North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 89 - VOCATIONAL REHABILITATION › Subchapter C - PROGRAM RULES › Section .0100 - GENERAL POLICIES › Section 89C .0103 - RATES OF PAYMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Rules governing
				  rates of payment for all purchases, vocational rehabilitation services, and
				  current rates of payment may be reviewed 8 a.m. to 5 p.m., Monday through
				  Friday, at the Division's State office, 805 Ruggles Drive, Dorothea Dix Campus,
				  Raleigh, North Carolina or on the Division's internet site. Vendors providing
				  any services authorized by the Division shall agree not to make any charge to,
				  or accept payment from, the individual receiving services from the Division or
				  the individual's family for such services unless the amount for such service
				  charge or payment is previously known to and approved by the Division in
				  accordance with Sections .0200 and .0300 of this Chapter.
(b) The Division's rate of payment for post
				  secondary education, graduate, professional and summer school shall not exceed
				  the Division's fixed rate charged for the public university and professional
				  schools system and the rate charged for the community college system for
				  tuition and fees as approved by the North Carolina General Assembly October
				  2001.
(c) The Division's rate of
				  payment for proprietary for profit vocational and trade schools or other
				  training programs that offer curriculums comparable to those offered through
				  the community college system shall not exceed the rate for payment established
				  for the community college system.
(d) The Division's rate of payment for
				  proprietary for profit vocational and trade schools or other training programs
				  that offer an accelerated or condensed curriculum or those training programs
				  that offer training in areas not offered through the community college system
				  shall not exceed the Division's fixed rate for the public university system per
				  semester multiplied by two.
(e) The
				  Division's rate of payment for proprietary for profit vocational and trade
				  schools and any other vocational or trade program that does not operate on a
				  semester system or has varying program lengths up to one year shall not exceed
				  a prorated monthly rate based on the Division's fixed rate for the public
				  university system per semester multiplied by two and the Division's fixed rate
				  for a session of summer school in the public university system multiplied by
				  two.
(f) The Division's rate of
				  payment for proprietary for profit vocational and trade schools and any other
				  vocational or trade programs that does not operate on a semester system or has
				  a varying program length that is twelve months or longer shall not exceed the
				  Division's fixed rate for the public university system per semester multiplied
				  by two and the Division's fixed rate for a session of summer school in the
				  public university system multiplied by two.
(g) The Division's rate of payment for those
				  individuals who are North Carolina residents and choose to attend training
				  programs out-of-state, is limited to the Division's fixed rate specified in
				  Paragraph (b) of this Rule.
(h) The
				  Division's rate of payment for optional fees at the community college system
				  shall not exceed the amount approved by the local community college
				  boards.
(i) No training or training
				  services in an institution of higher education (universities, colleges,
				  community or junior colleges, vocational schools, technical institutes, or
				  hospital schools of nursing) as noted in Rule .0205, Paragraph (a)(9) of this
				  Subchapter shall be paid for with vocational rehabilitation funds until maximum
				  efforts have been made by the designated state unit and the individual to
				  secure grant assistance in whole or part from other resources to pay for
				  training and such assistance is applied to the cost of training.
(j) The Division's rate of payment for
				  community rehabilitation programs approved for vendorship shall be determined
				  as follows:
(1) Community rehabilitation
				  programs approved by the Division for outcome based payment shall be paid based
				  upon the Division's established benchmark rate. A payment is made for each
				  benefit or outcome achieved that the vendor contracts with the Division to
				  provide. The benchmark rate is determined based on average cost of outcomes for
				  fiscal years 1997, 1998, and 1999. These benchmark rates are published in
				  DVR-Vol V fee schedule manual.
(2)
				  Community rehabilitation programs approved by the Division for fee for service
				  shall be paid an hourly rate for providing the services authorized by the
				  Division. The rate is established by the Division based on historical cost
				  finding. The vendor shall be reimbursed based on the number of hours of actual
				  services provided.
(3) Any
				  adjustments to the rate shall be determined by the Division based on
				  availability of funds and shall not exceed 85 percent of the annual salary
				  increases for state employees as awarded by the legislature.