Pcs And Aged And Disabled Waiver Service Cost Surveys

The Department conducts cost surveys for one hundred percent (100%) of providers, customized for each of th e services identified in this rule. Providers who refuse or fail to respond to state surveys may be disenrolled. Th e Department derives rates using direct care staff costs, employment related expenditures (ERE), program related costs , and indirect general and administrative costs in payment methodology, when these costs are incurred by a provider. (7-1-25)T 01. Wage Rates. Reimbursement methodology used when an expenditure is incurred by the provide r type. Wages are identified on the Bureau of Labor Statistics (BLS) website at www.bls.gov when there is a comparable occupation title for direct care staff. When no comparable occupation title for direct care staff exists, the n a weighted average hourly rate (WAHR) methodology is used. (7-1-25)T 02. ERE. (7-1-25)T a. The BLS report at www.bls.gov for employer costs per hour worked for employee compensatio n and costs as a percent of total compensation for Mountain West Divisions are used to determine the incurred ERE b y each provider type. (7-1-25)T b. The Internal Revenue Service employer cost for social security and Medicare benefits a t www.irs.gov is used to determine the incurred ERE by provider type. (7-1-25)T 03. Expenditures by Provider Type. Cost surveys are used to collect indirect general, administrative , and program related costs. Costs are ranked by costs per provider, and the Medicaid cost used in the rate methodolog y is established at the 75th percentile. (7-1-25)T