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 86-13 - Rates for Non-State Providers of Prevocational Services (Site-based) and Respite (Hourly and Free-standing), and fees for Prevocational Services (Community-based), Residential Habilitation (Family Care) and Supported Employment › Section 86-13.8 - 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 first, two thousand eleven and March thirty-first, two thousand
					 fourteen:
Prevocational - Specialized Level of
									 Care
Region
Gross Annual Funding
Allocation Per Individual - Operating
									 Only
Downstate
$41,730
Upstate
$37,562
Prevocational- 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
					 thirty-first, two thousand fourteen:
Prevocational - Highly Complex Level of
									 Care
Region
Gross Annual Funding
Allocation Per Individual
- Operating Only
Downstate
$46,433
Upstate
$43,063
(c) January first, two thousand fifteen
					 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 first, two
					 thousand fifteen. The compensation increase funding will be included in the
					 provider's fee issued for January first, two thousand fifteen 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 first, two
					 thousand fifteen. The compensation increase funding will be inclusive of
					 associated fringe benefits.
(d)
					 April first, two thousand fifteen increase. In addition to compensation funding
					 effective January first, two thousand fifteen, the fees for specialized
					 template population funding will be revised to incorporate funding for a
					 compensation increase to direct support professional and clinical employees to
					 be effective April first, two thousand fifteen. The April first, two thousand
					 fifteen direct support compensation funding will be compounded on the amount
					 which was calculated for the January first, two thousand fifteen compensation
					 increase and will be an augmentation to the January first, two thousand fifteen
					 increase.
(e) Calculations.
(1) The portion of the fee that is identified
					 as direct care and support will be increased by 2% and multiplied by the fee
					 sheet fringe benefit percentage to calculate the additional direct support
					 compensation increases for January first, two thousand fifteen and April first,
					 two thousand fifteen.
(2) The
					 portion of the fee that is identified as clinical will be increased by 2% and
					 multiplied by the fee sheet fringe benefit percentage to calculate the
					 additional clinical compensation increase for April first, two thousand
					 fifteen.