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 86-11 - Rate Setting for Non-state Providers: Intermediate Care Facilities for Persons with Developmental Disabilities › Section 86-11.9 - 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:
(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 Services "" Specialized Level of
								  Care
Region
Gross Annual Funding Allocation Per Individual ""
								  Operating Only
Downstate
$41,730
Upstate
$37,562
Day Services "" 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 Services "" 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, 2015, 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 an d 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.