0465-01-02-.09
Value-Based
Cite as Tenn. Comp. R. & Regs. 0465-01-02-.09
RATE
SETTING
METHODOLOGY
FOR
SUPPORTED
EMPLOYMENT-INDIVIDUAL DISCOVERY.
(1)
Supported employment-individual discovery is paid for on an outcome basis.
(2)
The unit is a complete episode of the service as defined in the approved Section 1915(c)
waiver application and includes all of the service required to deliver the expected outcome.
(3)
The outcome-based rate is calculated using the following factors:
(a)
Average cost of job developer hour of service, including these component costs:
METHODOLOGY UTILIZED TO DETERMINE PAYMENTS TO
CHAPTER 0465-01-02
SERVICE PROVIDERS (RATE STRUCTURE)
1.
DSP reimbursement rate;
2.
Adjustment of $2.75/hour to increase DSP reimbursement rate to account for
additional qualifications required for discovery;
3.
Employee-related expenses;
4.
Administrative costs;
5.
Productivity assumptions; and
6.
Travel costs;
(b)
Average number of job developer hours required to complete service; and
(c)
Billable service adjustment for percentage of waiver participants that do not complete
the service due to reasons beyond the purview of the provider’s control.