DDD Current Rate Table – Effective January 1, 2022

DDD Current Rate Table - Effective January 1, 2022

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 - FFS  (Any combination of Day Program codes can be a maximum of 1,200):
Community Day Services (ON Site) 31U Y Client Hour 1,200 $14.33 $17,196
Community Day Services (OFF Site) 31C Y Client Hour 1,200 $15.96 $19,152
Virtual Day Services 31V Y Client Hour 520 $5.46 $2,835
Supported Employment - Small Group (up to 1:3) New 01/01/2022 33G Y Client Hour 1,200 $12.93 $15,516
Supported Employment - Large Group (up to 1:6) New 01/01/2022 36G Y Client Hour 1,200 $6.58 $7,896
Supported Employment - Individual (1:1) New 01/01/2022 36U Y Client Hour 300 $38.30 $11,490
Supported Employment - Group (Ends 12/31/2021) 39G Y Client Hour 0 $0.00 $0
Supported Employment - Individual (Ends 12/31/2021) 39U Y Client Hour 0 $0.00 $0
Adult Day Services 35U Y Client Hour 1,200 $12.34 $14,808
Enhanced Residential (formerly At-Home) Day Program 37U Y Client Hour 1,200 $17.49 $20,988
SODC Day Training (Monthly Pmnt) (Ends 3/31/2022) 31S N Client Hour 0 Varies Varies
SODC Day Training (On Site) New 04/01/2022 38U N Client Hour 1,200 $14.33 $17,196
SODC Day Training (Off Site) New 04/01/2022 38C N Client Hour 1,200 $15.96 $19,152
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 $$ $50.26 Annual Grant
PAS-Bogard 781 N N/A Grant $$ N/A Annual Grant
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 days $53.36 $19,475
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
Community Integrated Living Arrangement (CILA) - Intermittent Hourly Supports 1:1 61H Y Client Hour Varies $48.48 varies
Community Integrated Living Arrangement (CILA) - Intermittent Hourly Supports 1:2 62H Y Client Hour Varies $24.24 varies
Community Integrated Living Arrangement (CILA) - Intermittent Hourly Supports 1:3 63H Y Client Hour Varies $16.16 varies
POS Hourly CILA - Ends 12/31/2021 65H Y Client Hour Grant $$ N/A N/A Ends 12/31/2021
Community Living Facility (CLF) 16 or fewer 67D Y 24-Hr Day 365 days varies varies
CLF greater than 16 67E N 24-Hr Day 365 days varies varies
CLF Out-of-State 67O N 24-Hr Day 365 days varies varies
OTHER SERVICES
Related Support - (No new authorizations) 73D N Client Day 365 days varies varies
RESPITE SERVICES  (Based on Customer Need and Agency Allocation):
In-Home - Level 1 87D-L1 N Client Hour 360 hours annually $21.06 Respite Allocation
In-Home - Level 2 87D-L2 N Client Hour 360 hours annually $15.77 Respite Allocation
In-Home - Level 3 87D-L3 N Client Hour 360 hours annually $12.34 Respite Allocation
Residential Respite 89D N 24-Hr Day 60 Days varies Respite Allocation
HOME-BASED SUPPORTS:
HBS Self Directed Assistance (children & adults) 55A Y Hour Mo. Max. $50.26 Annual Max. $$
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. $$
HBS Nursing - Registered Nurse (adults only) 55N Y Hour 365 or Mo.Max $$ $40.31 Annual Max. $$
HBS Nursing - Licensed Practical Nurse (adults only) 55P Y Hour 365 or Mo.Max $$ $36.51 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) $99.11 $10,307
Level 2 - Other Credentials or No Level Specified - Statewide Rate L2 Y Hour 104 (Any combination of L1 & L2) $78.07 $8,119
Individual Counseling 57U Y Client Hour 60 Hours (Any combination of 57U, 57G, 58U, 58G) $50.41 $3,327
Group Counseling 57G Y Client Hour 60 Hours (Any combination of 57U, 57G, 58U, 58G) $16.80 $1,109
Individual Therapy 58U Y Client Hour 60 Hours (Any combination of 57U, 57G, 58U, 58G) $69.71 $4,601
Group Therapy 58G Y Client Hour 60 Hours (Any combination of 57U, 57G, 58U, 58G) $23.24 $1,534
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, 53H, 53T, 53V & Remote Supports) varies varies
Assistive Technology 53T Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies
Minor Home Accessibility Modification 53H Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies
Temporary Intensive Staffing - Day (CDS only) 53D Y Hour Tied to DSP wage rate $20.78 varies
Temporary Intensive Staffing - Residential (60D only) 53R Y Hour Tied to DSP wage rate $20.00 varies
Minor Vehicle Accessibility Modification 53V Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies
Remote Supports (60D CILA Only) 53E or 53T Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies
BOGARD SPECIALIZED SERVICES - (No new authorizations) 75 through 76 N varies varies varies varies
STAFF TRAINING: (Applicable for CILA and ICF/IDD Residential Staff. Not Applicable for CDS Staff)
Direct Support Staff (DSP) D, DS, DC, DOA, DOC Y - Admin. Event Variable: DSP, DSP w/ STOFHLA, TABE or CASAS varies varies
AIDE Staff A, AS, AC, AOA, AOC Y - Admin. Event Variable: Aide, Aide w/ STOFHLA, TABE or CASAS varies varies
Nurse Staff N, NS, NC, NOA, NOC Y - Admin. Event Variable: Nurse, Nurse w/ STOFHLA, TABE or CASAS varies varies
Medication Administration M, MS, MC, MOA, MOC Y - Admin. Event Variable: Med Admin., Med Admin w/ STOFHLA, TABE or 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/ STOFHLA, TABE or 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 ICF/IDD
QIDP Q Y - Admin. Event - $1,358.92 13.16.30
QIDP Continuing Education QE Y - Admin. Event - $336.60 $325.78
QIDP Train the Trainer QT Y - Admin. Event - $224.40 $217.18
Residential Services Director R Y - Admin. Event - $295.42 $285.91
Med. Administration Train the Trainer MT Y - Admin. Event - $249.70 $241.78
Retraining Staff
DSP Retraining DR Y - Admin. Event - $2,940.99 $2,847.29
AIDE Retraining AR Y - Admin. Event - $2,940.99 $2,847.29
Nurse Retraining NR Y - Admin. Event - $2,940.99 $2,847.29
Staff Hourly Wage Table - Effective January 1, 2022
Position Statewide (CILA Rate Model) Wage Rate Rate w/ Fringe Fringe Percentage - - -
DSP Residential - (Awake, Asleep & Substitute) $16.00 $20.00 25.00% - - -
Supervisor - Residential $17.90 $22.38 25.00% BLS Wage Scale Starting 01/01/2022 - -
QIDP - Residential $20.40 $25.50 25.00% BLS Wage Scale Starting 01/01/2022 - -
LPN - Residential $25.35 $31.69 25.00% BLS Wage Scale Starting 01/01/2022 - -
RN - Residential $36.33 $45.41 25.00% BLS Wage Scale Starting 01/01/2022 - -
Dietician - Residential $29.29 $36.61 25.00% BLS Wage Scale Starting 01/01/2022 - -
DSP - Comm. Day Services (CDS) $16.00 $20.78 29.90% Guidehouse (GH) ERE starting 01/01/2022 - -
SEP - Job Coach $17.23 $22.38 29.90% BLS Wage Scale & GH ERE starting 01/01/2022 - -
Supervisor - CDS $17.90 $22.93 28.10% BLS Wage Scale & GH ERE starting 01/01/2022 - -
QIDP - CDS $20.40 $26.13 28.10% BLS Wage Scale & GH ERE starting 01/01/2022 - -

All Rates & Wages Shown are pending Federal CMS approval of Technical Ammendments to DDD Waivers.

All ICF/IDD Wages shown are pending Federal CMS approval of State Plan Ammenment.

All Effective Dates are pending Federal CMS Approval.

Guidehouse Rate Study Table 5 page 18.

Estimated ICF/IDD Wage Rates Effective 07/01/2021 & 01/01/2022

07/01/2021 Aide Rates w/ $0.50 Wage Increase - Bypass H.S.A. Multipliers

07/01/2021 No change to Nurse or QIDP Wage Rates

Statewide Wages withOUT Fringe Benefits / Statewide Wages with Fringe

Regionally adjusted for COLAs and HSA / ICF/IDD Wage Rates w/ 21% Fringe

Effective 7/1/2021 AIDE Nurse QIDP - AIDE Nurse QIDP
Date: DFL 15.00 21.16 20.21 - 18.15 25.60 24.45
HSA 1 1.0357162 15.46 22.54 21.46 - 17.50 27.27 25.97
HSA 2 0.9892171 14.86 21.69 20.66 - 16.77 26.24 25.00
HSA 3 0.972812 14.65 21.38 20.38 - 16.52 25.87 24.66
HSA 4 0.9892171 14.86 21.69 20.66 - 16.77 26.24 25.00
HSA 5 0.9049194 13.79 20.16 19.19 - 15.48 24.39 23.22
HSA 6 1.2014172 17.57 25.62 24.38 - 20.05 31.00 29.50
HSA 7 1.2014172 17.57 25.57 24.34 - 20.05 30.94 29.45
HSA 8 1.2014172 17.57 25.57 24.34 - 20.05 30.94 29.45
HSA 9 1.1169271 16.49 24.01 22.87 - 18.74 29.05 27.67
HSA 10 1.0357162 15.46 22.54 21.46 - 17.50 27.27 25.97
HSA 11 0.9722287 14.65 21.37 20.37 - 16.52 25.86 24.65

H.S.A. 6 is Chicago

State Plan Amendment Approval by Federal CMS 10/25/2021

-

01/01/2022 Aide Rates w/ $1.00 Wage Increase - Bypass H.S.A. Multipliers

01/01/2022 Nurse & QIDP Rates Adjusted to BLS Wage Scale - Bypass H.S.A. Multipliers

01/01/2022 Nurse Wage Rate is a 12:1 ratio of LPN $25.35 & RN $36.33 BLS Wage Scale

Statewide Wages withOUT Fringe Benefits / Statewide Wages with Fringe

Regionally adjusted for COLAs and HSA / ICF/IDD Wage Rates w/ 21% Fringe

Effective 1/1/2022 AIDE Nurse QIDP - AIDE Nurse QIDP
Date: DFL 16.00 28.38 20.40 - 19.36 34.34 24.68
HSA 1 1.0357162 16.46 29.39 21.13 - 19.92 35.57 25.57
HSA 2 0.9892171 15.86 28.07 20.18 - 19.19 33.97 24.42
HSA 3 0.972812 15.65 27.61 19.85 - 18.94 33.41 24.01
HSA 4 0.9892171 15.86 28.07 20.18 - 19.19 33.97 24.42
HSA 5 0.9049194 14.79 25.68 18.46 - 17.90 31.07 22.34
HSA 6 1.2014172 18.57 34.10 24.51 - 22.47 41.26 29.66
HSA 7 1.2014172 18.57 34.10 24.51 - 22.47 41.26 29.66
HSA 8 1.2014172 18.57 34.10 24.51 - 22.47 41.26 29.66
HSA 9 1.1169271 17.49 31.70 22.79 - 21.16 38.36 27.57
HSA 10 1.0357162 16.46 29.39 21.13 - 19.92 35.57 25.57
HSA 11 0.9722287 15.65 27.59 19.83 - 18.94 33.39 24.00

See other Rates Information