DDD Current Rate Table - Effective July 1, 2020

PROGRAM NAME Program Bill Code HCBS Medicaid Waiver Service Unit Type Maximum Units / Hours Per FY Hourly / Unit Rate Statewide Annual Rate Statewide
CHILDREN'S SERVICES - PURCHASE OF SERVICE (POS):
Children's Group Homes (CGH) 17D Y 24-Hr Day 365 days varies varies
Child Care Institutions (CCI) 19D N 24-Hr Day 365 days varies varies
CCI (LTC Campus Facilities) 19D N 24-Hr Day 365 days varies varies
DAY PROGRAMS - POS  (Any combination of Day Program codes can be a maximum of 1,100):
Community Day Services (ON Site) 31U Y Client Hour 1,100 $12.79 $14,068
Community Day Services (OFF Site) 31C Y Client Hour 1,100 $12.79 $14,068
Virtual Day Services 31V **** Y Client Hour 520 $5.46 $2,280
Supported Employment - Group 39G Y Client Hour 1,100 $14.32 $15,747
Supported Employment - Individual 39U Y Client Hour 1,100 $16.04 $17,650
Adult Day Services 35U Y Client Hour 1,100 $12.34 $13,574
Other Day Program (Ends 06-30-2020) 30U N Client Hour 1,100 $0.00 $0
At-Home Day Program 37U Y Client Hour 1,100 $12.79 $14,068
SODC DT (1) 31S (1) 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 $$ N/A Annual Grant
Pre-Admission Screening (PAS) 500 N Client Hour Grant $$ N/A Annual Grant
Indiv Serv & Support Advocacy (ISSA) 51A through L Y - Admin. Client Hour Grant $$ $48.95 Annual Grant
PAS-Bogard 781 N N/A Grant $$ N/A Annual Grant
Case Coordiantion 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 days $51.97 $18,969
Supported Living Arrangements (SLA) - (No new authorizations) 42D N Client Day 365 days varies varies
Community Integrated Living Arrangement (CILA) - Individual Rate Model 60D Y Client Day 365 days 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 days varies varies
CLF greater than 16 67E N 24-Hr Day 365 days varies varies
CLF Out-of-State 67O N 24-Hr Day 365 days varies varies
OTHER SERVICES
Related Support - (No new authorizations) 73D N Client Day 365 days varies varies
RESPITE SERVICES  (Based on Customer Need and Agency Allocation):
In-Home - Level 1 87D-L1 N Client Hour 360 hours annually $20.51 Respite Allocation
In-Home - Level 2 87D-L2 N Client Hour 360 hours annually $15.36 Respite Allocation
In-Home - Level 3 87D-L3 N Client Hour 360 hours annually $12.02 Respite Allocation
Residential Respite 89D N 24-Hr Day 60 Days varies Respite Allocation
HOME-BASED SUPPORTS:
HBS Self Directed Assistance (children & adults) 55A Y Hour Mo. Max. $49.24 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. $33.13 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 $$ $39.26 Annual Max. $$
HBS Nursing - Licensed Practical Nurse (adults only) 55P Y Hour 365 or Mo.Max $$ $35.56 Annual Max. $$
HBS Transportation (adults only) 55T Y Events / Miles $500/Mo. $0.58 / Mile Annual Max. $$
HBS Emergency Home Response (adults only) 55W
Level 1 - System Installation L1 Y Event 1/State FY $30.00 $30
Level 2 - Monthly Rate for Monitoring L2 Y Event 1/Month $28.00 Annual Max. $$
LONG TERM CARE (LTC):
ICF/IDD varies varies
ICF/IDD-DT varies varies
THERAPIES:
Physical Therapy 52P Y Client Hour 52 Hours $36.00 $1,872
Occupational Therapy 52O Y Client Hour 52 Hours $36.00 $1,872
Speech Therapy 52S Y Client Hour 52 Hours $36.00 $1,872
Behavior Intervention and Treatment 56U
Level 1 - Licensed Professional - Statewide Rate L1 Y Hour 104 (Any combination of L1 & L2) $95.84 $9,967
Level 2 - Other Credentials or No Level Specified - Statewide Rate L2 Y Hour 104 (Any combination of L1 & L2) $76.66 $7,973
Individual Counseling 57U Y Client Hour 60 (Any combination of 57U, 57G, 58U, 58G) $37.63 $2,258
Group Counseling 57G Y Client Hour 60 (Any combination of 57U, 57G, 58U, 58G) $12.54 $753
Individual Therapy 58U Y Client Hour 60 (Any combination of 57U, 57G, 58U, 58G) $47.04 $2,822
Group Therapy 58G Y Client Hour 60 (Any combination of 57U, 57G, 58U, 58G) $15.68 $941
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 $16.80 varies
Temporary Intensive Staffing - Residential (60D only) 53R Y Hour Tied to DSP wage rate $17.50 varies
Minor Vehicle Accessibility Modification 53V Y Event $15,000/5 Yr. Max (Any combination of 53E, 53T, 53H, 53V) varies varies
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
Insulin - Classroom ICC, ICD, ICF Y - Admin. Event varies varies
Insulin - Individual IPC, IPD, IPF Y - Admin. Event varies varies
Enteral Tubes - Classroom ECC, ECD, ECF Y - Admin. Event varies varies
Enteral Tubes - Individual EPC, EPD, EPF Y - Admin. Event varies varies
Professional Staff
Community Statewide ICF/IDD (1)Statewide
QIDP Q Y - Admin. Event $1,210.42 $1,208.04
QIDP Continuing Education QE Y - Admin. Event $307.94 $307.34
QIDP Train the Trainer QT Y - Admin. Event $205.30 $204.89
Residential Services Director R Y - Admin. Event $307.94 $307.34
Med. Administration Train the Trainer MT Y - Admin. Event $152.29 $151.99
Retraining Staff
DSP Retraining DR Y - Admin. Event $2,532.72 $2,527.70
AIDE Retraining AR Y - Admin. Event $2,532.72 $2,527.70
Nurse Retraining NR Y - Admin. Event $2,532.72 $2,527.70

(1) ICF/IDD Rate & 31S Effective Date will be different and announced at a later time.


Staff Hourly Wage Table - Effective July 1, 2020

Position (CILA Rate Model) Wage Rate Rate w/ Fringe
Statewide Statewide
DSP - Awake $14.00 $17.50
DSP - Substitute $14.00 $17.50
DSP - Asleep $14.00 $17.50
DSP - Comm. Day Services $14.00 $16.80
Supervisor $16.78 $20.98
QIDP $18.55 $23.19
LPN $17.85 $22.31
RN $21.47 $26.84
Dietician $38.40


Estimated ICF/IDD Wage Rates - Effective 07/01/2020

06/01/2020 * Rates w/ $1.00 Wage Increase - Bypass H.S.A. Multipliers

Statewide Wages withOUT Fringe Benefits

Regionally adjusted for COLAs and HSA...…………………...….ICF/IDD Wage Rates w/ Fringe

Aide Nurse QMRP . Aide Nurse QMRP
DFL 14.00 20.66 19.71 . 16.94 25.00 23.85
HSA 1 1.0357162 14.42 22.04 20.96 . 17.45 26.67 25.36
HSA 2 0.9892171 13.88 21.19 20.16 . 16.79 25.64 24.39
HSA 3 0.972812 13.70 20.88 19.88 . 16.58 25.26 24.05
HSA 4 0.9892171 13.88 21.19 20.16 . 16.79 25.64 24.39
HSA 5 0.9049194 12.91 19.66 18.69 . 15.62 23.79 22.61
* HSA 6 1.2014172 16.38 25.12 23.88 . 19.82 30.40 28.89
HSA 7 1.2014172 16.33 25.07 23.84 . 19.76 30.33 28.85
HSA 8 1.2014172 16.33 25.07 23.84 . 19.76 30.33 28.85
HSA 9 1.1169271 15.37 23.51 22.37 . 18.60 28.45 27.07
HSA 10 1.0357162 14.42 22.04 20.96 . 17.45 26.67 25.36
HSA 11 0.9722287 13.69 20.87 19.87 . 16.56 25.25 24.04

* HSA 6 is Chicago

** Pending State Plan Amendment Approval by CMS.


*** Rates shown on this page are subject to approval of the State's Waiver Technical Amendment by Centers for Medicare and Medicaid Services.

**** 31V starts Sept. 1, 2020


See other Rates Information