstances or
			 extraordinary client service requirements not considered in the development of
			 the current rates. Unusual and unforeseen circumstances are events of a serious
			 nature that affect program operations or viability to the extent that there
			 exists a threat to the stability of service provision such that client or
			 consumer access to necessary services is at risk. The purchasing governmental
			 unit evaluates the need for the administrative adjustment, identifies the
			 duration of the need, determines whether funding is available, and conveys that
			 information to EOHHS for review to determine the amount of any
			 adjustment.