DDD PROGRAM NAME Program
Code
HCB
Medicaid
Waiver
Service
Unit
Type
Maximum
Per FY
Rate Rate
CHILDREN'S SERVICES - PURCHASE OF SERVICE (POS)
Children's Group Homes (CGH) 17D Y 24-Hr Day 365 varies varies
Child Care Institutions (CCI) 19D N 24-Hr Day 365 varies varies
CCI (LTC Campus Facilities) Last COLA Eff 1/1/06 19D N 24-Hr Day 365 varies varies
DAY PROGRAMS - POS  (Any combination of Day Program codes can be a maximum of 1,100)
Community Day Services 31U Y Client Hour 1,100 $10.88 $11,968
Community Day Services - Advance & Reconcile (No new authorizations) 31A Y Client Hour 1,100 $10.88 $11,968
Regular Work 38U N Client Hour 1,100 $10.88 $11,968
Supported Emp. (Group) Job Coach 39G Y Client Hour 1,100 $12.18 $13,398
Supported Emp. (Indiv.) Job Coach 39U Y Client Hour 1,100 $13.65 $15,015
Adult Day Care 35U Y Client Hour 1,100 $12.34 $13,574
Other Day Program 30U N Client Hour 1,100 $10.88 $11,968
At-Home Day Program 37U Y Client Hour 1,100 $10.88 $11,968
SODC DT 31S N Client Hour N/A varies varies
OTHER - GRANTS
Epilepsy 250 N N/A Grant $$ N/A Annual Grant
Dental 400 N N/A Grant $$ N/A Annual Grant
Special Projects 450 N N/A Grant $$ N/A Annual Grant
Pre-Admission Screening (PAS) - Case Coordination 500 N Client Hour Grant $$ N/A Annual Grant
Indiv Serv & Support Advocacy (ISSA) 50D Y-Admin. Client Hour Grant $$ N/A Annual Grant
PAS-Bogard 781 N N/A Grant $$ N/A Annual Grant
PAS - Case Coordination Non-Waiver 780 N N/A Grant $$ N/A Annual Grant
Group Respite 880 N Client Hour Grant $$ N/A Annual Grant
ADULT RESIDENTIAL SUPPORTS
Special Home Placement (SHP) - (No new authorizations) 41D N 24-Hr Day 365 $44.23 $16,142
Supported Living Arrangements (SLA) - (No new authorizations) 42D N Client Day 365 varies varies
Community Integrated Living Arrangement (CILA) - Individual Rate Model 60D Y Client Day 365 varies varies
POS Hourly CILA - (No new authorizations) 65H Y Client Hour Annual Allocation varies Annual Allocation
Community Living Facility (CLF) 16 or fewer 67D Y 24-Hr Day 365 varies varies
CLF greater than 16 67E N 24-Hr Day 365 varies varies
CLF Out-Of-State 67O N 24-Hr Day 365 varies varies
OTHER SERVICES
Related Support - (No new authorizations) 73D N Client Day 365 varies varies
RESPITE SERVICES  (Based on Customer Need and Agency Allocation)
In-Home - Level 1 87D-L1 N Client Hour $17.45 Respite Allocation
In-Home - Level 2 87D-L2 N Client Hour $13.07 Respite Allocation
In-Home - Level 3 87D-L3 N Client Hour $10.22 Respite Allocation
Residential Respite 89D N 24-Hr Day 60 varies Respite Allocation
LONG TERM CARE (LTC)
ICFDD (Includes MCDD/SLC) varies varies
Exceptional Care varies varies
ICFDD-DT varies varies
THERAPIES
Physical Therapy 52P Y Client Hour 52 $36.00 $1,872
Occupational Therapy 52O Y Client Hour 52 $36.00 $1,872
Speech Therapy 52S Y Client Hour 52 $36.00 $1,872
Behavior Intervention and Treatment 56U
Level 1 - Licensed Professional - Statewide Rate L1 Y Hour 104 (Any combination of L1 & L2) $81.54 $8,480
Level 2 - Other Credentials or No Level Specified - Statewide Rate L2 Y Hour 104 (Any combination of L1 & L2) $65.22 $6,783
Individual Counseling 57U Y Client Hour 60 (Any combination of 57U, 57G, 58U, 58G) $32.01 $1,921
Group Counseling 57G Y Client Hour 60 (Any combination of 57U, 57G, 58U, 58G) $10.67 $640
Individual Therapy 58U Y Client Hour 60 (Any combination of 57U, 57G, 58U, 58G) $40.02 $2,401
Group Therapy 58G Y Client Hour 60 (Any combination of 57U, 57G, 58U, 58G) $13.34 $800
STAFF TRAINING:  Included in corresponding program bill codes.  See Information Bulletin
HOME-BASED SUPPORTS
HBS Self Directed Assistance (children & adults) 55A Y Hour Mo. Max. $41.90 Annual Max. $$
HBS Training for Unpaid Caregivers (children & adults) 55B Y Event Mo. Max. varies Annual Max. $$
HBS Counseling for Unpaid Caregivers (children & adults) 55C Y Hour Mo. Max. $32.01 Annual Max. $$
HBS Personal Support (children & adults) 55D Y Event Mo. Max. varies Annual Max. $$
HBS Nursing - Registered Nurse (adults only) 55N Y Hour 365 or Mo.Max $$ $33.41 Annual Max. $$
HBS Nursing - Licensed Practical Nurse (adults only) 55P Y Hour 365 or Mo.Max $$ $30.27 Annual Max. $$
HBS Transportation (adults only) 55T Y Events/Miles $500/Mo. $0.38 Annual Max. $$
HBS Emergency Home Response (adults only) 55W
Level 1 - System Installation L1 Y Event 1/State FY $30.75 $31
Level 2 - Monthly Rate for Monitoring L2 Y Event 1/Month $28.70 Annual Max. $$
OTHER SUPPORTS AND SERVICES
Crisis Services (Adult HBS only) 53C Y Hour 60 Consecutive Days varies varies
Adaptive Equipment 53E Y Event $15,000/5 Yr. Max (Any combination of 53E, 53T, 53H, 53V) varies varies
Assistive Technology 53T Y Event $15,000/5 Yr. Max (Any combination of 53E, 53T, 53H, 53V) varies varies
Minor Home Accessibility Modification 53H Y Event $15,000/5 Yr. Max (Any combination of 53E, 53T, 53H, 53V) varies varies
Temporary Intensive Staffing - Day (DT only) 53D Y Hour Tied to DSP wage rate 1,200 hours $13.76 varies
Temporary Intensive Staffing - Residential (60D only) 53R Y Hour Tied to DSP wage rate $14.33 varies
Minor Vehicle Accessibility Modification 53V Y Event $15,000/5 Yr. Max (Any combination of 53E, 53T, 53H, 53V) varies varies
Service Facilitation - HBSS MH Adults 69B N Hour 48 $41.90 $1,921
BOGARD SPECIALIZED SERVICES - (No new authorizations) 75 through 76 N varies varies varies varies
STAFF TRAINING:
Direct Support Staff (DSP) D, DS, DC, DOA, DOC Y-Admin. Event Variable: DSP, DSP w/ TABE, ABLE, CASAS varies varies
AIDE Staff A, AS, AC, AOA, AOC Y-Admin. Event Variable: Aide, Aide w/ TABE, ABLE, CASAS varies varies
Nurse Staff N, NS, NC, NOA, NOC Y-Admin. Event Variable: Nurse, Nurse w/ TABE, ABLE, CASAS varies varies
Medication Administration M, MS, MC, MOA, MOC Y-Admin. Event Variable: Med Admin., Med Admin w/ TABE, ABLE, CASAS varies varies
C.N.A. Competency C.N.A., CNAS, CNAC, CNAOA, CNAOC Y-Admin. Event Variable: C.N.A., C.N.A. w/ TABE, ABLE, CASAS varies varies
Professional Staff Community ICF/DD & MC/DD
 QIDP Q Y-Admin. Event $1,030.09 $1,027.14
 QIDP Continuing Education QE Y-Admin Event $262.07 $261.32
 QIDP Train the Trainer QT Y-Admin Event $174.71 $174.21
 Residential Services Director R Y-Admin Event $262.07 $261.32
 Med. Administration Train the Trainer MT Y-Admin Event $129.60 $129.23
Retraining Staff
 DSP Retraining DR Y-Admin Event $2,155.37 $2,149.22
 AIDE Retraining AR Y-Admin. Event $2,155.37 $2,149.22
Nurse Retraining NR Y-Admin. Event $2,155.37 $2,149.22

Staff Hourly Wage Table - August 1, 2017

Position Wage
Rate
Rate w/
Fringe
DSP - Awake $11.46 $14.33
DSP - Substitute $11.46 $14.33
DSP - Asleep $7.99 $9.99
DSP - DT $11.46 $13.75
Supervisor $14.15 $17.69
QIDP $15.86 $19.83
LPN $15.18 $18.98
RN $18.68 $23.35
Dietician $33.03