0465-01-02-.10
Value-Based
Cite as Tenn. Comp. R. & Regs. 0465-01-02-.10
RATE
SETTING
METHODOLOGY
FOR
SUPPORTED
EMPLOYMENT-INDIVIDUAL JOB DEVELOPMENT.
(1)
Supported employment-individual job development 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:
1.
DSP reimbursement rate;
2.
Adjustment of $2.75/hour to increase DSP reimbursement rate to account for
additional qualifications required for job developer;
3.
Employee-related expenses;
4.
Administrative costs;
5.
Productivity assumptions; and
6.
Travel costs;
METHODOLOGY UTILIZED TO DETERMINE PAYMENTS TO
CHAPTER 0465-01-02
SERVICE PROVIDERS (RATE STRUCTURE)
(b)
Rate level factor based on average number of job developer hours required to
complete service and secure outcome adjusted for intensity of support needs of the
individual; 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.