PROPOSAL
Maryland Register
Issue Date: September 29, 2017
Volume 44 • Issue 20 • Pages 954—964
Title 10
MARYLAND DEPARTMENT OF HEALTH
Subtitle 22 DEVELOPMENTAL DISABILITIES
Notice of Proposed Action
[17-241-P]
The Secretary of Health proposes to amend:
(1) Regulations .06—.08 under COMAR 10.22.17 Fee Payment System for Licensed Residential and Day Programs; and
(2) Regulation .04 under COMAR 10.22.18 Community Supported Living Arrangements Payment System.
Statement of Purpose
The purpose of this action is to establish in COMAR the FY18 reimbursement rates for Licensed Residential and Day Programs and Personal Support services as part of Community Supported Living Arrangements (CSLA) services.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
I. Summary of Economic Impact. The proposed action increases the rate paid to providers.
|
|
Revenue (R+/R-) |
|
|
II. Types of Economic Impact. |
Expenditure
(E+/E-) |
Magnitude |
|
|
|
|
|
|
|
A. On issuing agency: |
(E+) |
$36,288,004 |
|
B. On other State agencies: |
NONE |
|
|
C. On local governments: |
NONE |
|
|
|
|
|
Benefit (+)
Cost (-) |
Magnitude |
|
|
|
|
|
|
|
D. On regulated industries or trade groups: |
(+) |
$36,288,004 |
|
E. On other industries or trade groups: |
NONE |
|
|
F. Direct and indirect effects on public: |
NONE |
|
|
III. Assumptions. (Identified by Impact Letter and Number from Section II.) |
|
A. A 3.5 percent increase in rates will cause the expenditures of the Developmental Disabilities Administration (DDA) for community services to increase by an estimated $38,288,004 in total funds. The total general funds impact of these changes is $19,847,939. |
|
D. Regulated provider agencies will benefit from increases to rates by an estimated $36,288,004 in total funds ($19,847,939 in general funds). |
Economic Impact on Small Businesses
The proposed action has minimal or no economic impact on small businesses.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through October 30, 2017. A public hearing has not been scheduled.
10.22.17 Fee Payment System for Licensed Residential and Day Programs
Authority: Health-General Article, §§2-104(b), 7-306.1, 7-910(c), 15-105, 15-107, and 16-201, Annotated Code of Maryland
.06 Determination of Individual Component.
A.—F. (text unchanged)
[G.] (proposed for repeal)
G. Table of Individual Components Effective July 1, 2017.
(1) Residential Programs.
|
Region 1 — Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne’s) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.54 |
$36.76 |
$62.68 |
$101.53 |
$145.58 |
|
2 |
$22.46 |
$38.70 |
$64.62 |
$103.46 |
$147.50 |
|
3 |
$25.57 |
$41.80 |
$67.69 |
$106.56 |
$150.59 |
|
4 |
$29.76 |
$45.99 |
$71.88 |
$110.75 |
$154.78 |
|
5 |
$33.44 |
$49.67 |
$75.59 |
$114.44 |
$158.47 |
|
|
|
|
|
|
|
Region 2 — Washington D.C. Metro (Calvert, Frederick, Prince George’s, Montgomery, Charles) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.16 |
$39.66 |
$67.63 |
$109.54 |
$157.07 |
|
2 |
$24.23 |
$41.75 |
$69.72 |
$111.62 |
$159.14 |
|
3 |
$27.59 |
$45.10 |
$73.03 |
$114.97 |
$162.47 |
|
4 |
$32.11 |
$49.62 |
$77.55 |
$119.49 |
$166.99 |
|
5 |
$36.08 |
$55.59 |
$81.55 |
$123.47 |
$170.97 |
|
|
|
|
|
|
|
Region 3 — Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.54 |
$36.76 |
$62.68 |
$101.53 |
$145.58 |
|
2 |
$22.46 |
$38.70 |
$64.62 |
$103.46 |
$147.50 |
|
3 |
$25.57 |
$41.80 |
$67.69 |
$106.56 |
$150.59 |
|
4 |
$29.76 |
$45.99 |
$71.88 |
$110.75 |
$154.78 |
|
5 |
$33.44 |
$49.67 |
$75.59 |
$114.44 |
$158.47 |
|
|
|
|
|
|
|
Region 4 — Pittsburgh Metro (Allegany) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.54 |
$36.76 |
$62.68 |
$101.53 |
$145.58 |
|
2 |
$22.46 |
$38.70 |
$64.62 |
$103.46 |
$147.50 |
|
3 |
$25.57 |
$41.80 |
$67.69 |
$106.56 |
$150.59 |
|
4 |
$29.76 |
$45.99 |
$71.88 |
$110.75 |
$154.78 |
|
5 |
$33.34 |
$49.67 |
$75.59 |
$114.44 |
$158.47 |
|
|
|
|
|
|
|
Region 5 — Wilmington Metro (Cecil) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$21.83 |
$39.67 |
$66.62 |
$107.92 |
$154.74 |
|
2 |
$23.87 |
$41.13 |
$68.38 |
$109.97 |
$156.78 |
|
3 |
$27.18 |
$44.43 |
$71.95 |
$113.26 |
$160.06 |
|
4 |
$31.63 |
$48.88 |
$76.40 |
$117.72 |
$164.52 |
|
5 |
$35.54 |
$52.79 |
$80.34 |
$121.64 |
$168.44 |
|
|
Region 6 — Hagerstown Metro (Washington) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.54 |
$36.76 |
$62.68 |
$101.53 |
$145.58 |
|
2 |
$22.46 |
$38.70 |
$64.62 |
$103.46 |
$147.50 |
|
3 |
$25.57 |
$41.80 |
$67.69 |
$106.56 |
$150.59 |
|
4 |
$29.76 |
$45.99 |
$71.88 |
$110.75 |
$154.78 |
|
5 |
$33.44 |
$49.67 |
$75.59 |
$114.44 |
$158.47 |
|
|
|
|
|
|
(2) Day Programs.
|
Region 1 — Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne’s) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 2 — Washington D.C. Metro (Calvert, Frederick, Prince George’s, Montgomery, Charles) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.64 |
$27.04 |
$35.61 |
$44.44 |
$61.86 |
|
2 |
$24.98 |
$29.38 |
$37.99 |
$46.81 |
$64.24 |
|
3 |
$28.80 |
$33.22 |
$41.80 |
$50.62 |
$68.04 |
|
4 |
$33.96 |
$38.34 |
$46.93 |
$55.78 |
$73.19 |
|
5 |
$38.50 |
$42.88 |
$51.46 |
$60.30 |
$77.71 |
|
|
Region 3 — Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 4 — Pittsburgh Metro (Allegany) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 5 — Wilmington Metro (Cecil) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.30 |
$26.64 |
$35.09 |
$43.78 |
$60.95 |
|
2 |
$24.61 |
$28.94 |
$37.42 |
$46.12 |
$63.29 |
|
3 |
$28.37 |
$32.73 |
$41.18 |
$49.87 |
$67.03 |
|
4 |
$33.46 |
$37.78 |
$46.24 |
$54.95 |
$72.11 |
|
5 |
$37.92 |
$42.24 |
$50.70 |
$59.41 |
$76.56 |
|
|
Region 6 — Hagerstown Metro (Washington) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
|
|
|
|
(3) Supported Employment Programs.
|
Region 1 — Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne’s) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 2 — Washington D.C. Metro (Calvert, Frederick, Prince George’s, Montgomery, Charles) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.64 |
$27.04 |
$35.61 |
$44.44 |
$61.86 |
|
2 |
$24.98 |
$29.38 |
$37.99 |
$46.81 |
$64.24 |
|
3 |
$28.80 |
$33.22 |
$41.80 |
$50.62 |
$68.04 |
|
4 |
$33.96 |
$38.34 |
$46.93 |
$55.78 |
$73.19 |
|
5 |
$38.50 |
$42.88 |
$51.46 |
$60.30 |
$77.71 |
|
|
Region 3 — Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.34 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 4 — Pittsburgh Metro (Allegany) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 5 — Wilmington Metro (Cecil) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.30 |
$26.64 |
$35.09 |
$43.78 |
$60.95 |
|
2 |
$24.61 |
$28.94 |
$37.42 |
$46.12 |
$63.29 |
|
3 |
$28.37 |
$32.73 |
$41.18 |
$49.87 |
$67.03 |
|
4 |
$33.46 |
$37.78 |
$46.24 |
$54.95 |
$72.11 |
|
5 |
$37.92 |
$42.24 |
$50.70 |
$59.41 |
$76.56 |
|
|
Region 6 — Hagerstown Metro (Washington) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.34 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.40 |
$55.89 |
$72.03 |
|
(4) Community Learning Services.
|
Region 1 — Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne’s) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$58.89 |
$72.03 |
|
|
Region 2 — Washington D.C. Metro (Calvert, Frederick, Prince George’s, Montgomery, Charles) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.64 |
$27.04 |
$35.61 |
$44.44 |
$61.86 |
|
2 |
$24.98 |
$29.38 |
$37.99 |
$46.81 |
$64.24 |
|
3 |
$28.80 |
$33.22 |
$41.80 |
$50.62 |
$68.04 |
|
4 |
$33.96 |
$38.34 |
$46.93 |
$55.78 |
$73.19 |
|
5 |
$38.50 |
$42.88 |
$51.46 |
$60.30 |
$77.71 |
|
|
Region 3 — Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 4 — Pittsburgh Metro (Allegany) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 5 — Wilmington Metro (Cecil) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.30 |
$26.64 |
$35.09 |
$43.78 |
$60.95 |
|
2 |
$24.61 |
$28.94 |
$37.42 |
$46.12 |
$63.29 |
|
3 |
$28.37 |
$32.73 |
$41.18 |
$49.87 |
$67.03 |
|
4 |
$33.46 |
$37.78 |
$46.24 |
$54.95 |
$72.11 |
|
5 |
$37.92 |
$42.24 |
$50.70 |
$59.41 |
$76.56 |
|
|
Region 6 — Hagerstown Metro (Washington) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
(5) Employment Discovery and Customization
|
Region 1 — Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne’s) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 2 — Washington D.C. Metro (Calvert, Frederick, Prince George’s, Montgomery, Charles) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.64 |
$27.04 |
$35.61 |
$44.44 |
$61.86 |
|
2 |
$24.98 |
$29.38 |
$37.99 |
$46.81 |
$64.24 |
|
3 |
$28.80 |
$33.22 |
$41.80 |
$50.62 |
$68.04 |
|
4 |
$33.96 |
$38.34 |
$46.93 |
$55.78 |
$73.19 |
|
5 |
$38.50 |
$42.88 |
$51.46 |
$60.30 |
$77.71 |
|
|
Region 3 — Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 4 — Pittsburgh Metro (Allegany) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
|
Region 5 — Wilmington Metro (Cecil) |
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$22.30 |
$26.64 |
$35.09 |
$43.78 |
$60.95 |
|
2 |
$24.61 |
$28.94 |
$37.42 |
$46.12 |
$63.29 |
|
3 |
$28.37 |
$32.73 |
$41.18 |
$49.87 |
$67.03 |
|
4 |
$33.46 |
$37.78 |
$46.24 |
$54.95 |
$72.11 |
|
5 |
$37.92 |
$42.24 |
$50.70 |
$59.41 |
$76.56 |
|
|
Region 6 — Hagerstown Metro (Washington) |
|
|
Health/Medical
Level |
|
Supervision/Assistance Level |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
$20.98 |
$25.06 |
$33.01 |
$41.19 |
$57.34 |
|
2 |
$23.15 |
$27.23 |
$35.21 |
$43.39 |
$59.54 |
|
3 |
$26.69 |
$30.79 |
$38.74 |
$46.92 |
$63.06 |
|
4 |
$31.48 |
$35.54 |
$43.50 |
$51.70 |
$67.84 |
|
5 |
$35.68 |
$39.74 |
$47.70 |
$55.89 |
$72.03 |
|
07 Provider Components.
Effective July 1, [2016] 2017, the provider components for all regions are as follows:
A. The residential program provider component is [$63.95] $66.19; and
B. The day habilitation, vocational, supported employment, community learning services, and employment discovery and customization program provider component is [$35.41] $36.65.
.08 Add-On Component.
A.—I. (text unchanged)
J. Reimbursement for Add-On Components.
(1) (text unchanged)
(2) Effective July 1, [2016] 2017, the amount per unit of service for residential programs is as follows:
(a) In Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll, Dorchester, Garrett, Harford, Howard, Kent, Queen Anne's, St. Mary's, Somerset, Talbot, Washington, Wicomico, and Worcester counties — [$19.11] $19.78;
(b) In Cecil County — [$20.12] $20.82; and
(c) In Calvert, Charles, Frederick, Montgomery, and Prince George's counties — [$20.37] $21.09.
(3) Effective July 1 [2016] 2017, the amount per unit of service for day habilitation and community learning services is as follows:
(a) In Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll, Dorchester, Garrett, Harford, Howard, Kent, Queen Anne's, St. Mary's, Somerset, Talbot, Washington, Wicomico, and Worcester counties — [$21.36] $22.11;
(b) In Cecil County — [$22.37] $23.16; and
(c) In Calvert, Charles, Frederick, Montgomery, and Prince George's counties — [$22.63] $23.43.
(4) Effective July 1 [2016] 2017, the amount per unit of service for supported employment and employment discovery and customization is as follows:
(a) In Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll, Dorchester, Garrett, Harford, Howard, Kent, Queen Anne's, St. Mary's, Somerset, Talbot, Washington, Wicomico, and Worcester counties — [$21.32] $22.11;
(b) In Cecil County — [$22.37] $23.16; and
(c) In Calvert, Charles, Frederick, Montgomery, and Prince George's counties — [$22.63] $23.43.
(5) Effective July 1 [2016] 2017, the amount per unit of service per individual for professional services is as follows:
(a) In Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll, Dorchester, Garrett, Harford, Howard, Kent, Queen Anne's, St. Mary's, Somerset, Talbot, Washington, Wicomico, and Worcester counties — [$31.51] $32.61;
(b) In Cecil County — [$33.28] $34.44; and
(c) In Calvert, Charles, Frederick, Montgomery, and Prince George's counties — [$33.73] $34.90.
10.22.18 Community Supported Living Arrangements Payment System
Authority: Health-General Article, §§2-104(b), 7-306.1, 7-307, 15-105, and 5-107, Annotated Code of Maryland
.04 Rates.
A.—H. (text unchanged)
[I.]—[K.] (proposed for repeal)
I. Fiscal Year 2018 Tables for CSLA’s Personal Supports Hourly Rates.
(1) State Fiscal Year 2018 CSLA’s Personal Supports Rates: Table for One Individual in a Dwelling Receiving CSLA Services.
|
Hourly Rate Per Individual |
|
Hours of Service Per Week |
Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll,
Dorchester, Garrett, Harford, Howard, Kent, Queen Anne’s, St. Mary’s, Somerset, Talbot,
Washington, Wicomico, and Worcester Counties |
Cecil County |
Calvert, Charles, Frederick, Montgomery,
and Prince George’s Counties |
|
1—19 |
$30.00 |
$31.05 |
$31.32 |
|
20—22 |
$28.69 |
$29.69 |
$29.95 |
|
23-24 |
$27.73 |
$28.70 |
$28.95 |
|
25 |
$26.84 |
$27.78 |
$28.02 |
|
26 |
$25.99 |
$26.90 |
$27.13 |
|
27 |
$25.22 |
$26.10 |
$26.33 |
|
28—82 |
$24.85 |
$25.72 |
$25.94 |
(2) State Fiscal Year 2018 CSLA’s Personal Supports Rates: Table for Two Individuals in a Dwelling Receiving CSLA Services.
|
Hourly Rate Per Individual |
|
Hours of Service Per Week |
Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll,
Dorchester, Garrett, Harford, Howard, Kent, Queen Anne’s, St. Mary’s, Somerset, Talbot, Washington,
Wicomico, and Worcester Counties |
Cecil County |
Calvert, Charles, Frederick, Montgomery,
and Prince George’s Counties |
|
1-19 |
$27.91 |
$28.89 |
$29.14 |
|
20—22 |
$26.90 |
$27.84 |
$28.08 |
|
23—24 |
$25.99 |
$26.90 |
$27.13 |
|
25 |
$25.15 |
$26.03 |
$26.26 |
|
26 |
$24.36 |
$25.21 |
$25.43 |
|
27 |
$23.63 |
$24.46 |
$24.67 |
|
28—82 |
$23.29 |
$24.11 |
$24.31 |
(3) State Fiscal Year 2018 CSLA’s Personal Supports Rates: Table for Three Individuals in a Dwelling Receiving CSLA Services.
|
Hourly Rate Per Individual |
|
Hours of Service Per Week |
Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll,
Dorchester, Garrett, Harford, Howard, Kent, Queen Anne’s, St. Mary’s, Somerset, Talbot, Washington,
Wicomico, and Worcester Counties |
Cecil County |
Calvert, Charles, Frederick, Montgomery,
and Prince George’s Counties |
|
1-19 |
$22.37 |
$23.15 |
$23.35 |
|
20—22 |
$21.55 |
$22.30 |
$22.50 |
|
23—24 |
$20.81 |
$21.54 |
$21.73 |
|
25 |
$20.15 |
$20.86 |
$21.04 |
|
26 |
$19.53 |
$20.21 |
$20.39 |
|
27 |
$18.93 |
$19.59 |
$19.76 |
|
28—82 |
$18.67 |
$19.32 |
$19.49 |
J. State Fiscal Year 2018 CSLA’s Personal Supports Rates: Table for 1:1 Support or Not More than 8 Hours of Awake-Overnight Support per Residence for Individuals Receiving CSLA Services Regardless of the Number of Individuals in a Dwelling.
|
Hourly Rate Per Individual |
|
Hours of Service Per Week |
Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll,
Dorchester, Garrett, Harford, Howard, Kent, Queen Anne’s, St. Mary’s, Somerset, Talbot,
Washington, Wicomico, and Worcester Counties |
Cecil County |
Calvert, Charles, Frederick, Montgomery,
and Prince George’s Counties |
|
Hours in Excess of 82 |
$18.67 |
$19.32 |
$19.49 |
K. State Fiscal Year 2018 CSLA’s Personal Supports Rates: Table for Professional Services for Individuals Receiving CSLA Services Regardless of the Number of Individuals in a Dwelling.
|
Hourly Rate Per Individual |
|
Hours of Service Per Week |
Baltimore City and Allegany, Anne Arundel, Baltimore, Caroline, Carroll,
Dorchester, Garrett, Harford, Howard, Kent, Queen Anne’s, St. Mary’s, Somerset, Talbot,
Washington, Wicomico, and Worcester Counties |
Cecil County |
Calvert, Charles, Frederick, Montgomery,
and Prince George’s Counties |
|
As preauthorized and approved |
$32.61 |
$33.75 |
$34.04 |
DENNIS SCHRADER
Secretary of Health
