New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter II - Administrative Rules and Regulations › Subchapter L - Hospitals and Related Facilities › Part 86 - Reporting and Rate Certifications for Facilities › Subpart 86-10 - Rates for Non-state Providers of Residential Habilitation in Community Residences, Including Individualized Residential, Including Individualizad Residential Alternatives (iras) and for Non-state Providers of Day Habilitation › Section 86-10.8 - Specialized template populations

Current through Register Vol. 46, No. 28, July 10, 2024
Notwithstanding any other provisions of this Subpart,
						rates for individuals identified by OPWDD as qualifying for specialized
						template populations funding shall be as follows. As used in this section,
downstate
shall mean the counties of New York, Kings, Bronx,
						Queens, Richmond, Nassau, Suffolk, Westchester, Rockland, Orange, Sullivan,
						Putnam and Dutchess, and
upstate
shall mean all other counties
						in New York State.
(a) For individuals
					 initially identified as qualifying for specialized template populations funding
					 between November 1, 2011 and March 31, 2014.
Residential "" Specialized Level of
								  Care
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$166,400
Upstate
$150,500
Residential "" Highly Complex Level of
								  Care
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$189,500
Upstate
$171,500
Residential "" Auspice Change
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$136,500
Upstate
$123,500
Day Habilitation "" Specialized Level
								  of Care
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$41,730
Upstate
$37,562
Day Habilitation "" Highly Complex
								  Level of Care
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$46,433
Upstate
$43,063
(b) For individuals initially identified as
					 qualifying for specialized template populations funding after March 31, 2014.
Residential "" Highly Complex Level of
								  Care
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$189,500
Upstate
$171,500
Residential "" Auspice Change
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$136,500
Upstate
$123,500
Day Habilitation "" Highly Complex
								  Level of Care
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$46,433
Upstate
$43,063
(c) January 1, 2015 increase. The fees for
					 specialized template populations funding will be revised to incorporate funding
					 for compensation increases to direct support professional employees. Such fee
					 increases will be effective January 1, 2015. The compensation increase funding
					 will be included in the provider's fee issued for January 1, 2015 or in a
					 subsequent fee with the inclusion of funding in the amount necessary to achieve
					 the same funding impact as if the fee had been issued on January 1, 2015. The
					 compensation increase funding will be inclusive of associated fringe
					 benefits.
(d) April 1, 2015
					 increase. In addition to compensation funding effective January 1, 2105, the
					 fees for specialized template population funding will revised to incorporate
					 funding for a compensation increase to direct support professional and clinical
					 employees to be effective April 1, 2015. The April 1, 2015 direct support
					 compensation funding will be compounded on the amount which was calculated for
					 the January 1, 2015 compensation increase and will be an augmentation to the
					 January 1, 2015 increase.
(e)
Calculations.
(1) The portion
					 of the fee that is identified as direct care and support will be increased by
					 two percent and multiplied by the fee sheet fringe benefit percentage to
					 calculate the additional direct support compensation increases for January 1,
					 2015 and April 1, 2015.
(2) The
					 portion of the fee that is identified as clinical will be increased by two
					 percent and multiplied by the fee sheet fringe benefit percentage to calculate
					 the additional clinical compensation increase for April 1, 2015.