0465-01-02-.12
Value-Based
Cite as Tenn. Comp. R. & Regs. 0465-01-02-.12
RATE
SETTING
METHODOLOGY
FOR
SUPPORTED
EMPLOYMENT-SMALL GROUP.
(1)
Supported employment-small group is reimbursed on a fee-for-service basis.
(2)
The unit of service is 15 minutes.
(3)
The fee-for-service rate is calculated using the following factors:
(a)
Average cost of job coach hour of service divided by four (4), including these
component costs:
1.
DSP reimbursement rate;
2.
Employee-related expenses;
3.
Administrative costs;
4.
Productivity assumptions, including projected average waiver participant
absentee rate of 8.23 percent; and
5.
Travel costs;
(b)
Participant transportation cost per unit per person;
(c)
Administrative adjustment based on the number of waiver participants in the small
group and the expected job coach-to-waiver participant staffing ratio (one job coach for
a group of two, three, or four waiver participants); and
(d)
Value-based adjustment to incentivize smaller group size.
METHODOLOGY UTILIZED TO DETERMINE PAYMENTS TO
CHAPTER 0465-01-02
SERVICE PROVIDERS (RATE STRUCTURE)